The Perfect Storm Assessment - River City Wellness

Let’s start with your information

We’ll use this to send your child’s personalized assessment

Your First Name *

Your Email *

Your Phone Number *

Privacy & Disclaimer:

This assessment is for informational purposes only and does not constitute medical advice. Your information will be kept confidential. By submitting, you consent to receive follow-up communications from River City Wellness. You may opt out at any time.

Now, tell us about your child

This helps us create a personalized report tailored to your child’s age and developmental stage

Your Child’s First Name *

Your Child’s Age *

Did your child experience any of these during pregnancy or birth?

Select all that apply

Difficult or high-stress pregnancy

Premature birth

Labor induction

C-section delivery

Epidural during labor

NICU stay

Forceps, vacuum, or interventions

Umbilical cord wrapped around neck

None of these

Did your child experience any of these as an infant/toddler?

Select all that apply

What challenges is your child experiencing now?

Select all that apply

What have you already tried to help your child?

Select all that apply

How would you describe the impact on your family?

Select the one that fits best

Mild

Challenges present but manageable with current routines. Being proactive about finding solutions.

Moderate

Daily struggles requiring constant adjustments. Family routines are regularly impacted.

Severe

Multiple challenges throughout each day affecting school, home, and relationships. Need comprehensive support.

Crisis

At breaking point. Challenges overwhelming every aspect of family life and need immediate guidance.

Your Perfect Storm Score

0

out of 15

Thank you for completing the assessment, . Your personalized results for are being sent to .

Check your email in the next few minutes for your detailed Perfect Storm Assessment including:

✓ How birth and early challenges connect to current behaviors

✓ What’s really happening in your child’s nervous system

✓ Specific next steps to help your child thrive

Book Your Consultation

Use your $30 assessment credit
Normally $97 → Your Price: $67