1. Your Full Name

2. Your Email Address *

3. Your phone number *

4. What's your partner's full name? *

5. What's your partner's email address? *

6. How long have you and your partner been together? *

7. What City, State, Country do you live in? *

8. What are the biggest challenges in your relationship right now? (for example: communication, disconnection, trust, conflict, insecurity, intimacy/sex, resentment) *

9. What's the #1 goal you'd like to achieve in this 10-week coaching program for lesbian couples and why is it important for you to achieve it NOW? *

10. Have you ever done couples counseling or a group coaching program before? If yes, tell us about that experience. What did you takeaway or enjoy most? *

11. On a scale of 1-10 (1 being low, 10 being high) how motivated are you and your partner to take ACTION on the skills I teach? *

12. Why do you feel you'd be a great fit for our TLC (Transforming Lesbian Couples) coaching program? *

13. Why do you think Lynda (and her wife, Lisa) are the right coaches for you right now? *

14. Dr. Lynda's TLC Coaching Program will be the BEST coaching help that will be POWERFUL & SAFE to grow your relationship BEYOND belief....without years of therapy. Lynda and Lisa work with lesbian couples who are committed to investing in long term, sustainable success and are ready to have a breakthrough year in their relationship over the next 10 weeks. Are you able and ready to make a significant financial investment in your relationship if you're accepted? *

YES We're Ready!

Not right now.

15.If you answered "YES We're Ready" above, your next step is to talk with Dr. Lynda, in an initial 10-minute phone consultation. You can schedule that on the page you'll see after you submit this application.

Will you schedule that phone consultation Now? *

Yes