Business Couples Intensive Upgrade
๐๐๐๐พ๐ธ๐ถ ๐ป๐๐๐๐๐๐พ๐, ๐ฟ๐๐ฎ๐, ๐๐ฎ๐ฏ Partnership Makeover
Thank you for contacting me. I respond to every request. I work quickly and efficiently to help couples like you. If you do not hear from me. Please assume I did not get the email and resend or phone. I am happy to speak with you about your relationship needs.
Monica
Full Name
*
First Name
Last Name
E-mail
*
Phone Number
*
ย -
Area Code
Phone Number
Do You Live In the State of Missouri, US (type yes or no)
*
My practice focuses on work with couples, business partnerships and parenting partnerships, although there are occasions where I do individual sessions to determine if couples or sex therapy is in order. Are you looking for: Type of Session
*
Please Select
Couples Session
Business Partnership
Individual Session
Not Sure
Please choose the best fit.
How long have you and your partner been working together?
*
Not Yet
0-2 years
2- 5 years
5 years Plus
Please choose the best fit.
How long have you been a committed couple?
*
We are just business partners.
0-2 years
2-5 years
5 years plus
We used to be but now just work the business.
Please choose the best fit.
What Business are you in?
Please describe in a few words.
Will your partner be joining you on a call, if possible
Please Select
Yes
No
Maybe, I need help with that..
It's Individual Counseling
Monica Houttuin, LCSW, CST will use the information you provide on this form to be in touch with you and to provide updates and offers. By typing yes below, you agree that we may process your information in accordance with these terms. I AGREE Type YES in the box below
*
You can change your mind at any time by clicking the unsubscribe link in the footer of any email you receive from us, or by contacting us at crcenter@sbcglobal.net. We will treat your information with respect. For more information about our privacy practices please visit our website.
Are you available to set aside blocks of time to work on you partnership with planning and some flexibility?
Yes
Possibly with Planning
No
Other
ย
Tell me a little about your situation and why you are considering counseling NOW?
How did you hear about Monica Houttuin, Intimacy Specialist?
Facebook
Instagram
website search
Psychology Today
Other
ย
Why are you choosing to work with Monica Houttuin, LCSW, CST?
*
Please Select
We need a specialist in intimacy
Have been to other couples couselors
It's an emergency
We deserve to have a trained specialist
I don't know
Additional Questions or Comments:
Best Time Of Day To Reach You?
Enter the message as it's shown
*
Submit
Looking forward to speaking with you soon,
Monicaย
NEW COUPLE APPOINTMENT REQUEST
I respond to every appointment request that I receive. If you don't seem to get a response, please check your spam, junk or promotions folder or follow up with a phone call to 636.583.7738 and let me know you have not heard from me. Thank you I know this is important to you and I want to reach you quickly. Monica Houttuin
Should be Empty: