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Please submit questions & book appointment

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Question 1 of 5

Please enter Your Name, Number, and Email Address

Question 2 of 5

Please enter your child's name and age

Question 3 of 5

What do you feel are your specific challenges as a parent?

Question 4 of 5

What is your monthly average income?

A

Between 1000 to 5000

B

Between 5000 to 10.000

C

10.000 Or Up

Question 5 of 5

How much time are you willing to dedícate to learning and growth of your parenting skills?

A

All the time that's needed!

B

I work most of the day

C

No time at all

Confirm and Submit