Relationship Repair Lab — Cohort Application
Apply together as a couple for our 12-week, $1,497 structured psychoeducation program for non-crisis, long-term couples. Estimated completion time: 10 minutes.
This is structured psychoeducation for non-crisis couples. It is not couples therapy and not a substitute for it. If your relationship involves abuse, untreated addiction, or active infidelity, please work with a licensed couples therapist.
Partner 1 (you): Full Name
*
First Name
Last Name
Partner 1 (you): Email Address
*
example@example.com
Partner 2 (your partner): Full Name
*
First Name
Last Name
Partner 2 (your partner): Email Address
*
example@example.com
How long have you been together?
*
Less than 5 years
5-10 years
10-20 years
20+ years
Do you have children at home?
*
Yes
No
Have you done couples therapy or counseling before?
*
Currently in
Past, ended well
Past, ended poorly
Never
In one or two sentences, why are you applying now? What’s prompting this?
*
On a scale of 1-10, how would you rate the current state of your relationship right now?
*
1 (Lowest)
1
2
3
4
5
6
7
8
9
10 (Highest)
10
1 is 1 (Lowest), 10 is 10 (Highest)
Is there active abuse, untreated addiction, or active infidelity in the relationship right now?
*
Yes
No
Prefer not to say
If yes to any of these, this program is not the right fit. We’ll refer you to appropriate professional resources. We ask because we care about putting you in the right help, not gatekeeping.
Has your partner agreed to apply alongside you and is filling out their portion?
*
Yes
No
In conversation
Anything else we should know?
Submit Application
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