Relationship Reno Challenge
Thank you for filling out this intake, it will create a better experience for you and everyone during the challenge. Please be explicit in your answers. This is an opportunity to explain your needs so that I may address them. Your answers are confidential for Soraya.
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What is your name and your spouse's? *
Married time: *
Children? how many? ages? *
What are the main problems you face in your relationship?
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If you could change 3 things about your relationship, what would they be?
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What is your biggest frustration in your relationship?
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If you could change 1, 2 or 3 things about YOUR SPOUSE, what would they be?
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PERSONALLY, what do you struggle with the most?
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On a scale of 1-5, how fulfilling is your sex life? Why that rating?
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What would you change about your sex life?
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What would you like to communicate to your spouse but you don't dare? If you could communicate something to your partner about yourself and the relationship, what would it be?
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What would you like to solve and leave behind? *
If you could change something about yourself, what would it be?
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