FIGURING IT OUT Consultation Form -In Your Corner Coaching-Carly Israel, LLC

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The most painful process for me was figuring out what to do. I would never tell anyone what to do or if they should stay or leave. I do wish I had someone who has been through the process that could help guide me and provide me with tools and work so I could make the right choices for myself and my kids. This form helps me get to know where your head is and how far along the path you are. There are no "right" or "wrong" decisions in this matter, only what is true for you. And the good news is, you have time and space to walk through it all.

Email *

Name *

How long have you been with your partner? *

Do you have kids? *

If so, how many and how old? *

Have you and your partner sought out marriage counseling? *

Yes

My partner has no idea how I feel.

What are the main issues in your relationship? Check all that apply. *

We are like roommates or business partners at this point.

No communication.

No physical/intimate life.

There has been infidelity and now we have trust issues.

I have fallen out of love, but still love my partner.

We fight all the time.

I want a deeper connection and my partner is not interested.

I have fallen for someone else.

Other:

Required

If 10 is wildly happy and 1 is the saddest I have ever been, what would you rate your marriage right now? *

When you think about the possibility of divorce or separation, what are the big fears? (Check all that apply). *

Of making the wrong choice.

Regret.

Being alone for the rest of my life.

Not being with my kids full time.

Finances.

I can't imagine how hard it will be to co-parent with my current spouse.

My family or friends and their reaction.

Being a single parent.

Watching my kids with my ex and a new partner.

Having to move kids out of current house/school district.

Of messing up my kids.

Required

What does your spouse/partner know about how you feel and what you're contemplating? *

What have you tried so far to help you make your decision? *

What could I help you with as you lay this all out? What would be most helpful? (Check all that apply). *

Listening and helping me sort through my fears and thoughts.

Providing me with some work and tools to sort through my fears and thoughts.

I need help figuring out the next steps, the logistics and how to approach my partner.

My partner and I feel the same and we need help making sure we don't mess up our kids.

I want to do everything I can to not mess up my kids and I need help.

Required

Would you be open to one session to see if you and your partner would like to Figure It Out? *

I would, but I don't know if my partner would.

I would, but I don't want my partner to know I am meeting with you.

We both are willing to do one session with you.

I already know we are going to get a divorce and we want to meet with you to discuss how we can do this in the best way to not mess up our kids.

Other:

Required

Send me a copy of my responses.

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