CONCIERGE COACHING WITH ROD HAIRSTON, M.A.

Infidelity Changed Your Relationship.
Take the First Step Toward Healing.

First Name

Last Name

Phone Number

On a scale of 1-10, how would you rate your current level of trust in the relationship?

Are both of you committed to stregnthening your relationship?

What specific challenges or obstacles would you like to work on?

If you’re married, how long have you been married?

What are your primary goals for concierge coaching?

What is your household income range?

What strengths do you believe your relationship has that will help in the coaching process??

What resources, if any, have you already tried in order to help your relationship?

Please describe in detail what you do for a living.