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What is your primary relationship challenge, frustration or tip?

Tell me on this form, and in exchange for your time and effort, I offer a free 45 minute coaching session to you and or to your partner, if your challenge is suitable for coaching rather than therapy.

Your Primary Relationship Challenge, Frustration or Tip
If you would like me to respond or get in touch with you, then would you please
tell me your email address.  Otherwise, all identification fields are optional.
First Name
 
 Last Name  
Email Address
 
Phone
 
Your Relationship Challenge or tip.
Other Info
What do you think could improve your situation?
Thank you for sharing your relationship challenge with me.  Please feel free to call or email me to arrange a complimentary 45 minute coaching session. 

If your situation needs a therapist or counselor rather than a coach, I will either recommend one or suggest that you consult the yellow pages or call 1-800-964-2000 to receive a referral to a psychologist in the United States or Canada.