Transformative Couples Therapy® (TCT) Research Study Interest Form

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Thank you for your interest in the TCT Research Study. Please complete this form to begin the process of applying. If there is a possibility of your participation, a member from the TCT Research Team will connect you with a TCT therapist for a free 20-minute consultation call on Zoom.

Email *

Telephone number for TCT Research Team to contact you: *

Please write your name(s): *

Are you referring yourself or are you a clinician referring a couple to the study?
*

I am referring myself

I am a professional referring a couple

At this time, the TCT Research Study is available only to couples who reside in California, Colorado, Connecticut, Kentucky, Florida, Maryland, Massachusetts, New York and Virginia.

Please select which state the couple resides in from the drop down menu:

Are both couple members eighteen or older and have lived together for two years or more? *

Yes

Please write a few lines describing what motivates you to be part of this study:
*

How did you hear about the study? And if referred by a clinician, please add their name: *

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