Placed Date *

MM

DD

YYYY

Placed Time *

Hour

Minute

Second

AM PM

Returned Date

MM

DD

YYYY

Returned time

Hour

Minute

Second

AM PM

Talked with Kids *

On Placed

On Returned

No Answer

Left VM

Date

MM

DD

YYYY

Type *

Communication Issues

Scheduling Conflicts

Missed Exchanges

Time Interference

Decision-Making Disputes

Financial Concerns

Boundary Violations

Reliability Problems

Child Well-Being Concerns

Extended Family/Third-Party Issues