Full Name *

Email *

Where are you based?

Tell me briefly what is happening in your relationship right now.

How long has sex or intimacy been an issue?

What have you already tried, if anything?

What do you most want clarity about?

Why does this feel important to address now?

Are you willing to commit to one private session per week for seven weeks?

Yes

Yes, but it will require flexibility

The investment for this pilot is $1,000 USD. If invited to participate, are you comfortable with that investment?

Yes

I understand that What Happened to Us? is an individual coaching and clarity process, not couples therapy, psychotherapy, medical treatment, legal advice or crisis support, and that there is no predetermined outcome such as reconciliation or separation.

I understand that my application may include sensitive personal information relating to my relationship, sex life, or health, and I explicitly consent to Conscious Desire processing this information for the purposes of reviewing my application and, if accepted, providing the service.