In Bloom Time — Dreaming Assessment

Section 1 — About Your Child

This section helps us know more about your child's needs and stage.

Select everything that feels true about your child right now.
Emotional Maturity

How would you rate their emotional maturity for their age?

Section 2 — What You've Noticed

This section is about what you've been observing. Even a feeling or a moment is worth sharing.

What have you observed about their friendships or social dynamics lately? Think about friendship drama, who they're spending time with, whether they seem included or on the edges.

What have you seen or sensed when it comes to their social media, texting, or online life? Specific (a platform, something you saw) or general (they seem more affected after being on their phone).

Platforms they're on:

Is there anything at home or in their personal life the Bloom Associate should know? Optional and treated with full confidentiality. Examples: a family change, a health situation, a faith tradition context.

Was there a specific moment, conversation, or situation that made you think "my child needs this experience" or "we need to celebrate this"?

Section 3 — Focus

For each topic, choose the depth level you'd like the Associate to prioritize. We will always cover each topic age-appropriately.

Topic Light touch — basics only Moderate — give it real time Deep dive — priority right now Parent-selected focus (explain below)
Healthy relationships
Body confidence + changes
Reproductive health
Social media + music literacy
Additional Focus Areas

Check everything you'd like the Associate to be sure to touch on.

Anything else about what you want covered, or what should be handled with extra care or sensitivity?

Section 4 — Concerns and Your Comfort Level

The honest stuff. What are you nervous about? This section is just for your Bloom Associate — it helps them prepare.

Your Worries

What are you most nervous about? Check all that apply.

Is there anything to handle gently, avoid, or approach in a specific way? This might be a topic, a word, a dynamic in the friend group, or something about your child specifically.

Your Own Comfort Level

How comfortable are you having open conversations with your child about these topics at home right now?

Section 5 — Support for You

We want to support you too — not just your child. This section is about what you need as a caregiver.

Resources

What would be most helpful to you after the experience? Check all that apply.

What do you wish someone had told you at their age or stage? What do you want them to know that you had to figure out the hard way? Your Bloom Associate will carry your answer into the experience.

If you could say one thing to them at the start of this experience — what would it be?

Section 6 — Logistics

Group Size

How many young people do you expect to invite?

Group Composition

Who will be in the group? Select all that apply. This helps the Associate prepare content and facilitation approach.

Experience Format

What type of experience are you envisioning?

Add-Ons

Are you interested in any of these?

Location

Where are you planning to host?

Section 7 — Dates, Times & Contact

Preferred Dates

Bloom Associates are available Friday evenings, Saturdays, and Sundays. To request a weekday experience or party, contact us at info@inbloomtime.com.

Preferred Time

What time of day works best?

Is there anything you want your Bloom Associate to know that we haven't asked?