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Name (Partner #1) *

Name (Partner #1)

First Name

Last Name

Name (Partner #2) *

Name (Partner #2)

First Name

Last Name

Email Address (Partner #1) *

Email Address (Partner #2) *

What is the Due Date or Date Of Birth of your youngest child. *

What is the Due Date or Date Of Birth of your youngest child.

YYYY

How long have you been together *

We are seeking more direction with 4th Trimester: *

Communication

Conflict Resolution

Habits

Finances

Leisure/Activities

Intimacy

Family/Friends

Relationship Roles

Spiritual Beliefs

What is the status of your current goals as a couple *

this is referring to goals you share, things you want to accomplish together.

(Partner #1) Describe your dreams & desires in the 4th Trimester and beyond; list as many as possible. In health, wealth, family, career/business, etc. *

(Partner #2) Describe your dreams & desires in the 4th Trimester and beyond; list as many as possible. In health, wealth, family, career/business, etc. *

(Partner #1) What barriers or challenges have you encountered in fulfilling your dreams/desires? *

(Partner #2) What barriers or challenges have you encountered in fulfilling your dreams/desires? *

Do you feel that you and your partner have clarity in your collaborative vision together? Do you feel synergy together in the direction of your life? *

Handle/ID/Name for our video call *

Please write the name and program you prefer to use. (Skype, FaceTime, Google Hangouts) ie. bettertogetherbreakthroughs (skype)

Additional message (optional)