Couples Coaching w/ Bryan Reeves, Intake Form
This form will help us all prepare for your initial couples coaching session. Please ensure both partners (if applicable) fill out this form separately.

PRIVACY: Your privacy is paramount. The information you share here is 100% confidential. Only Bryan or his personal assistant will see this information unless you give explicit permission otherwise (your permission is neither being requested nor implied here). In other words, you're safe to speak your truth.
Name *
Your answer
Phone Number *
Your answer
Email *
Your answer
What is your current living/legal status with your partner? *
Do you and your partner have children together (under 18, still dependent)? *
Are both of you committed to improving your relationship? *
What are consistently your best contributions to the relationship? *
Your answer
What are your partner's best consistent contributions to the relationship? *
Your answer
Where are you "playing small" in the relationship (where your behavior hurts you, your partner, or others)? *
Your answer
What are 3 specific changes you would like to see in the relationship over the next 3 months? *
Your answer
What is the PAY OFF for achieving these 3 changes? How would your relationship be different? *
Your answer
What is the hardest thing you've ever had to overcome in this relationship? *
Your answer
What have you tried to improve your relationship experience? (e.g. therapy, workshops, self-help books, etc.) *
Your answer
Why are you a good candidate for Coaching? *
Your answer
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