Please check the areas in your relationship in which you and/or your partner are feeling stuck, unhappy or dissatisfied (choose as many as applicable, and still check the box even if only one of you is experiencing) *
Please expand, if you'd like, on any checked box from above...
How long have you felt stuck? *
What have you done so far to work towards creating change? *
If you have done some work (therapy, self-help, etc...) what has been helpful? And what hasn't been helpful? *
Do you believe that growth and change are possible? *
Are you able to commit to weekly 1-hour calls? *
Please share any additional information you'd like us to know in working with you *