Questionnaire
Intake Form

The one and done plan. During your 60 minute phone call consultation, (or face-to-face video consultation for an additional fee) I will listen, ask questions, take notes, make an assessment and immediately give you several potty training ideas. I will offer various personalized recommendations and provide solutions and troubleshooting tailor-made specifically for your potty training concerns. We will brainstorm together about different options and methods to navigate your specific potty learning game plan.

You’ll receive immediate potty training advice, ideas and suggestions during our call. You’ll also get several helpful suggestions, valuable tips, emotional support, and recommendations for different ideas to try with your child. You’ll receive immediate feedback to evaluate where you are in your potty training journey and what steps to take next. You always have the option to upgrade to the other plans or you can add on a second one-hour follow-up phone call for $59 at the time of your initial booking.

Face-to-face video consultations are available for an additional $20 fee.

1. One hour consultation phone call with Miss Jen PLUS….

2. Customized detailed follow-up written report summarizing our conversation including customized potty training checklists, personalized recommendations, references and links specific to your child’s unique potty training circumstances and a complete customized game plan tailor-made for your specific goals.

Includes everything in Plan 1. During your 60 minute phone call consultation, (or face-to-face video consultation for an additional fee) I will listen, ask questions, take notes, make an assessment and immediately give you several potty training ideas. I will offer various personalized recommendations and provide solutions and troubleshooting tailor-made specifically for your potty training concerns. We will brainstorm together about different options and methods to navigate your specific potty learning game plan.

You’ll receive immediate potty training advice, ideas and suggestions during our call. You’ll also get several helpful suggestions, valuable tips, emotional support, and recommendations for different ideas to try with your child. You’ll receive immediate feedback to evaluate where you are in your potty training journey and what steps to take next. You always have the option to upgrade to the other plans or a la carte services if needed.

PLUS:

In addition to everything in Plan One - this potty training coaching PLAN TWO also includes an extensive, detailed follow-up written report via emails, PDFs and links, summarizing the notes I’ll take during our conversation with a list of personalized recommendations, multiple references and a guide to follow with steps to take and refer to throughout your process, as well as several and links specific to your personal potty training circumstances. 

One way communication.

1. One hour of phone call consultation with Miss Jen (or face-to-face video consultation for an additional fee)

2. Customized detailed follow-up written report summarizing our conversation with check-lists of personalized recommendations, references and links specific to your specific potty training circumstances & your customized game plan PDF

3. Direct email messaging, correspondence and check-ins via email for A FULL MONTH after our initial consultation conversation call:  including additional tips & suggestions, more in depth recommendations and helpful links & guidance specific to your potty training needs as challenges come up.

Includes everything in Plan 1 & 2. During your 60 minute phone call (or face-to-face video consultation - your choice) I will listen, ask questions, take notes, make an assessment and immediately give you several potty training ideas, offer various personalized recommendations and provide solutions and troubleshooting tailor-maid for your potty training concerns. We will brainstorm together about different options and methods to navigate your specific potty learning game plan.

You’ll receive immediate potty training advice, ideas and suggestions during our call. You’ll also get several helpful suggestions, valuable tips, emotional support, and recommendations for different ideas to try with your child. You’ll receive immediate feedback to evaluate where you are in your potty training journey and what steps to take next. You always have the option to upgrade to the other plans or a la carte services if needed.

This potty training coaching plan also includes an extensive, detailed follow-up written report via email, summarizing all the notes I’ll take during our conversation with a list of personalized recommendations, multiple references and a guide to follow with steps to take and refer to as well as several and links specific to your personal potty training circumstances. 

PLUS:

In addition to everything in Plan 1 and 2 - this extensive potty training coaching PLAN THREE also includes weekly correspondence via emails, messenger check-ins and texts for A FULL MONTH after our initial consultation conversation, including additional references, more recommendations, and helpful links specific to your potty training issues.  The frequency of your follow-up texts and messaging is totally up to you! It is ultimately your preference - so if you like doing daily check-ins for accountability, I am totally fine with that! 

I try not to pester my Mommy clients by messaging them daily. Some Mommies feel more pressured and stressed if I check in on them too frequently - so I am here for you as needed whenever you need to reach out to ask me questions or troubleshoot any problems or obstacles & challenges.

1. Two separate 1 hour phone consultations or face-to-face video chats. This includes the first initial call and then another second follow-up phone conversation or video chat later in the process to touch base and go over any obstacles or issues causing potty training delays, concerns or regression.

2. Customized detailed follow-up written reports summarizing our conversations with check-lists of personalized recommendations, references & links specific to your specific potty training circumstances & your customized game plan.

3. Multiple follow-up email messages and correspondence, weekly/daily check-ins and correspondence via email for 2 FULL MONTHS after our initial consultation conversation call:  including additional tips & suggestions, more recommendations and helpful links & guidance specific to your potty training needs or challenges.

