APPLICATION FORM Family Foundations

Application for Family Foundations - Relational & Emotional Development Support

This work supports the entire family ecosystem. Children do not change in isolation — growth happens together. Please answer as honestly as possible so I can understand how best to guide your family.

Due to limited availability, not all applications can be accepted immediately. I personally read each one and will endeavour to get back to you within 1-3 working days.

Thank you for taking the time!

First name

Last name

Phone

What is currently happening within your family that has led you here?

Is this primarily:

Behavioural concerns with a child

Emotional disconnection within the family

Ongoing stress patterns

A desire for stronger relational foundations

Emotional trauma or change support

Unsure

Which family members would be participating in this work?

How is this currently impacting your home environment?

What changes would you most love to see within your family dynamic?

Have you previously sought support for this? If yes, what helped or didn’t? And what type of support was it?

Are you prepared to actively participate and integrate tools at home between sessions? Most vital to this transformation.

Are you prepared to commit to a minimum of three sessions?

Is there anything important about your family context I should know before reviewing your application?

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