Full name
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Email
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What are you looking to make progress on in the next few weeks and months? (select all that apply)
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Date successfully
Reconnect with an ex
Break unhealthy patterns
Improve communication and reduce conflict
Set boundaries and build confidence
Improve intimacy and sex
Prepare for a hard conversation
Rebuild trust
Navigate my own or my partner’s affair
Prevent a breakup
Decide whether to stay or leave
Figure out a complicated relationship
Work through separation, divorce or the end of a major relationship
Heal after a breakup
Get general relationship guidance
If other, please tell us
If our conversation is a good fit, how soon are you looking to get started?
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Immediately
In the next two weeks
In the next month
In more than a month
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