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Home
Mentoring
About
Clients & Results
Blog
Forms & Questionnaires
Contact
Forms Live Here
13 Questions to Consider
29 Executive Questions
AA Twenty Questions
Am I an Addict?
Are you willing?
Business Completion
Burnout Questions
Business Partnership Questions
CEO High Performance Questions
CEO Questionnaire
Check In
Choice Questions
Choosing Conversations
Coaching Completion
Coaching Questions
Codependence
Color Insight Questions
Context Questions
Dysfunctional Checklist
Emotional Intelligence Checklist
Empowering Enlightened Leaders
EOLT
Event Completion
Executive Assistant Questions
Executive Consulting Questions
Futurability
Inner Wealth
Intake Form
Managing Complex Change
Mastering Leadership: Powerful Questions
New Project
New Year Completion Questions
OCCT
Questions for Staff
Powerful Questions
Pre-Flight Checklist
Project Form
Relationship Completion
Relationship Responsibility Questions
Spirit Questions
Superior Man
Ten Questions for Leaders
The Context of Thriving at Work
Transformation Questions
Victim
Weak Words
Weekly Check In
Big Love Assessment
Big Love Assessment
Before our upcoming call, please fill out the following form. All answers are confidential.
Name
*
First Name
Last Name
Email
*
How would you rate the love, intimacy and closeness in your current relationship? What are the recurring relationship issues you are not able to solve?
Are you considering divorce or separation as a serious option?
Is it hard for the two of you to find time to do love exercises to deepen the relationship?
Are you more motivated than your partner to work on the relationship?
Have you lost affection and desire in your relationship?
List the things you have used to fix your relationship in the past. How effective were they and how long did each item last?
If you started practicing love actions in your relationship with your partner daily, how long would it take to fall back in love?
Rate the amount of trust you have with your partner. High, medium or low? Them with you?
What percentage of the relationship are you willing to be responsible for?
What is missing in the area of communication with your partner?
How present is your partner? How present are you?
Rate your partners integrity. High, medium or low?
What seems impossible in the relationship currently, that if it were possible, would fundamentally alter what is available to you?
What does it take to get in trouble in your relationship?
How is your partner your hero?
What are your challenges with giving and getting support with your partner?
What do people say about you as a couple?
Rate you and your partners self care. High, medium or low?
Rate you and your partners self care. High, medium or low?
How are you at managing negativity in yourself and your partner?
How is your past limiting your future? How about your partner?
Do you have a dream of how the relationship might be?
Are you hopeful, hopeless or in action on a vision and plan for love in your relationship?
How inspired are your children by your relationship? Your extended family? Your friends? Your business colleagues?
Do you have what it takes to get to daily ‘afterglow’ and big love? What, if anything, is missing?
Thank you!
