Co-Parenting Conflict Checklist Form
Organize the details of a co-parenting conflict and consider possible next steps.
Date of the conflict
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
What was the main topic?
*
Please Select
Scheduling or transitions
Communication
Parenting responsibilities
Household rules or routines
A decision about the children
Other
How did the disagreement take place?
Please Select
In person
Phone call
Text message
Email
Through another communication channel
How often has this type of conflict occurred recently?
*
This is the first time
Once or twice
Several times
Frequently
What happened?
*
Was a parenting plan or shared arrangement involved?
How did the situation affect co-parenting or the children’s routines?
What steps have you already tried?
Discussed the issue directly
Suggested a compromise
Referred to the parenting plan
Paused the conversation to revisit it later
Have not tried to resolve it yet
Other
What outcome would be most helpful?
*
Please Select
Reach a clear agreement
Improve communication
Clarify responsibilities or expectations
Create a practical plan for next time
Identify another constructive next step
Is there anything else you would like to note?
Submit
Should be Empty: