Your Marriage, Rebalanced, Starts Here

Curious about working together?

This brief connection call offers a private, elevated moment for us to meet, talk through what you’re seeking, and sense whether this work aligns with the direction you want to move. It isn’t a coaching session and no personalized guidance will be given — simply a refined, grounded space to explore fit. Ideal if you’re considering becoming a client and want to experience the tone, intention, and caliber of this work firsthand.

Name

Phone Number

Age

Referred by/How did you hear about me?

What brings you to this call? This call is a chance for us to learn more about you and your goals, and to ensure we’re the right fit for your care. Please briefly share what you’d like to support with

Have you worked with a relationship communication coach before?

Yes

What is the main area of your health that you’re hoping to improve or get support with?

What has been the biggest obstacle in hitting your relationship/communication goals?

So far in your journey, what have you tried to change the way you communicate?

If we could wave a magic wand and help you feel your absolute best with your partner - what would that look like for you?

How do you prefer to be supported in your care?

In-depth visits with personalized guidance

A structured program with accountability

Regular communication between appointments

What is your preferred level of communication and access to your coach?

Frequent check-ins and direct messaging

Bi-Weekly updates and calls

Monthly check-ins

I prefer less frequent communication, only when needed.

Why is it important that you solve these communication roadblocks right now VS. a year from now?

When it comes to making your health a priority, what level of investment feels aligned for you?

Is there anyone else (spouse, partner, or parent) involved in your decision-making process? If so, will they be attending the call?

Yes, someone else is involved and they will be attending the call

Yes, someone else is involved but they will not be attending the call

Nobody else is involved with the decision

How soon are you looking to start working with us?

Immediately

Within the next month

Within the next three months

I’m just exploring options for now

What is the primary reason you are seeking premium 1:1 coaching over traditional therapy?

How committed are you to making lifestyle changes to reach your health goals?

Fully committed, willing to do whatever it takes

Somewhat committed, but need support

Looking for guidance, but not sure if I can fully commit yet

Your Marriage, Rebalanced, Starts Here

Curious about working together?

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