HELP! Dr. Tim Needs Your Input!

Dr. Tim Jordan is creating an online parenting course and wants to address the issues and challenges most important to you. We are so grateful for your help. By completing this survey, you will receive access to Dr. Tim's free Posts, Podcasts, and News.

1Please enter your information below:* 

2What is the #1 single biggest challenge you are struggling with in raising your daughter? Please be as detailed and specific as possible.* 

3Please select the top 3 outcomes that would be most valuable for you to accomplish.* 

4Please write in any other outcomes that would be valuable for you to attain: 

5Check off each topic that you'd like to have covered in this course:* 

6Please write in any other topics you'd like covered in this course: 

7What is the age of your daughter?* 

8Which social media platform do you use or enjoy most?* 

9What form of education do you prefer?* 

* This field is required.


The more specific and detailed, the more likely I’ll be able to cover your topic in the future.