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Parent Name
*
First
Last
Parent Email
*
Child's Name
Child’s Age
*
Reflection on Journey: How would you describe your child’s journey from the beginning till now?
Goals: the Noticeable
Achievement of Goals: Were the initial goals of counselling/remedial sessions achieved?
Fully achieved
Partially achieved
Not achieved
Achievement of Goals: Please explain
Most Noticeable Changes: What are the top 3 positive changes you have observed?
Areas of Concern (If Any): What challenges still remain?
Effectiveness Over Time: Did you find the sessions more effective over time?
Yes
No
Same
Home Application: Are you able to apply strategies at home confidently?
Always
Sometimes
Rarely
Home Application: Has your parenting approach changed due to guidance?
Yes
No
Home Application: If yes, how did the guidance help you and your child?
Long-Term Value: How valuable have these sessions been for your child overall?
Extremely valuable
Valuable
Somewhat valuable
Not valuable
Feedback for Counselling/Remedial Program: What did you appreciate the most?
Submit
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