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Childs Name _____________________________________ Unsolved Problem #1 Adult Taking the Lead on Plan B Date ________________ Kids Concerns Identified (Empathy Step) Date ______ Problem Solved? Comment: Date ______ Unsolved Problem #2 Adult Taking the Lead on Plan B No____ Adult Concerns Identified (Define the Problem Step) Date ______ Solution Agreed Upon (Invitation)
Yes _____
Date ______ Adult Concerns Identified (Define the Problem Step) Date ______ Solution Agreed Upon (Invitation)
Kids Concerns Identified (Empathy Step) Date ______ Problem Solved? Comment: Date ______ No____
Yes _____
Date ______ Adult Concerns Identified (Define the Problem Step) Date ______ Solution Agreed Upon (Invitation)
Unsolved Problem #3
Kids Concerns Identified (Empathy Step) Date ______ Problem Solved? Comment: Date ______ No____
Yes _____
Date ______