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Sign In
My Account
About Us
Unplowed Ground
Shop
Give Today
Follow-Up Survey
Parent/Guardian Name
*
First Name
Last Name
Child Name
*
First Name
Last Name
Email
*
Is your child able to do the Big 6 on a normal basis?
*
Be: 1) Respectful 2) Responsible 3) Fun to be around Do Things: 4) Fast and Snappy 5) Right the first time 6) Mom and Dad's way
Yes
Somewhat
No
Has your child stopped exhibiting behavioral concerns?
*
Yes
Somewhat
No
Is your child accepting of boundaries?
*
Yes
Somewhat
No
Would you say that your child is beginning to form a healthy attachment to you as their parent(s)?
*
Yes
Somewhat
No
Overall, do you believe that Unplowed Ground and King's Ranch have been beneficial to your family and your child's healing process? What was most beneficial?
Please provide honest feedback so that we can continue to improve our services for families just like yours.
Were Monday Live Calls beneficial for you? Or would you rather watch a pre-recorded video on your own time?
If you could change anything about your experience, what would you change?
Please provide honest feedback so that we can continue to improve our services for families just like yours.
Is there anything else you would like us to know?
I certify that all information provided is true.
*
*signature
Do you give King's Ranch permission to use part of the information provided in this form as a testimonial on various platforms?
*
*testimonials include first names ONLY
Yes
No
Thank you!
