Book an appointment. Name * First Name Last Name Name * First Name Last Name Email * What brought you to seek couples therapy at this point in your relationship? * How would each of you describe your communication style, and what challenges do you face when trying to be heard or understood? * On a scale from 1 to 10, how connected do you feel emotionally and physically to your partner? * 1 (No Connection) 2 3 4 5 6 7 8 9 10 (Very Connected) What are each of your goals for therapy—both individually and as a couple? * What strengths do you see in your relationship, and what do you believe is still worth fighting for? * Have there been any breaches of trust (emotional, physical, or financial) that you feel are still unresolved? * How do faith, values, or spirituality play a role in your relationship and your healing process? * Thank you for your submission!
