Couples Assessment - 90 Day Gameplan
Let's map out where you are and where you're going. This assessment takes 8-10 minutes. Answer honestly so I can create a gameplan that actually works for your situation.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
How long have you been together?
*
Please Select
Less than 7 years
7-15 years
15+ years
Do you have children? If so, how many and what are their ages?
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Next
Most relationships I work with are in one of three places. Where does this sound like you?
Choose the option that best describes your relationship right now:
Red: We're barely holding it together. Separation has been mentioned.
Yellow: We're functional co-parents and roommates, but the spark is gone.
Green: We're solid, but I want us to be great again.
What’s the biggest challenge you're facing as a couple right now?
When conflict happens, how do you usually respond?
I get defensive and explain myself
I shut down and withdraw
I get critical or attack back
I try to fix it immediately
I avoid conflict altogether
Other
How do you handle conflict as a couple?
We avoid it completely
We argue but nothing changes
We talk but get stuck in the same patterns
We're learning to repair but need help
One of us wants to talk, the other shuts down
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Where do you want to be 90 days from now?
The clearer you are about what you want, the better I can help you get there.
Imagine it's 90 days from now and your relationship has improved significantly. What's different?
What would more connection, safety, and intimacy look like for you specifically?
On a scale of 1-10, how motivated are you to make these changes happen?
Please Select
1
2
3
4
5
6
7
8
9
10
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Ownership is where change starts.
The guys who get results take responsibility for their part first.
What patterns or habits do you bring that might be blocking deeper connection?
Where have you been waiting for your partner to change before you're willing to show up differently?
Are you willing to lead the change in your relationship, even if your partner is skeptical at first?
Yes - I'm ready to lead
I want to, but I need guidance
No - I need her on board first
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Let's talk about commitment and investment.
Real change requires time, focus, and investment. I need to know if you're actually ready.
Can you commit at least 2-3 hours per week to learning and practicing new skills?
*
Yes, I can commit that time
Maybe - I need to see what's involved first
No - I don't have that time right now
Are you willing to invest financially to get expert guidance and accountability?
*
Yes - my relationship is worth the investment
I need to know pricing first
No - I'm looking for free resources right now
Have you worked with a coach or therapist before? If so, what happened?
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