20 Minute Free Parenting Consultation with Madeleine

Stay in Touch: Free 20 Minute Parenting Consultation With Madeleine AU/US [pwztsrnn]
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First Name
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Last Name
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Email Address
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Would you like to attend the Consultation as a couple, or individual?  
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What region are you from?
Where you currently live.
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Where you currently live.
What is the best phone number to contact you on? (Cell/Mobile preferred, in case we need to contact you at short notice). Please include country and area codes (i.e. if you are in Seattle, 1-206-XXX-XXXX))
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What is your preferred instant messaging App?
Parenting is full of unpredictable challenges, and sometimes, I may need to contact you at short notice - or you may need to contact me.  Along with SMS, these are the Apps I use - please let me know which you prefer. (SMS by text using your mobile carrier often does not work over the oceans)
WhatsApp
Signal
Facebook Messenger (this is not my preferred option)
None of these - I'll try SMS
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Parenting is full of unpredictable challenges, and sometimes, I may need to contact you at short notice - or you may need to contact me.  Along with SMS, these are the Apps I use - please let me know which you prefer. (SMS by text using your mobile carrier often does not work over the oceans)
Would you like to join our mailing list to learn about upcoming Hand in Hand Parenting workshops and courses? 
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In what year were your children born?
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I have adult children
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Do you have any experience with Hand in Hand/Parenting by Connection? i.e. use the web site, attended talks, teleseminars, taken a Starter Class or other Online or face-to-face class, Support Call, Consultation etc.
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How did you find out about us? (Please be as specific as possible. This assists us greatly in planning for future events).
What would you like assistance with?  Is there anything about your family life it would be helpful for us to know? 
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 When you submit this form it will be sent to Madeleine.  You will be redirected to my booking page, and receive an email. Please check your spam folder as my emails sometimes land there )-:  To help prevent this, please add my email address <madeleine"at"madeleinewinter.com> and <no-reply"at"paperform.co> to your contacts.  Please contact us at madeleine"at"madeleinewinter"dot"com if you do not hear back from us in 24 hours once you have made the booking.   