Love Note 2021 – Questions - Conscious Co-Parenting Institute

Do you go by Mom or Dad?

Do you go by Mom or Dad?*

Mom

Dad

When was the last time you’ve seen your son or daughter?

When was the last time you’ve seen your son or daughter? *

Days

Weeks

Months

Years

Write your son or daughters name

Write your son or daughter's name (Write only one child’s name here, even if you have multiple children. If you have multiple children, know that you can fill this out again.)*

Write Here

Describe a challenging part of your current relationship in one word and fill in the blank below. Ex: Frustrating, Annoying, Heart-breaking, Confusing

Describe a challenging part of your current relationship in one word and fill in the blank below. Ex: Frustrating, Annoying, Heart-breaking, Confusing*

Write Here

Describe the best qualities you see in your son or daughter. Write four qualities here, as shown in the example (Examples: playful, loving, wild, and free cuddly OR sweet, sincere, genuine, and peaceful). Write the word "and" before the fourth quality.

Describe the best qualities you see in your son or daughter. Write four qualities below (Examples: playful, loving, wild, and free).*

Write Quality 1 Here

Write Quality 2 Here

Write Quality 3 Here

Write Quality 4 Here

Take a second. Consider a memory you share with your child that you treasure. Think of the time. And fill in the following blanks—What did you do? Select which from the list best matches the memory. In this memory,

Take a second. Consider a memory you share with your child that you treasure. Think of the time. And fill in the following blanks—What did you do? Select which from the list best matches the memory.*

I looked down at them in my arms

I held their cheeks and kissed them all over their face

We were playing hide and seek

We were cooking

We were playing in the park

We were enjoying a meal together

We were outside playing catch

They asked me for advice

In this memory, what did you say? I said “_______” (Write what you said to your son or daughter)

In this memory, what did you say? I said “_______” (Write what you said to your son or daughter)*

Write Here

How did your child respond?

What best describes the support you need most right now?

Tell us a little bit about you. So we can send you on the path to your next best step. What best describes the support you need most right now?*

I am in a custody battle and need support to get my children back.

I have been "alienated" from my adult children and need support reuniting with them.

I know my purpose is to help parents who are separated from their children and need support to learn how to become a professional in conscious co-parenting.

Do you go by Mom or Dad?

When was the last time you’ve seen your son or daughter?

Write your son or daughters name

Describe a challenging part of your current relationship in one word and fill in the blank below. Ex: Frustrating, Annoying, Heart-breaking, Confusing

Describe the best qualities you see in your son or daughter. Write four qualities here, as shown in the example (Examples: playful, loving, wild, and free cuddly OR sweet, sincere, genuine, and peaceful). Write the word "and" before the fourth quality.

Take a second. Consider a memory you share with your child that you treasure. Think of the time. And fill in the following blanks—What did you do? Select which from the list best matches the memory. In this memory,

In this memory, what did you say? I said “_______” (Write what you said to your son or daughter)

How did your child respond?

How did you feel?

What best describes the support you need most right now?