Relationship Mapping Session: Intake Form
We're excited to connect with you! Please fill out the following questions to ensure this complementary session is a good fit for you and your partner.
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Email *
Hello! What's your name?
How did you hear about us? If someone referred you, please let us know their name so we can thank them! *
What does it feel like to be you right now? *
Are you currently in a committed relationship? *
What kind of relationship are you in? *
How willing are you to work on evolving your relationship? *
Not willing to grow right now
Very willing & eager to grow!
What feels stuck/challenging in your relationship? *
How do you want to feel in your relationship? *
What sort of support are you looking for in your relationship growth? *
Is there anything else you'd like us to know about you?
Lastly, what is your partner's name and email address? We'll send them a link to this form if they haven't already filled it out, so we can hear from them too. *
If approved for a complementary Relationship Mapping session with us, we will send you a booking link to schedule. The session is 90 min and we ask that you are in a quiet, private space during the call so you and your partner can be deeply present and undistracted. We look forward to hearing from you!
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