Strong Men Strong Marriages Application
Thank you for your interest! Please complete all required fields and I will reach out to you within 1-2 business days with my recommended next steps after reviewing your application. I want to make sure I recommend the best thing for you in your situation. All answers are 100% CONFIDENTIAL and WILL NOT be shared. I'm looking forward to speaking with you!
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Email *
Basic Information
What is your first name? *
What is your last name? *
Phone *
How did you hear about me? *
What do you do for work? *
Do you aspire to live Christian values? *
Are you self-motivated and goal-oriented? Give me an example from your life (work, sports, community, church, etc.)
 *
Has your wife agreed to do coaching/counseling with you? *
Are you... *
Are you living in the same house? *
Are you sleeping in the same bed? *
How long have you been married? *
How many times have you been married? *
How many times has your wife been married? *
Any children? If so, ages. *
What is your wife's name? *
Has there been emotional infidelity?  *
Has there been sexual infidelity?  *
Is pornography part of the problem in your marriage? *
About Your Marriage
What is the worst part and the biggest challenge about the struggles in your marriage right now? *
If you don't fix this problem, 5 years from now, what will your marriage look like? How will that affect your kids? Your health? Your relationships? Your work? *
What is your biggest fear of what will happen if you don't fix your marriage?
Financial Questions
The next few questions will help you calculate the financial cost of divorce. Not fun, but a useful exercise. I know this information is private, so not all questions are required. If you're not close to divorce currently, simply answer the required questions.
What is your approximate annual income from all sources? *

Approximate child support ((Annual income x 0.2) x (18 - your youngest child's age):

What Is The Approximate Current Value Of Your Savings And Investments (Real Estate, Stocks, Bonds, Cryptocurrency, etc.):

 *

What is your approximate home equity?:

Approximate Total Cost Of Divorce (Child support + $10,000 legal fees + cost of separating houses) + 1/2 of all investments and home equity. As a shortcut, take your net worth and divide by two):

Where You Want Your Marriage To Be
If you could wave a magic wand, what would your ideal marriage look like?  Describe a typical day in your ideal marriage. *
If you're able to have that kind of marriage, what will that mean for your family 5 years from now? 10 years from now? For future generations? *
Your Commitment Level

On a scale of 1-10, how badly do you want that kind of marriage and family legacy?:

 *
How committed are you to creating that kind of marriage and family legacy? *
Time And Money
Becoming a strong, attractive man and building a legacy for generations to follow will require an investment of time and money.

Are you ready, willing and able to commit 60-90 minutes per day for 90 days to transform yourself into a stronger, more attractive man?:

 *

Strong Men Strong Marriages does require a significant financial investment. 

If you have a business, you can use this as a business expense (education or professional services typically). Your business will benefit from what you learn about communication, confidence, making requests and setting boundaries. Men have seen significant improvement in their business life thanks to what they learn in the program. Almost every man who has a business has used this as a business expense.

Assuming we're a fit to help you get the results you want, are you ready, willing and able to make a significant financial investment to create mental, emotional and sexual intimacy with your wife and create a powerful legacy for your family to follow?

 *
Your Responsibility
Who can you change? *
When I try to change other people, what is that called?  *
I do have some requirements for the men and couples I work with. Please answer the following questions.
Are drugs or alcohol part of the problem? If so, how? *
Is there physical abuse involved? If so, how? *
Do you commit to being emotionally and sexually faithful to your wife while we work together? *
Thank you! I will respond with your personalized plan, which may include a call invitation, within 1-2 business days.
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