Application Form: Couple Coaching with Lexmy
Hi!

Celebrating both of you for your interest in a deep transformational couple coaching journey. 

Let's explore our match together with a  free 30-min discovery session!

Please take a moment to fill out the form below (both of you separately) and you can book your session here:


I'm really looking forward to connect with you soon  💗

Much Love,
Lexmy

More info about my couple coaching: https://www.lexmy-spiritonfire.com/couple-coaching 
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What is your name? And your partner's name? *
E-mail *
Phone number (incl. country code)
Only necessary if you prefer to be contacted via WhatsApp, Telegram or Signal - please let me know your preference as well.
Where do you currently live? *
In which coaching package for couples are you interested? *
What are the 1-3 biggest struggles you experience at the moment in your relationship?
What are the 1-3 things you'd most desire to transform in your relationship?
How do you think this would change your relationship and life?
Are you willing to share a few paragraphs of your history (related to your struggles & desires) that feel relevant and would help for clarity upfront our discovery session?
Is there anything you are afraid of or hesitant about if we would work together?
What can I do that will make you feel safe and supported?
Do you have any experience with non-violent communication, meditation, breathwork, and/or tantric practices? If yes, what is your experience?
What other self-development work (if any) have you done so far (or are currently doing) in your life? 

E.g. therapy, previous coaches, mindfulness, yoga, courses, retreats, events, readings, etc.
Are you aware of any kind of (sexual) trauma or (mental) health issues in your life that might be important for me to know about? 

If yes:
- Have you seen or are you currently seeing a therapist for this? 
- Do you feel integrated and resourced enough if we would work together?

Please note: I am trauma-informed, but not a trauma therapist.
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- Are you ready to invest in yourself and to achieve your greatest desire? 
- Are you committed to create the time & space to work on this?
 *
Are you financially able & willing to invest in coaching? 

Current pricing (incl. VAT): 
- 1 Desire-Deep Dive of 90 min for €150 (for free if we decide to continue working together)
- Coaching Package: Focus on Deep Healing (7 sessions of 90 min for €1500)
- Coaching Package: Focus on Intimacy & Sexuality (7 sessions of 90 min for €1500)
- Coaching Package: Combination of both (10 sessions of 90 min for €2000)
- Coaching Package: Exploring non-monogamy in a safe & connected way (5 sessions of 90 min for €1200)

This includes powerful homework and personally designed audio recordings for self-practices.

Paying in terms is possible. 

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Note: I strongly believe in my work and want you to feel that it’s totally worth it afterwards. If you don’t agree with me, then I promise a money back guarantee.
Do you have a preference for sessions in English or Dutch?
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Do you have any final thoughts, questions, or other things you'd like to share with me before our discovery call?
You can book your free discovery call here:

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