Name
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Email
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Note: I will NOT use your email to spam or sell your info.
It's just for me to contact you.
What’s your biggest challenge in your relationship right now?
How is this affecting your life? (Well-being, work, family, etc.)
When we work together, what will your success story sound like?
Why is now the right time to fix this?
Are you in a position to invest in improving your relationship right now?