4. Continued follow-up correspondence via email for TWO MONTHS while your child is potty training. You can email me any time and you’ll benefit more from multiple check-ins and weekly follow-ups throughout your journey for TWO WHOLE MONTHS of your potty training process.

Includes everything in Plan 1, 2 & 3 - you will have 120 minutes of talk time on phone calls or face-to-face video calls. For example: two 60 minute phone calls or one 60 minute call and two 30 min follow-up phone calls mini sessions/calls (120 min total)

During your first 60 minute phone call or face-to-face video consultation (your choice) I will listen, ask questions, take notes, make an assessment and immediately give you several potty training ideas, offer various personalized recommendations and provide solutions and tailor-made troubleshooting for your potty training concerns. We will brainstorm together about different options and methods to navigate your specific potty learning game plan.

You’ll receive immediate potty training advice, ideas and suggestions during our call as well as several helpful suggestions, valuable tips, emotional support and recommendations for different ideas to try with your child - as well as immediate feedback to evaluate where you are in your potty training journey and what steps to take next. You always have the option to add on other a la carte services if needed.

This potty training coaching plan also includes an extensive, detailed follow-up written report via email, summarizing all the notes I’ll take during our conversation with a list of personalized recommendations, multiple references and a guide to follow with steps to take and refer to as well as several and links specific to your personal potty training circumstances. 

Plus weekly correspondence via texts and emails for TWO FULL MONTHS after our initial consultation conversation:  including additional references, more recommendations and several helpful links specific to your potty training issues or challenges.

PLUS:

In addition to everything in Plan 1 , 2 and 3 - this extensive, all-inclusive potty training coaching PLAN FOUR also provides additional correspondence via emails for an additional EXTRA FULL MONTH!! We will be working more closely together so you can email me any time with multiple check-ins and weekly follow-ups and daily updates throughout your potty training journey for TWO FULL MONTHS! You become my personal client for 60 days which will highly increase your probability of reaching your goals sooner, and more successfully which will get your toddler out of diapers and reach the potty training finish line faster! With this extended Plan 4, we will be able to discuss ALL the details & specifics to accommodate your specific long-term needs!

The frequency of your follow-up email messages is totally up to you! It is ultimately your preference - so if you like doing daily check-ins for accountability I am totally fine with that!  I try not to pester my Mommy clients by messaging them daily. Some Mommies feel more pressured and stressed if I check in on them too frequently - so I am here for you as needed whenever you need to reach out to ask me questions or troubleshoot any problems or obstacles & challenges along the way!

Follow-up Mini Sessions available upon request.

⭐ Most Comprehensive and All-Inclusive Long-Term Support Plan
Miss Jen’s highest level of support with multiple consultations, customized resources, and two months of ongoing coaching and guidance, premium concierge service. Continue your personalized support for one additional month, including priority email and text guidance, ongoing troubleshooting, and two additional 60-minute private coaching sessions.

1. Three separate one-hour phone consultations or face-to-face video chats. This includes your first, initial call and then two additional follow-up phone conversations or video chats later in the process to stay connected and go over any obstacles or issues causing potty training delays, concerns, or regression.

2. Customized detailed follow-up written reports summarizing our conversations with checklists of personalized recommendations, references & links specific to your unique potty training circumstances & your customized game plan.

3. Unlimited follow-up email messages and correspondence, weekly/daily check-ins and correspondence via email for 2 FULL MONTHS after our initial consultation conversation call:  including additional tips & suggestions, more recommendations, and helpful links & guidance specific to your unique potty training needs or challenges.

4. Continued follow-up correspondence via email for TWO MONTHS while your child is potty training. You can email me any time, and you’ll benefit more from multiple check-ins and weekly follow-ups throughout your journey for TWO WHOLE MONTHS of your potty training process.

Includes everything in Plan 1, 2, 3, 4: you will have 3 separate hours of talk time on phone calls or face-to-face video calls.
For example: two 60 minute phone calls or one 60 minute call and two 30 min follow-up phone calls mini sessions/calls (120 min total)

During your first one-hour phone call or face-to-face video consultation (your choice) I will listen, ask questions, take notes, make an assessment, and immediately give you several potty training ideas, offer various personalized recommendations, and provide solutions and tailored troubleshooting for your potty training concerns. We will brainstorm together about different options and methods to navigate your specific potty learning game plan.

You’ll receive immediate potty training advice, ideas, and suggestions during our call, as well as several helpful suggestions, valuable tips, emotional support, and recommendations for different ideas to try with your child - as well as immediate feedback to evaluate where you are in your potty training journey and what steps to take next. You always have the option to add on other à la carte services if needed.

