Couples Coaching Application

Couples Coaching Application Form

Spouse 1

First

Preferred Name (if different)

First

Last

Phone

Spouse 2

First

Preferred Name (if different)

First

Last

Phone

Time Zone

1. How did you hear about this coaching program?

2. What’s calling you to explore this coaching journey, and why now?

3. How would you describe the current state of your relationship — emotionally, physically, and spiritually?

4. Where do you feel most connected as a couple, and where do you feel the most distance?

5. What recurring patterns, conflicts, or dynamics feel hard to shift — even with love present?

6. What does “freedom in love” mean to you — and what would it look like in your relationship?

7. What support are you each longing for, both individually and as a partnership?

8. Have you worked with a coach, guide, or therapist before as a couple (or individually)? What was helpful or unhelpful?

9. What do you most hope to experience, embody, or transform in your relationship by the end of our time together?

10. Is there anything else you’d like me to know about where you are or what you’re seeking?

If you are human, leave this field blank.

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