Please complete this questionnaire at least 12 hours before we speak.
Click the button below to start the questionnaire.
Question 1 of 9
Rank the following in order of most important in your life to least important, putting the most important first.
FamilyRelationship with Spouse/PartnerSelf-careCareerTravelHealthPersonal Growth
Question 2 of 9
What do you do for work?
Question 3 of 9
Briefly describe your relationship.
Question 4 of 9
What is the most pressing challenge/obstacle in your relationship?
Question 5 of 9
What do you really want from your relationship and why is that not happening now?
Question 6 of 9
Why will working with a coach help you at this time?
Question 7 of 9
Rate your desire to change on a scale of 1-10. (10 is the highest.)
Question 8 of 9
In your opinion, rate your partner's desire to change on a scale of 1-10. (10 is the highest.)
Question 9 of 9
Anything else you would like to share before our conversation?