Step 1: Your Information
Full Name
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Email
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Phone / WhatsApp
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Step 2: Your Background
Current Job
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Relationship Status
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Single
In a relationship
Married
It's complicated / In transition
What feels hardest for you in your relationship right now?
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We keep having the same arguments and nothing changes
I feel emotionally distant from my partner
We struggle to communicate without tension
I’m giving a lot but not feeling understood
I’m single and can’t seem to find someone genuine
I’m not sure what’s wrong, I just feel disconnected
Step 2: Your Background
When it comes to love, what do you want most right now?
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To rebuild trust and connection in my current relationship
To find a healthy, lasting relationship
To understand myself and break old patterns
To communicate better and stop fights before they escalate
To feel more calm and secure in love
How long has this challenge been affecting you?
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Less than 3 months
3 - 6 months
6 - 12 months
Over a year
If you could fix one thing about your relationship or love life in the next 90 days, what would it be?
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