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Parent Progress Report
Student's Name
(Required)
First
Last
Parent's Name
(Required)
First
Last
Parent's Phone
(Required)
Parent's Email
(Required)
What week of the program are you on?
(Required)
1
2
3
4
5
6
7
8
Other
How many Sunday parent seminars have you attended?
(Required)
1
2
3
4
5
6
7
8
Other
How many Sunday classes has your child attended?
(Required)
1
2
3
4
5
6
7
8
Other
Has your child begun the program?
(Required)
Yes
No
Which issue below was the reason you enrolled in the program?
(Required)
Anxiety
Stress
Low Motivation
Lack of Confidence
Poor Self Control
Body Image Issues
Poor Time Management
Poor Decision Making
Academic Problems
Parent-Teen Conflict
Failure to Excel in Sports
Other
What progress have you recognized so far?
(Required)
What feedback do you have about the program so far?
Share what wins have you noticed this week!
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