This potty training coaching plan also includes an extensive, detailed follow-up written report via email, summarizing all the notes I’ll take during our conversation with a list of personalized recommendations, multiple references, and a guide to follow with steps to take and refer to, as well as several links specific to your personal potty training circumstances. 

Plus weekly correspondence via texts and emails for TWO FULL MONTHS after our initial consultation conversation:  including additional references, more recommendations, and several helpful links specific to your unique potty training issues or challenges.

PLUS:

In addition to everything you’ll get in Plan 1, 2, 3, 4 - this extensive, all-inclusive premium potty training coaching PLAN FIVE also provides ongoing unlimited correspondence via emails for an additional EXTRA FULL MONTH!! We will be working more closely together so you can email me any time with multiple check-ins and weekly follow-ups, and daily updates throughout your potty training journey for TWO FULL MONTHS! You become my personal client for 60 days, which will greatly increase your probability of reaching your goals sooner and more successfully, which will get your toddler out of diapers and reach the potty training finish line faster! With this extended Plan 4, we will be able to discuss ALL the details & specifics to accommodate your unique long-term needs!

The frequency of your follow-up email messages is totally up to you! It is ultimately your preference - so if you like doing daily check-ins for accountability, I am totally fine with that!  I try not to pester my Mommy clients by messaging them daily. Some Mommies feel more pressured and stressed if I check in on them too frequently, so I am here for you as needed whenever you need to reach out to ask me questions or troubleshoot any problems or obstacles & challenges along the way!

EVERYTHING IN PLANS 1, 2, 3, 4 PLUS

Premium priority email & text support

2 full months of priority coaching support

3 private one-hour coaching sessions

Daycare & preschool transition guidance

Unlimited check-ins & progress reports

Strategy adjustments as challenges arise

Ongoing troubleshooting throughout the process

Guidance for your Caregiver/Sitter/Nanny/Au Pair

Extended direct access & long term support

Emergency support as unexpected challenges arise

Essential Potty Training Toolkit Included

Personalized resources & action plans

Direct voice messaging support

Maximize your chances of better results faster

This plan is for YOU if you may be dealing with:

• A child who has resisted potty training for months

• Upcoming Preschool enrollment deadlines

• Travel coming up

• Multiple caregivers, sitters, grandparents, teachers

• Divorced, single parent or co-parenting households

• Developmental differences, neurodivergent child

• Previous failed attempts at toilet training

• Intense anxiety around the process (you or your child)

• Working parents who are extremely busy professionally

• Families who simply want someone knowledgeable to be available throughout the process

Included in this concierge service:

Priority Email, Text & Voice-Messaging Support
Connect with Miss Jen through email, text, or Facebook Messenger voice messaging. Quickly explain your current roadblocks, questions, and challenges in your own words and receive personalized guidance in a voice text without waiting for your next scheduled coaching session.

Voice Messaging Support via Facebook Messenger if you sign up with your plan:

• 2 Weeks $59 (Regular $69)

• 1 Month $99 (Regular $119)

• 2 Months $169 (Regular $199)

  Regularly $119. Available only during your initial booking.

  For only $20 more than one phone call, you’ll get an entire month of voice-direct access.

Direct access to a potty training expert. It’s having Miss Jen in your corner when you need her most. In the moment!

• Faster reassurance when something goes sideways.

• The ability to explain a situation in 60 seconds instead of typing five paragraphs.

• Personalized coaching between scheduled calls.

• Reduced anxiety ("Jen is there if we hit a snag.")

• Miss Jen's signature concierge feature -

  Think about how much easier it is for you as a stressed parent to press one button and talk:

  "Help me Miss Jen... he sat on the potty three times today but now he's crying every time we mention it. What should I do?"

  Instead of typing out a novel with your thumbs on your tiny little phone screen.

  Likewise, Miss Jen can respond with a voice message with immediacy and reassurance:

  "Okay Mama... first, don't panic. This is actually pretty common this far in to training. Here’s what we can try together right now…"
  ⭐ More than just messenger support, Miss Jen’s voice coaching support is like having her right next to you every step of the way. Simply hearing the calm confidence in her voice will help you to remain focused & clear minded to get thru any challenges that arise.

  Miss Jen is here for you, as needed, whenever you need to reach out to ask questions or troubleshoot problems, obstacles & challenges.

⭐ BONUS Included in Plan 5:
The Essential Potty Training Toolkit (A $19.99 Value)


⭐ ⭐ FREE Extras - Printable Action Sheets:

• Signs of Readiness Checklists
• Top 5 Scripts for Calm Potty Training Guidance
• From “No!” to “Let’s Go”: A Parent’s Reset Action Sheet
• 10 Things to Avoid Saying to Your Child and What to Say Instead
• Words of Encouragement for Child & Parent Cue Cards