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Success Dynamics Academy YOUTH Quick Start

Quick questions to help me best serve you and your child.

If you did not fill this out from the "Thank You" page, please fill it out here.

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Question 1 of 6

How many minor children do you have between 12-17?

Question 2 of 6

What are their ages?

 

(Select all that apply)
A

12-14

B

15-17

Question 3 of 6

What issues do you want to see addressed in Success Dynamics Academy Youth Edition?

(Select all that apply)
A

ADD/ADHD/Brain fog/Distracted

B

Addiction

C

Anger

D

Anxiety

E

Depression

F

Healthy Boundaries/Codependency

G

Physical health/Mind-Body connection

H

Relationship conflict

I

Self worth

J

Stress/Overwhelm

Question 4 of 6

Is there another topic that was not listed above that you would like to see addressed in Success Dynamics Academy?

Question 5 of 6

Please share anything else that you would like me to know about your child/children.

Question 6 of 6

Is there someone I can thank for sending you to me?  If so, please list them here.

If not, how did you hear about me?

Confirm and Submit