Planning for Success

Please complete and submit this form at least 24 hours before your child’s FIRST coaching session, so Claire can be fully prepared when she meets your teenager.

Wherever possible, both parents/carers are encouraged to complete individual forms. Thank you.

All teens age 16+ and parents/caregiver who wish to engage in coaching inside Claire’s office, must show COVID-19 vaccination certificate.

    Parent First Name:

    Last Name:

    Email Address:

    Mobile Number:

    Son or Daughter's Name:


    Date of Birth:

    School Name:

    Current Year Level:

    Has your child been in session with a counsellor, school psychologist, coach, therapist of any type in recent years? If so, please give details:

    What are your child's strengths, talents, interests and hobbies?:

    Do you have any concerns about your child? Please give details:

    What would you like to see as result of your child being coached?

    Is there anything else you would like me to know?

    What expectations do you have of Claire, your child’s coach?

    NOTE - upcoming session must be paid for prior appointment, not after a session has already occurred. Thank you

    How did you find out about Claire's services?

    Would you like to find out more about Claire presenting at your child’s school? If yes, please provide your school name:

    Has your teen read Claire's books - 'ROC and RISE' and 'HELLO HIGH SCHOOL?' YES. Great, please bring copies to each session, Thank you.NO. Books are suggested reading to support coaching sessions and in-between session learning. Thank you