Pre-course Assessment Form – CHIME Mental Health & Parenting Online

This form will ask questions about your current parenting and family dynamics. All answers will remain confidential. 

Pre-Course Assessment form - Online CHIME MH Parenting

Additional household members

Please add the details of any additional members in your household

Access to complete an online course

If the answer is no to any of the following questions, you may not be suitable for the course. We suggest that you speak to family/friends to see if they are able to help, otherwise a face to face course may be more suitable.

Pre-course assessment

The following questions ask about your current parenting and family dynamics, and is used by facilitators to help determine the best way to support you in your parenting role.