Registration: Initial Meeting

Questionnaire for Initial Interview

You would like to sign up for an initial consultation? Wonderful! Please fill out this questionnaire to give me a first impression of what you are looking for. If I think we're a good fit, I'll get back to you with an appointment for our free 20-minute initial consultation.

Questionnaire for Initial Interview

Name

E-mail

Street & house number

ZIP CODE

Town & Country

I am a mother or father or caregiver and my name (first and last name) is

Name of the child, born on

My child has the following strengths

My child is interested in

My child likes to do

I, or we as parents or caregivers, worry about our child because

As a caregiver, I want to help my child myself, so I am looking for parent coaching and support with the following questions:

I/we understand that Sibylle Janert mainly offers relationship-oriented parent counseling and that therapy sessions can only take place as part of an existing longer collaboration (e.g. annual package)

Online

mostly online via Zoom and via short videos of our child to find new ways together with parents to help my child by myself at home

Consulting

private as an independent consultation (hourly rate: Euro 120), i.e. not covered by health insurance

I or we would like to book an initial consultation. In general, the following times are suitable for me/us to be able to talk about my concerns and questions undisturbed via Zoom

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Registration: Initial Meeting

Questionnaire for Initial Interview

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Registration: Initial Meeting

Questionnaire for Initial Interview

More info on the topic?

You have Successfully Subscribed!

16 Key Strategies for DIRFloortime PlayFREE Download

You have Successfully Subscribed!

16 Key Strategies for DIRFloortime Play
FREE Download