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.
Required
The following is true, I...
Where did you hear about us?
Your answer
PLEASE CLICK SUBMIT BUTTON BELOW.
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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