LOVE & MONEY FINANCIAL WELLNESS WORKSHOP FOR COUPLES:
Event Timing: Self-paced, Access begins January 2023
Event Address: Virtual
This is an application to participate. If accepted, you will be prompted to complete payment information. 
Application deadline: Dec. 15th, 2022 for Jan. 2023 cohort participation

The information gathered below will be used to track program impact. 
*Both members of a couple must complete your own application and submit. So, answer for yourself only and have your partner complete their own application.

Questions? Visit demauriac.com/contact-us
Email *
Your Name *
Your Email *
Your Partner's Name *
Your Partner's Email *
What is one thing you would like to gain from participation in this program? *
What is one thing your partner would like to gain from participation in this program? (Please initiate a discussion with your partner before enrolling. This is most effective if both partners can participate) *
What is your gender?  (This information will be used for tracking programmatic impact). *
Required
Do you have children? What are their ages? *
What is your age?  *
What racial and ethnic designations best describe you? Please list any and all that apply. (This information will be used for tracking programmatic impact). *
What is your estimated annual income? *
What is your current total household debt `(include credit cards, mortgage, car loans, student loans, etc) *
What is your current household total liquid net worth (include retirement and investment accounts, checking, savings, but do not include things like the value of your car and subtract your total debt from this number) *
I feel I am on track with saving for retirement *
Not at all
Yes, I feel I am ahead of schedule
I feel I am comfortable with basic investment concepts such as compound interest, understanding investment vehicles such as stocks, bonds, mutual funds and ETFs *
Not at all
Yes, I feel I am an expert in this area
I have a sound estate strategy that I've communicated with my loved ones *
Not at all
Yes, I feel I am an on track in this area
Finance is a topic that causes arguments in my household *
Not at all
All the time (once a month or more)
I feel uncomfortable discussing finances with my partner. *
Not at all
Yes, definitely
Do you think of yourself as a saver or spender? *
Does anyone help you manage your money? *
When it comes to managing your household finances, which of the following is your role: *
How often do you discuss your personal finances with members of your family? *
What, if anything, keeps you from saving more money? (Select all that apply.) *
Required
Are you troubled by the following (check all the apply).  *
Required
What concerns you the most when thinking about your personal finances? *
In what state do you reside currently?  *
Are you and your partner able to commit to watching 3 self-paced videos (approximately 20-30 minutes each) and completing at home activities in between sessions using the workbook that will be provided? *
Required
Would you be interested in participating in an optional, virtual group session that includes other couples at the time of course completion? *
Required
Would you be interested in any of the following additional resources? Check all that you are interested in. *
Required
I understand that I will have to pay $249 upon acceptance to the program (if paid by Dec 1, 2022). Invoice sent separately. *
Required
Who will pay for enrollment? (Discuss with your partner) *
Required
Confirm the email you would like an invoice to be sent to: *
A copy of your responses will be emailed to the address you provided.
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