Parent Self-Assessment

Your full name *

Your email *

Your phone number

Your teen's full name *

Grade

School

In a sentence or two — what do you want for your teen right now? *

Which of these feels closest to how you see your role during this process? *

I'll offer support and encouragement, and also hold them accountable when needed I mostly just want to see results — grades, behaviour, attitude improving I'm not sure yet, but I'm willing to learn what's most helpful

If the coach suggested that something on your side might also need to shift — would you be open to hearing that? *

Yes, genuinely open to that Possibly, depending what it is This is really about my teen, not me

Coaching conversations are private between your teen and the coach, with only general progress shared with you. How does that sit with you? *

Comfortable — I understand why that matters A little uneasy, but willing to try it I'd want to know what's discussed in detail

Has your teen told you they'd improve before — grades, effort, attitude — and it hasn't happened, or got worse?

No — this is a new concern, not a repeated promise Yes — once or twice Yes — several times now, it's a repeating cycle

If you're comfortable sharing — what does that pattern look like, briefly?

A sentence is fine — we'll talk through it properly when we meet.

Parent Self-Assessment

Thank you