Parent-Child Strengths Map™: Family Insight Assessment

This assessment explores key thinking, emotional, and communication patterns for each person taking part in the Parent–Child Strengths Map™.

We encourage children or teens to complete the assessment themselves. If they are unable to do so, a parent may complete it based on observed behaviour and habits.

If you are completing this form for both yourself and your child or teen, you may need to fill it out more than once, once for each person.

Your responses will be combined to create a multi-profile Parent–Child Strengths Map that will be used during the Parent–Child Strengths Map™ coaching sessions.

Please note: You will receive the combined strengths report within 24 hours after all participants (both live and self-assessment) have completed their assessments. The report is not provided during the first session, as one parent completes their part live with the coach.

Please answer based on real behaviors, there are no right or wrong answers.

Use the following scale:

1 = Strongly Disagree
2 = Disagree
3 = Neutral
4 = Agree
5 = Strongly Agree

Your Full Name (Person completing this form) *

Example: “Anna Wijaya”

Your Email Address *

The combined report will be emailed to the parent joining the session. If you are not that parent, you can enter their email here.

Your Role in the Family *

Full Name of the Person This Assessment Is About *

Example: "Rafi Wijaya"

Age (If child or teen)

"10"

Who is completing this form? *

Who is this report profile about? *

(This helps us combine profiles in your Family Strengths Report.)

What is your main goal or question for this Parent–Child Strengths Map™? *

Example: "I want to understand how our modes align and where we clash."

Describe any recurring patterns or challenges you’d like clarity on.

Example: "We often struggle around sibling conflict or routines."

Consent *

I agree to the Privacy Policy and Terms, and I consent to my responses being processed to generate my Mind Modes® assessment and report. If I provide information about another person (e.g., partner/child), I confirm I have their permission to do so. Your information is kept confidential and used only for preparing your report.

Yes

Understand your family on a deeper level

This assessment helps us understand your and your child’s unique thinking and emotional patterns. Your responses will be combined into a personalised Parent-Child Strengths Map. There are no right or wrong answers. Answer naturally.

Parent-Child Strengths Map™: Family Insight Assessment