Skip to content
FBL Who are you and what do you want?
1.
Describe your #1 biggest challenge in relationship right now. Please be as detailed and specific as possible. Try to go beyond just saying "stop fighting" or "start having sex again". The more specific and detailed you are, the more likely we'll be able to cover your topic. For Example: "I feel like we can't get out of this pattern of bickering and negativity. No matter what I try, we can’t stop and we end up irritated, distant and living more and more separate lives."
2.
Which of the following best describes you?
I’m a married woman.
I’m a married man.
I’m a woman in a committed relationship, although not married.
I’m a man in a committed relationship, although not married.
I’m a woman, dating, but not committed.
I’m a man, dating, but not committed.
Other (please specify).
3.
Which of these common challenges and hurdles are you experiencing in your relationship right now? (Check all that apply)
Being frustrated - When you think of your relationship you think augh! instead of ahhhh.
Being resigned - You're increasingly cynical and it's ruining your relationship.
Being irritating - Other people are getting tired of being around you and your partner together.
Being separate - You are more inclined to seek out ways to spend time apart than seek out ways to spend time together.
Being "over it" - If there were no repercussions, you would choose to move on to a new relationship or none at all.
Being righteous, stingy or short sighted - Waiting for your partner to go first - apologize first, do their part first, etc.
Being accusatory - Criticizing, blaming and shaming are a common experience.
Being childish, unwilling and uncommitted by storming off.
Being resigned - Doing nothing to grow or turn breakdowns into breakthroughs.
Being demanding, controlling or pushy.
Being nasty - Fights have gotten ugly. Low blows are fairly common.
Being short - Fights seem all too easy to escalate.
Being disrespectful - General lack of respect. Communication has even gotten a bit nasty.
Being suppressed, constrained and limited - You’re walking on eggshells.
Being judgmental, criticizing, complaining - Expressing general contempt.
Being stale and predictable - When it comes to sex.
Being on a different page - Regarding your desires for quantity or quality or intimacy or sex.
Being deterred by the deepening disconnect between you two - You’ve just stop initiating sex.
Being desperate - Resorting to guilt, begging and making “deals” with regards to having sex.
Being short sighted and separate - Settling for sex for one with masturbation.
Being desensitized - From watching porn as a substitute for engaging in real sex.
4.
Which of these skills do you wish you knew more about?
How to keep my cool, even in the heat of it.
How to cause connection through quality communication.
How to get your grow on and always move forward as a couple.
How to retire repeat arguments.
How to make it so your fights are rare, not too bad, short and easy to recover from.
How to set your sexual self-expression free.
How to stimulate your sex-life with the spontaneous and surprising.
How to master mini seductions so that you keep sexiness between you alive everyday.
5.
How many hours per week do you currently...
Fight, argue, bicker or criticize when together?
Play together, have fun and hang out? Watching TV does NOT count!
Be passionate with each other and/or have sex?
6.
Describe how you want your relationship to shift? Do not describe the problem, describe how you WANT it to be. Shift into what? What would it look like if you succeeded in making that shift? What would indicate the challenge had been resolved?
7.
What do you think are the best solutions or pathways to make your last answer a reality?
8.
What product formats seem like they would have the greatest IMPACT / best OUTCOME for your relationship? Check all that apply.
Book
Ebook
Teleseminar Series
Webinar series
Video Series
2 Day Live event with a small group
2 Day Live event with a large group
3 Month Program with a 2 day live event, a partner couple call weekly, a monthly call with the course leaders and a 1-2 day completion event
3 Month Program with a 2 day live event where the couple leaves with specific goals and habits they commit to, a partner couple call weekly, a monthly course leader supported group call and a 1-2 day completion event
Week Long Luxury Retreat in a gorgeous residential, vacation-like setting with 6-8 couples (including leaving with specific goals and habits you are committed to, the 3 month partner couple calls, and monthly course leader supported group calls).
Other (please specify)
9.
What product formats seem APPEALING to you to participate in? Check all that apply.
Book
Ebook
3-6 week Teleseminar Series
3-6 Session Webinar Series
Video Series (Best of Fights Clean Sex Dirty TV)
2 Day Live Event (10-25 people)
2 Day Live Event (26-100 people)
3 Month Program couple call weekly, a monthly call with the course leaders and a 1-2 day completion event
3 Month Program with a 2 day live event where the couple leaves with specific goals and habits they commit to, a partner couple call weekly, a monthly course leader supported group call and a 1-2 day completion event.
Week Long Luxury Retreat in a gorgeous residential, vacation like setting with 6-8 couples (including leaving with specific goals and habits they are committed to, the 3 month partner couple calls and monthly course leader supported group calls).
Other (please specify)
10.
Lastly I may personally follow-up with a few people from the survey to learn more about your situation and needs. If you'd be open to talking with me, please leave your contact info below so I can reach you. You can also schedule a complimentary call with me by going to www.relationshipfunandgames.com/relationship-coaching
Your Name
Your Best Email
Your Best Phone Number:
