Application for Coaching
Hello,

Please fill out this application. It will officially start your process towards our working together.

Once submitted, I will personally review all your answers and a member of my team will be in touch to confirm your "What are the Possibilities?" call with me. This is a private call and is focused on you. We will explore what you want, brainstorm on how to get it, and take a look at what’s holding you back.

Please note: "What are the Possibilities?" calls are for you if you are truly ready to learn how to express your needs and desires and actually get them fulfilled, gain skills to have communication for connection and sexual satisfaction, and walk away knowing how to start experiencing a whole new revival of intimacy, passion, and sex in your life. This positively transformative experience will leave you inspired, turned-on, and open to new possibilities for your sex life.

If you plan on doing this program with your partner, they will need to be present on this phone call. Please put their name and email address in the designated spaces below and I will send them a separate intake form that they will need to fill out before our call. I am happy to work with individuals.

Please do NOT fill out this form and schedule an appointment if…
-Don’t want to make the financial investment
-Not willing to invest the time
-The love is gone but you haven’t left
-There is physical or emotional abuse
-You are looking for dating advice
-Aren’t committed to personal growth

If it just can’t wait, email me at viv@partnershipmatters.net with the subject line: I WANT CHANGE and we’ll get you scheduled right away!

Until then, make pleasure a priority.


Best Viv B

PS: All answers are confidential.
Email address *
First Name *
Your answer
Surname *
Your answer
Occupation *
Your answer
If you're planning on doing this work with a partner, what is their full name and email address? 
Your answer
Partners Email Address
Your answer
What Social Media do you use? *
Required
Relationship Status *
Gender - How do you Identify? *
Your answer
What is your sexuality stage? Take the Quiz on my website.
Your answer
How did you find me? *
Have you ever worked with a coach/therapist within the sexuality/love/relationship field or have you ever done a sexuality program or any kind? If so, who and what were your results?  *
Your answer
When it comes to your sex & intimacy life, what's the single biggest challenge, frustration, or problem you've been struggling with? (Please be as detailed and specific as possible.)  *
Your answer
What do you want in your sex & intimacy life? (If you had it all your way, what would your sex life look like/feel like?)  *
Your answer
Why do you want that? And what would having that give you?  *
Your answer
If you're in a relationship, please describe what it is like. Where is it headed? If you had it all your way, what will it look like in 12 months? *
Your answer
If you're not currently in a relationship, describe what you want?  *
Your answer
What strategies are you currently using to work through any problems/issues/challenges and how are they working for you?  *
Your answer
How are you holding yourself back from what you really want?  *
Your answer
What do you most want to learn or achieve in our work together?  *
Your answer
Anything else you want me to know to be considered for this program? *
Your answer
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