Consultation Questionnaire

Please take a few minutes to answer the questions below. Once I receive your completed questionnaire, I’ll reach out to schedule a 15-minute consultation call to explore whether we’re a good fit to work together.

Check your spam folder if you do not receive an email from me or text me at 617-694-7015. 

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Email *
Today's Date *
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Name *
Phone Number *
Spouse/Partner's name & email address *
How long have you been married or in a relationship? *
What's happening right now in your relationship or marriage that prompted you to reach out? Be specific.  *
What have you tried in the past to "fix" things? *
What do you desire most in your relationship? What is your GOAL for working together? What is your ideal OUTCOME? *
Why is it important for you to do something about this NOW? * *
On a scale of 1 - 10 how committed are you to do what it takes to have a successful marriage? Eliminate excuses, fully commit to the work. * *
Check the box to indicate that you understand coaching is NOT covered by insurance.
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Couples Coaching sessions (60 min) $300.

Individual Coaching sessions (45 min) $200.

First Sessions (90 min)  $450

Please check below to confirm that you understand these rates and are prepared to make this investment in your relationship.

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Click the link to Opt in for your FREE Guide 5 Simple Shifts to Say Goodbye to Fights for Good https://www.happymarriageexpert.com/5SimpleShifts
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