Marriage Success Coaching Application
We are delighted that you are considering marriage coaching with us. In order to be considered, both spouses need to fill out this form and submit it separately.
After receiving your responses, we will review your answers to help us determine if we are a good fit for coaching. If we accept your application, we will contact you to set up a discovery call.
Email address *
Last Name *
Your answer
Husband First Name *
Your answer
Wife First Name *
Your answer
I am the... *
Address *
Your answer
City, State, Zip *
Your answer
What is the main problem that led you to try marriage coaching? *
Your answer
How long have you been married? *
Your answer
How long did you date before you were married? *
Your answer
What initially attracted you to your partner? *
Your answer
On a scale of 1-10, describe your level of commitment to your relationship. *
On a scale of 1-10, describe how much you love your partner. *
List three things you admire about your spouse. *
Your answer
List three things about living with your spouse that are difficult. *
Your answer
What are the most challenging topics to discuss in your relationship? *
Your answer
What emotions do feel during difficult conversations with your spouse? *
Your answer
What does intimacy mean to you? *
Your answer
In what area of your marriage would you like to see the greatest change? *
Your answer
What do you want to get out of marriage coaching? *
Your answer
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