Thank you for taking the time to fill out this form before booking your Consultation Session. It will help give Susanna a better picture of your child's unique emotional development and needs moving forward. Once you submit your answers, you will be redirected to schedule your appointment.
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Step 1 About you the Parent
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Step 2 About your Child
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Step 3 About your Child - Continued
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EQ for kidz Parent Questionnaire

Child EQ Questionnaire

Please complete this questionnaire by ticking in the box for the following multiple-choice questions. Remember to answer instinctively, honestly, and with an immediate response!

Child EQ Questionnaire - Continued

Please complete this questionnaire by ticking in the box for the following multiple-choice questions. Remember to answer instinctively, honestly, and with an immediate response!

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