Get in Touch

To help us help you, please fill out the form below with as much detail as possible and submit via this website. An FTF consultant will contact you to collaboratively design a training and consultation package to help you achieve your goals and discuss timelines, fees, etc.

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Tell us how we can help you

Step 1 of 3

Basic Contact Information Fill out your basic contact information first
Your Name*
Email Address*
Phone*
Title*
Organization Name*
Organization's Website
Your Location (city and state/country):*

What are you inquiring about?
What size is your organization?
Describe the primary objectives of your organization that may be achieved from a relationship with FTF Behavioral:
Describe the populations your organization serves:
If you are seeking assistance with problem behavior, please describe the context(s) in which your staff address problem behavior (e.g., home, school, inpatient hospital, outpatient clinic, etc.) and the average and range of hours in which your staff have access to the children/clients served:
Please select from the dropdown below your top priority area you'd like to address with us:*
Please describe your answer below:
Please describe your long-term objectives for your company:
Are there any other areas you might like help with? (select all that are relevant):
- Severe problem behavior (PFA-SBT): self-injurious behavior (SIB), aggression, property destruction, motor or vocal disruptive behavior, meltdowns
- Other dangerous problem behavior: elopement, pica
- Preventing problem behavior (Balance Program and Preschool Life Skills)
- Interfering stereotypy: motor, object, or vocal
- Sleep problems: routine noncompliance, delayed sleep onset, sleep interfering behavior, night awakenings, early awakenings, confusional arousals
- Eating problems: mealtime problem behavior, food selectivity, food refusal
- Other
Please describe your answer below:

Please provide any other information here that you feel is relevant to starting a collaborative relationship with FTF Behavioral:
How did you hear about us?*
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