Home/Parents/Parenting Queries Parenting Queries Use this form to ask a question about your child. How can We Help? Please phone me (New Zealand only) Please email me I'd like an online parent consultation Please refer me to someone closeby Other Does your child attend daycare / childcare? Yes No Hours at childcare (if applicable) Child's name Age Place in family Parents Name First Last Email* Phone Marital SituationMarriedSeparatedDivorcedDe factoOtherMajor Life Stressors Moved House Financial Stress Marriage/Relationship Concerns Death/Serious Illness of Family Member/Pet Recent Holiday None Other Please include detailsPlease include detailsWhat is Concerning you?How long has this problem existed?Your Emotions Sadness Fear Anger Other What is your main emotion when this problem/situation occurs?Please include details.Please include details.Child's Emotions Sadness Fear Anger Other What do you think your child's main emotion is?What tells you this is their emotion?What tells you this is their emotion?Additional InfoDetail any other information you consider important.Anti Spam
