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Remarkable Mama's Mentoring

I'm so excited you're here! 

Answering these few questions (it will only take a minute or two) will help me get to know you and your individual needs better. It will also make sure this group will be a great fit for you. 

Please reach out to me at [email protected] with additional questions!

Diane Passey

Click the button below to start.

Start

Question 1 of 13

I am a mom of ________ kids.

A

One to two

B

Three to four

C

Five to six

D

Other

Question 2 of 13

My household is a 

A

Single parent household

B

Blended family household

C

Two parent household

D

Other

Question 3 of 13

I am a member of the Church of Jesus Christ of Latter-day Saints. I use Christian-based values in my coaching. Some people feel more comfortable with that than others. 

(You do not need to be a current member of the Church of Jesus Christ to be part of this group)

(Select all that apply)
A

I'm comfortable with Christian-based teachings alongside science-backed methods

B

I would prefer this group to be science-based only.

C

I am a member of the Church of Jesus Christ of Latter-day Saints

D

Other

Question 4 of 13

When it comes to anxiety -

A

I experience anxiety on a regular basis

B

My spouse experiences anxiety on a regular basis

C

Neither of us experience anxiety regularly

D

We both experience anxiety regularly

Question 5 of 13

One or more of my household experiences depression regularly

A

True

B

False

Question 6 of 13

Group coaching will take place on Wednesday evenings at 7:00 pm beginning on Wednesday, January 19th.

Does that work with your schedule most of the time?

A

Yes

B

No

Question 7 of 13

If I could help you with your top two concerns, what would they be? What two areas of your life feel the heaviest? 

Question 8 of 13

How do you prefer to consume information?

(Select all that apply)
A

Audiobooks for me!

B

I love turning the pages of a book

C

Podcasts or blogs work best

D

YouTube videos!

E

I don't have time for any of these

Question 9 of 13

What are the ages of your children or teens that could use the most help?

Question 10 of 13

What have you tried before that has worked?

What hasn't worked?

Question 11 of 13

Coaching is an active learning process. How committed can you be to learning and practicing the techniques we talk about?

 

(You will only need a little bit of time each week)

 

This is on a scale of 1 - 10 with 1 being no time and 10 being all the time you need.

A

1 to 4 - I'm not sure if I can make the time in my schedule to devote to one more thing.

B

5 to 7 - This is important to me and I want to find the time, but I'm not sure if I can.

C

8 to 10 - I am willing to do what it takes to become a mentor for my family. I'll find the time.

D

Other (I'll ask you to explain more later)

Question 12 of 13

The cost of this course is a one-time payment of $397. 

A partial scholarship is available on a limited basis for those who need help financially.

Are you interested in applying for the scholarship? 

Question 13 of 13

Do you have a friend that you think would also be interested in joining this group? 

If so, let me know the best way to invite them to come. 

Confirm and Submit