Pre-Call Application for Couples
You are making the initial contact on behalf of you and your mate. You must complete this questionnaire as best you can. You'll then receive a response. If accepted, the response will contain the link to schedule a call with Zara and Alfred. The intent of the call is to serve you; to get you (and yours) pointed in a direction to get better results.
Email address *
First/Last Name *
Your answer
Your Phone Number *
Your answer
What best describes your relationship? *
How long have you been cohabiting/married? *
Your answer
How would you describe how you feel in your relationship? *
Describe the feeling you listed above and what do you attribute it to? *
Your answer
Now that you've described the feeling you have, what do you want? *
Your answer
What about your relationship has you most interested in talking with The Grown Zone at this time? *
Your answer
Do you have an anxiety level around the issue? *
Does your mate know that you're seeking help? *
Does your mate believe that your union is in trouble? *
Does your mate want help resolving your issues? In other words, has your mate expressed that s/he wants to be in the relationship? *
Are you willing to have your beliefs challenged to help bring about the mindset transformations needed for a healthy, positive outcome? *
What else do you want me to know about you, your mate and/or your situation before we speak? *
Your answer
IF YOUR APPLICATION IS ACCEPTED YOU WILL RECEIVE A CALL AT THE TIME THAT YOU CHOSE, AND THE NUMBER YOU PROVIDE UPON SCHEDULING. PLEASE COMMIT TO YOUR APPOINTMENT BY TYPING THIS SENTENCE IN THE BOX BELOW: "Yes, I, (name), promise that I will answer the phone in a place where I can freely speak for my breakthrough session when my coach calls." *
Your answer
I understand that the call is being recorded and that it is confidential. *
The following is true, I... *
Where did you hear about us? *
Your answer
Stay tuned. We're processing many applications. You will receive an email response. Thank you for your submission to The Grown Zone.
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