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Home
About Alisa
Co-Parenting Classes
Online Co-Parenting Classes
Online Class and Co-Parenting Sessions Combo
Resources for Professionals
Online Class for Professionals
Book and Class Packs
Co -Parenting Book
Blog
Co-Parenting Blog
Concern for a Troubled World
Inspiration for all Parents
Ask Alisa
Contact Me
My Account
Lesson 1 Survey Copy
Name
*
First
Last
Email
*
How did you find out about this class?
*
Friend or family member
Court resource list
Court personnel
Attorney
Therapist
Facebook
Google Search
What county and state is your court case in?
*
If a professional told you about this class, please provide their name so we can thank them.
I would describe my co-parenting relationship as:
*
Highly conflictual
Moderately conflictual
Somewhat conflictual
Not at all conflictual
The difficulties that my co-parent and I have with each other are:
*
All their fault
Mostly their fault
Equally my fault and their fault
Mostly my fault
All my fault
As a result of my co-parenting situation, I feel:
*
Extremely angry
Moderately angry
Somewhat angry
Not angry at all
As a result of my co-parenting situation, I feel:
*
Extremely anxious
Moderately anxious
Somewhat anxious
Not at all anxious
As a result of my co-parenting situation, I feel:
*
Extremely sad
Moderately sad
Somewhat sad
Not sad at all
I am taking this class for the following reason(s): (Choose as many as you’d like)
*
To learn how to work with my intense emotional states.
To learn how to communicate better with my co-parent.
To learn more about what it's like to be a child of divorce.
To learn how to be a better parent.
To learn how to be less angry.
To learn how to be less anxious.
To learn how to be less sad.
To develop compassion for my co-parent
To cultivate joy and positivity
To learn about mindfulness
Because I'm court ordered.
If the reason for taking this class was not listed, please provide it here.
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