Couples Intake Form

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Tell us about the beginning of your relationship. (If romantic relationship) How did you meet? What drew you to your partner/what were you attracted to?

Give some examples of instances you’ve experienced difficulties in relationship. Are you fighting often? Describe what your fights look like? Be Specific. What are common causes of the ‘fights’? How do you resolve the conflicts?

What are your goals in working with a coach? What do you want to accomplish? Be Specific.

In order to schedule a time with a coach, please specify three (3) 30 minute time frames that you can commit to meeting in the next week.

Timezone ^*

Eastern

Central

Mountain

Pacific

Disclaimer: Logistics, cost, and other expectations will be discussed during the intake call with your coach.

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