join the waiting list for MRC!

Fill In The Contact Form Below And I'll Be In Touch via email To Discuss If We Are A Good Fit To Work Together.

Name
Email
Phone
Partner's Name
Where do you live?
If you answered "International", what country (used for time-zone conversion)
What is your English proficiency?
How do you feel about online sessions (incl. recorded trainings and live calls)?
Have you ever worked with a coach before?
How old are you?
Are either you, or your partner, currently using (addicted to) any type of drugs (including prescription drugs, alcohol or marijuana)?
If you answered "yes" to the previous question, please tell me more below.
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In what way is this contributing to your current problem?
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Have either you or your partner been diagnosed with a mental health disorder (e.g. depression, anxiety disorder, schizophrenia etc.)?
If you answered "yes" to the previous question, please tell me more below.
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In what way is this contributing to your current problem?
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How long have you and your spouse/partner been together?
Do you have children? If "yes," how many and ages.
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What's the number one goal you would like to achieve in your relationship/life right now?
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What are the three biggest challenges you are facing in your relationship/life right now?
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Since you already know what your biggest challenges are, why do you want help now?
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If approved, what are the top issue(s) you would like to work on first when working with me as your coach? Be very specific.
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Imagine for a moment that your current challenges were resolved - what does your relationship/life look and feel like? How would a stranger see this?
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What type of sessions are you looking for?
On a scale of 1 to 10 how motivated are you to turn things around in your relationship?
On a scale of 1 to 10 how willing are you to turn things around in your relationship?
On a scale of 1 to 10 how willing and able are you to financially invest in coaching right now?
Where did you hear about me?
If other, please specify below.
Please let me know why you want to work with me?
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I understand this is MORE than just a free coaching call where I'll get heaps of clarity and insight into our relationship. This is also a call to explore if making an investment to work with Gideon 1-on-1, more in-depth, and over a period of time, is the right fit for me/us. I understand that there is a financial and time commitment to private coaching sessions, which means we must be committed to the process.
By using The Relationship Guy coaching services, I understand and agree to the current disclaimer and waive of liability. I use these services at own risk and am still encouraged to seek out help from any relevant registered professionals.
I understand that this application is for a free online call via Zoom (or other) and not an in-person session. By clicking this, I agree and commit to being prepared for having this call on the date and time selected with minimal distractions and the same focus as if it's an in-person session.