Complimentary Session Application
In order to qualify for a complimentary Love Coaching session, fill out the following form.
Referral Code, If you were invited by a friend it is on your invitation. (If none, just write NA)
What is your current relationship status?
What do you want your relationship status to be?
What has been your biggest obstacle to having the Love you want?
How serious is your situation?
I'm fine. (Not really, but that's what I tell everyone)
I would like to have a great relationship, but it's not dire.
Seriously, if I don't get married and have a baby soon my ovaries are going to pop.
I only want the very best possible connection, otherwise I'll stay alone.
I'm miserable with what I have and I know there's something better.
I have a prospect but I'm just not sure what I'm doing.
I've just gone through a very painful break-up.
What will happen if you never get the relationship you dream about. Please explain.
How committed are you to making it happen?
I no longer believe it's going to happen.
I am so ready to make this happen.
I want it, but I don't really have the time or money to do anything about it.
I just want things to happen magically.
I need to learn how to be alone.
What have you tried so far?
Just regular dating and getting fixed up.
I'm online. Every site. I date all the time. I post about it on Facebook. This is my second job.
I have someone steady, it's just not going anywhere.
I haven't tried anything.
I'm in too much pain to try anything.
What will happen if you do nothing?
I will grow old alone and I don't want that.
I'll end up settling.
I'll be fine. I think. At least that's what I've convinced myself.
I am to powerful to do "nothing". That's why I'm signing up with you.
I'm still hoping that the relationship of my dreams will magically appear.
Are you committed to having the Love life you really want? Are you willing to invest with any of the following? (Please check all that apply.)
Time - Coaching requires phone calls, processes, and reflection. You will have to fit it in.
Money - If I could do it for free, I would. However, we put our money in the same places we put our commitment, so if money is an issue, your love life is not as high a priority as whatever else your spending on. I suggest re-thinking that.
Emotional Energy - Yes! If you want your love life to work you will likely have to deal with your demons. That's why I'm here. So you don't have to do it alone.
Intelligence - Transformation requires evolutionary thought.
Integrity - Are you ready to be a person of your word?
Thank you for filling out this application. A copy of your responses have been sent to you. We will be in touch very shortly to confirm your appointment time. Is there anything else that you would like for us to know? Please write it below.
A copy of your responses will be emailed to the address you provided.
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