For a better view of the website, update your browser.
Those browsers has new features built to bring you the best of the web.
DCS Logo
Back To DCS
Quick Escape

Find here How can We Help?

Workshop Screening

Workshop Screening Form

Referral Source
Primary Reason(s) for Seeking Parenting Services
Parenting Workshop

Client Information

Gender
Ok to call
Leave Message
Ok to call
Leave Message
Client Marital Status
Client Level of Education

Child Information

Gender
Are parents divorced or separated?
Describe your parenting style?

Structure with no choices- e.g. Pick up your toys now

Choices with no structure- e.g. Clean up your room whenever you like

Structure with choices-e.g. You can choose to clean up your room now or before going outside to play

Identify your main parenting difficulties (Discipline, repeating self, yelling, loosing temper, handling temper tantrums, inappropriate expectations, lack of monitoring, parenting differences)

What are your parenting goals?

Additional Child Information Continued