Avoiding Post Separation Conflict Initial Reflections Form Name * First Name Last Name Email * How would you rate the level of conflict or challenge in your dynamics with your current or former spouse/partner out of 10? * Briefly, how would you describe the existing dynamics between yourself and your current or former spouse/partner? What challenges are of most concern that you hope will improve? How would you describe your current understanding and confidence in navigating conflicts, challenges and practical aspect of separation and/or co-parenting to a positive outcome for your evolving family? * What motivated you to engage in this coaching, course or program? What do you hope to achieve out this coaching, course or program? * Do you understand and agree that no legal, financial or professional advice, or therapeutic treatment will be provided during this coaching, course or program? * Yes No Do you understand and agree that your results from participating in this coaching, course or program depend upon your capacity to consider new perspectives and the extent of your engagement in recommended tools and practices? * Yes No Do you understand that this program is designed to be utilised by individuals with a functional level of health and wellbeing? * Yes No Do you understand that if you are experiencing acute violence/trauma/addiction/mental health challenges, that any beneficial professional treatment before or alongside this program is recommended? * Yes No Thank you!
