Business Coaching Request Form

Relationship Breakthrough Session

Live your best life. Reignite the passion, intimacy, and trust you've been missing.
A Little About You

Thank you and Welcome - this exercise is a way for me to find out more about you and what support you feel you need. Its also a fantastic way for you get super clear on where you are and where you want to get to!
I’m glad you’re here.

If you’ve found your way to this page, you’re likely ready to apply for a Relationship Breakthrough Session—a focused, transformational experience designed to bring clarity to your vision for love.

In this session, we’ll uncover what’s holding you back, clarify the kind of partner you want to attract and become, and map out real steps to help you move forward with purpose and power.

These sessions are limited and reserved for those truly ready for change. Complete the form below with as much detail as possible. If your application is a match, we’ll reach out to schedule your session.

Let’s get to the heart of what’s next—for you and your relationships.

With care,

Joseph
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How comfortable are you with sharing personal and emotional experiences with a partner? Can you give an example of a time you felt really connected or disconnected?
Are you currently enrolled with a coach or completing any programs? Have you worked with a coach or therapist before?
How do you typically handle conflicts or disagreements in a relationship? What's your approach to resolving issues?
How do you balance your independence while being in a committed relationship? Can too much closeness be a concern for you?
What are the top three CHALLENGES you want to overcome now?
What SPECIFICALLY is stopping you?
What FEARS do you have around committed relationships?
Can you share how your past relationship ended? Did you feel suffocated, distant, or something else?
What would it mean to you to you to be in a loving, long term committed relationship?
How do you feel about making future plans and commitments in a relationship? Is it something you prefer to talk about early on, or prefer to take it day by day?*
Why SPECIFICALLY do you feel you need a coach?
What will be the most BENEFICIAL part of working with a coach?
Describe your best qualities with regards to being in a committed relationship.
In past relationships, how have you typically felt when your partner needed space or spent time with others? How did you respond to these situations?
Can you recall how your caregivers or family members responded to your emotional needs and requests as a child? Did you often feel reassured and secure in those relationships?
When faced with relationship uncertainties or conflicts, how do you typically cope? Do you find yourself constantly seeking reassurance or worrying about the relationship's stability?
How comfortable are you with expressing your emotions and needs in your current or past relationships? Do you often find yourself seeking validation from your partner?
What are your expectations of a romantic partner in terms of responsiveness and support when you're feeling anxious, stressed, or uncertain in the relationship?
What is the number one obstacle that is stopping you from having the type of relationship that you desire?
How ready and willing are you to INVEST in yourself? (Time, dedication, financial resources)?*
Are you willing to do what it takes, to challenge yourself, to get OUT of your comfort zone, eliminate excuses and be unstoppable towards your own success?*

Hell yes!No
What I have learned most from this exercise / my biggest aha moment!
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Relationship Breakthrough Session

A Little About You