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Build a Better Relationship After Infidelity
Walk Away From Porn
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Application Questions for Rebuilding Us Infidelity Recovery Coaching
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First Name
Email
How long have you been together as a couple?
If youโre married, how long have you been married?
If you have children together what are their ages?
When did the infidelity occur, and how long ago was it discovered?
Are both partners currently committed to rebuilding the relationship?
What steps, if any, have you already taken to address the infidelity in your relationship?
What are your primary goals for participating in this coaching program?
On a scale of 1-10, how would each of you rate your current level of trust in the relationship?
What is your household income range?
Under $100,000
$100,000 - $150,000
$150,000 - $200,000
$200,000 - $250,000
$250,000 - $300,000
Over $300,000
This program requires a significant investment of both time and financial resources. On a scale of 1-10, how willing are you to invest in healing your marriage?
Are there any specific challenges or obstacles you anticipate in the healing process?
What strengths do you believe your relationship has that will help in the recovery process?
Are there any religious or spiritual beliefs that are important to your healing journey?
Do either of you have any mental health diagnoses or are you currently in individual therapy?
What expectations do you have for this coaching program?
How did you hear about the Rebuilding Us Infidelity Recovery Coaching Program?
Is there anything else you'd like us to know about your situation?
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