RANDIRUBENSTEIN Email Marketing -

VIP Basics Application

Thank you for your interest in working with Randi and the Mastermind Parenting team in our VIP Basics 12 Weeks of intense, individualized Parent Coaching. Thank you so much for your candid answers to the questions below. Please know that all your answers will be received with zero judgment - we have seen it all! - and will help us ensure that our program is a good fit for you.

First Name *

Last Name

Phone

Email *

Please list the names and ages of your family members.

For each family member, what’s your favorite thing about them, and what do you find most challenging about them?

What are the hot buttons in your parenting - the places you’re almost always struggling with your kid? (E.g.. dinnertime or bedtime, room cleaning or getting off the iPad, sibling fights or swim lessons, etc).

Please describe the predominant “vibe” in your household. How does it usually feel to be in your home and around your family?

How do you see this predominant vibe affecting each family member?

How is this predominant vibe affecting YOU? (Your health and wellness, your self-esteem, your romantic relationship, work and social life, your habits).

What have you already tried to help yourself, your kid, and your family? (E.g.. books, parenting classes, therapy, etc). What (if any) lasting results have you seen?

If we could wave a magic wand and change one thing in your household today, what would it be?

Anything else you’d like us to know?

How did you hear about Mastermind Parenting?