About Your Relationship...

Gender:

Female

Male

Which Best Describes Your Relationship? (Check One)

What causes most of your relationship problems:

What do you consider the top 3 qualities in a perfect relationship

#1

#2

#3

Skills that I consider most important in a relationship are:

My Relationship would be great if only...

What or who is preventing you from having your dream relationship right now?

What kind of relationship information are you most interested in?

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communication problems	issues around money
lack of emotional support	loss of intimacy
issues around sex	dealing with jealousy
my partner doesn't listen	the romance is gone
dealing with ex'es, steps and in-laws	lack of commitment

Communication	Listening
Conflict Resolution	Clearing-up Misunderstandings
Talking About Tough Issues	Not Taking Things Personally
Dealing With Past Baggage	Raising Kids
Juggling Careers	Managing Money
Keeping The Sex Life Alive	Being Able To Ask For What You Want

Articles	eBooks
CDs	MP3s (downloadable from internet)
Live Interactive Training Calls	Personal 1-on-1 Coaching Calls
Workshops & Seminars