Email address *
First Name *
What is your phone number?
In a few sentences tell us about yourself *
Which of these four categories do you best fit in? *
Parent of a young child with autism or signs of autism (ages 1-5)
Early Intervention Professional (ages 1-5)
Parent of school-age children (ages 6+)
Professionals of school-age children (ages 6+)
What prompted you to fill out this survey? *
What are you struggling with currently? *
Decreasing problem behaviors
Improving picky eating
Dealing with sleep issues
Potty training problems
Going to doctors and/or dentists and/or haircuts
Teaching social and play skills
If other, explain
If we were having a conversation 60 days from now, what would have had to happen for you to be happy with your child or client's progress? *
We have a few solutions to help you get started turning things around, which are you interested in finding out more about? *
A 60-Day Online Course and Facebook Community to help increase language and decrease problem behaviors while improving picky eating + sleeping + potty training and more.
The Online Course + Group Coaching to help you get your child or clients to the next level more quickly and easily.
High-Touch Individual Coaching.
On a scale of 1-5 (5 being the most interested), how interested are you in using our programs and services to begin to make progress? *
1 (least interested)
5 (most interested)