Premium Consulting Application Form
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1. How old is your partner?
2. What was the duration of your relationship?
3. Describe your partner's life preferences (family, travel, career,...)
4. Describe your partner's personality.
5. When did the breakup happened?
6. What were your partner's reasons for the breakup?
7. When did your partner first mention a breakup?
8. When did you first notice your partner was distant and uninterested in you?
9. Do you still have points of interaction? (divorce case/kids/common property)
10. What was the subject of your last communication? When did it take place?  
11. Describe past relationships your partner had (one would be enough). What were the reasons why their relationships ended?
12. Have you experienced any of the following changes before the breakup: change in income level, change in job status?
13. Describe your partner's behavior during conflicts.
14. Was there ever any jealousy in your relationship?
15. Describe the relationship between your partner and their parents.
16. State your current goal (get them back, understand what happened, stop being anxious,...)
17. State your current goal (get them back, understand what happened, stop being anxious,...)
18. Provide any additional information we should know.
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