Interview: Find the Right Support for You

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Interview: Find the Right Support for You

Not sure where to start? Answer a few quick questions and we’ll point you toward the best option for your needs. At the end, you’ll get the chance to schedule a call with Susan to discuss it further.

Email *

Your First Name and Last Initial *

Support Interests:

What specific topics or skills are you interested in learning more about? (Select all that apply)

Strengthening Couple Relationship / Intimacy

Discernment (Deciding what to do with relationship)

Divorce / Separation

Rebuilding Life After Divorce

Co-parenting

Co-dependancy

Mediation (Couples)

Mediation (Co-Parenting)

Mediation (Family)

Communication

Working on Myself

Goal Setting

Other:

What brings you here today? (check all that apply)

I want to work on my relationship with my partner (strengthen, reconnect, or build skills).

I’m unsure if I should stay in or leave my relationship.

I’m going through (or have gone through) a separation or divorce.

I want to co-parent more effectively after a breakup or divorce.

I need family-focused support (me + kids, or extended family dynamics).

I want to focus on my own growth (confidence, communication, empowerment).

Other / I’m not sure — I just know I need help.

Required

Which of these describes your current situation best? (choose one)

We are a couple looking for therapy or mediation to strengthen or repair our relationship.

We are a couple considering separation/divorce and want guidance on what to do.

I’m in the first year after divorce — feeling disoriented, grieving, or adjusting.

I’m more than 2 years post-divorce, co-parenting, and working on designing my next chapter.

I’m a parent navigating co-parenting challenges and need therapy or mediation support.

I’m a man working on rediscovering myself after divorce/relationship changes.

I want help developing skills like communication, boundaries, or setting intentions.

My situation doesn’t fit neatly into these categories.

How would you describe your goals right now? (check all that apply)

Strengthen or rebuild a relationship.

Decide whether to stay or separate.

Navigate separation/divorce peacefully.

Heal from divorce and rebuild my life.

Improve co-parenting and reduce conflict.

Support my children through family transitions.

Build confidence and self-empowerment.

Learn new relationship/communication skills.

Get support from people in a similar stage (group/community).

Other.

Required

Which format of support feels most helpful to you right now? (choose one)

One-on-one (individual therapy/mediation).

With my partner (couples therapy/mediation).

Family-based (kids or extended family involved).

Group support (peers who understand my stage).

I don’t know — I’d like Susan’s guidance.

How ready are you to take action? (choose one)

I’m ready to schedule a session now.

I’d like to start with a group or community space.

I need to talk it through first before deciding.

I’m just exploring for now.

Preferred Resources Format:

What type of resources format do you prefer? (Select all that apply)

Online Support Groups

Online Courses

Online Private Community

Webinars

Retreats

Online Interactive Workshops

Online Articles/Blogs

Online Videos

Social Media Posts

Podcasts

Q&A Sessions

Other:

Community Engagement:

Are you interested in participating in community events or discussions related to your support preferences?

Yes, I'm interested

No, I prefer individual learning

Other:

Clear selection

Additional Comments:

Is there anything else you would like to add regarding the support you are seeking?

Clear form

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