Answer a few questions so I can curate a plan that is specific to you.
How long have you been in your current Relationship?
*
Less than 7 years
7-15 years
15+ years
I'm not in a Relationship
Do you have kids?
*
Yes
No
If so, how many kids, and what age range?
Back
Next
How's your Marriage doing... Most Relationships are in one of 3 places:
*
Red (Under threat of Separation/Divorce)
Yellow (Good Partnership, No Intimacy)
Green (Great Foundation, ready to THRIVE!)
I'm not in a Relationship
What's working well in your Marriage?
*
What's not working so well?
*
Back
Next
Tell me about yourself... What's your name?
*
First Name
Last Name
Tell me a little about the specific challenges you are having trouble overcoming in your marriage?
*
Back
Next
Are you and your partner currently living under the same roof?
*
Yes
No
If so, are you sharing a bed together?
Back
Next
What specific Results would you want to create in your marriage within the next 90 days if we were to work together?
*
If you could start learning the skills to Revive your Relationship within the next week, would you be interested?
*
Yes
No
Are you able to commit at least 2 hours per week to learn and implement new skills to Revive your Relationship?
*
Yes
No
Back
Next
What's the best email for me to send you a video explaining exactly how I help men Revive their Relationships?
example@example.com
What's the best phone number to confirm your Breakthrough Plan Booking?
Are you willing to invest in yourself financially so we can work together toward the results you want in your marriage?
*
Yes
No
Submit
Should be Empty: