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Email address *
What is the # 1 challenge for you and your partner? *
Your answer
Have you tried anything before to try to resolve this? If so, what? *
Your answer
If this issue could be resolved, how would your relationship be different (how would your lives look every day, how would it feel)? *
Your answer
What is not resolving your relationship issue costing you? *
Your answer
On a scale from 1-10, how committed are you to resolving the #1 issue in your relationship? (1 = I'm not at all committed, 10 = I am SO committed and willing to do the work, no matter the cost or time commitment) and why? *
Your answer
Thank you for taking the time to fill out this application. I truly believe in the power of a loving, satisfying, incredible relationship. I hope that we are able to work together to resolve your relationship issues, because every couple deserves to be completely nourished and energized by their relationship. I will review your application and if it seems like we could be a right fit to work together, I will contact you. Have an amazing day. - Chani
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