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Session Prep Form
First Name
Last Name
Today's Date
What new issues OR awareness have come to light this week?
What questions do you have? Is there anything you want to cover in our next session?
Describe the process of practicing/attempting/completing your 'opportunities for action' since our last session.
Is there any action item you did not complete? What got in the way?
The truth will set you free. Is there anything you would like to admit
and free yourself from?
Rate your current level of happiness in your relationship.
- Rate on a scale of 1 to 10 -
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10
How much effort do you feel you are putting into this process?
- Rate on a scale of 1 to 10 -
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How much effort do you feel your partner is putting
into this process?
- Rate on a scale of 1 to 10 -
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10
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About
Work With Me
For Women
For Men
For Couples
Women’s Courses
Media
Contact
Take The Quiz