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"ELEVATE YOUR RELATIONSHIP" Coaching Application
This short questionnaire will help me – and you – assess whether "ELEVATE YOUR RELATIONSHIP: A 6-month Coaching Journey for Men Committed to Thriving in Love" ... is a good fit. Your privacy is paramount; only Bryan Reeves and Tait Arend (Bryan's Associate Coach) will see your answers.
Allow 5-10 minutes to complete this.
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* Indicates required question
Email
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Your email
Name
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Your answer
How did you hear about ELEVATE YOUR RELATIONSHIP?
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"Men, This Way" Podcast
Other Podcast
Social Media Video
Social Media Post (Written)
Bryan's Email Newsletter
My Spouse / Intimate Partner/ Friend
Internet Search Engine
Other:
Location (City, State, Country)
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Your answer
Phone Number (please include Country Code if outside USA)
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Your answer
What year were you born?
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Your answer
I am ...
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Married
Committed (Not Married)
Single
It's complicated!
If married/committed, how many years have you been in the relationship?
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< 1 year
1-2 years
3-5 years
6-8 years
9+ years
I'm not currently in a relationship
Do you and your partner have children together (under 18, still dependent)?
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No children
At least 1 child
Other:
URL(s) of your Website, Business, Social Media, or wherever we can best learn more about you
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Your answer
How long have you been following Bryan's work?
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Choose
Just found you!
Less than a year
1-2 years
Surely over 2 years
What is your primary work/career? (please describe)
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Your answer
To what extent do you have consistent, strong, trustable relationships with other men whom you can depend upon for support whatever you're going through?
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I'm basically going it alone in life
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I'm consistently surrounded by extraordinary men up to big things whom I can always count on for support
To what extent are you consistently living every day connected to your deepest life purpose?
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I have no idea what my purpose is
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I live every day fully aligned with what is most important to me
To what extent do you have genuine and fulfilling intimacy with others (romantic and/or otherwise)?
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I struggle to be open and vulnerable within my relationship(s)
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I consistently have deep and profound relationships with my romantic partner(s) and others
To what extent do you feel connected/fulfilled with your family relationships (parents, children, siblings, and extended family)?
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I don't have close relationships with my family
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I have meaningful relationships with my close and extended family members
To what extent do you have established spiritual practices (religious or otherwise) that enhance your daily life?
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What the heck is spirituality?
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I'm a levitating guru / sitting next to God/Buddha/Allah
Where are you already playing big (excelling) in your life? (Be specific: What are you doing to play big? What does it look like? Who is benefiting?)
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Your answer
Where are you "playing small" in your relationship (where your behavior hurts you, your partner, or others)?*
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Your answer
What are 3 specific changes you would like to see in your relationship experience over the next 6 months?
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Your answer
Why? What would the payoff be? What would success around those 3 goals / intentions give you? Who would benefit (besides you)?
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Your answer
What are your biggest obstacles to accomplishing those?
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Your answer
What's likely to happen if things don't change, or get worse? What do you think it may cost you?
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Your answer
Coaching with Bryan is financially within reach for most people, yet many use money-fear as an excuse to do nothing. Are you prepared to invest yourself – emotionally, mentally, AND financially – to create the changes you desire?
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Yes. I know extraordinary people get extraordinary support, and I have the financial capacity (or access to it) that empowers me to invest in myself, in my vision, in my dreams.
Yes. I have the financial capacity to invest in myself and my dreams, though it might be a stretch.
I want to, but I have limited resources for investing in anything beyond the bare necessities.
No. I'm broke ... and hoping for a miracle.
Anything else you want me to know about you? (optional)
Your answer
Send me a copy of my responses.
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