Ultimate Relationship Happiness Preparation Form Ultimate Relationship Happiness Preparation "*" indicates required fields Name* First Last Email* What relationship or relationships are you involved in that are creating difficulty for you right now?Where are you now in this relationship; example (not speaking to each other, strained communication, dating, living together, married, separated, divorced)?How has this relationship or relationships affected your health, your family life, your life, and your finances?If you could wave a magic wand and you have a relationship transformation what would it look like?What are your goals over the next 6 months? What are your goals for this relationship or relationships over the next 6 months?On a scale of 1-10 how committed are you to reach your goals?Please enter a number from 1 to 10.What are your challenges in achieving a happier more fulfilled relationship?Have you’ve ever been in the therapy or coached? Yes No Did you meet your goals? Yes No EmailThis field is for validation purposes and should be left unchanged.