Relationship
Coaching
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Relationship |
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| Questionnaire If you would like help with your divorce, please print off this questionnaire, complete it, and bring it with you on your first visit.
Name: ...................................................................................................... Address: .................................................................................................. ................................................................................................................. What is your main concern at the moment? ................................................................................................................................ ................................................................................................................................................................................................. ................................................................................................................................................................................................. ................................................................................................................................................................................................. At what stage is your relationship? – unhappy and want to rebuild, thinking of separating, separated, divorcing, divorced: ........... ................................................................................................................................................................................................. Do you have children? – if yes please give details: ...................................................................................................................... What action have you taken so far? ........................................................................................................................................... ................................................................................................................................................................................................. ................................................................................................................................................................................................. What other professionals are working with you? ........................................................................................................................ Details of other professionals: .................................................................................................................................................... ................................................................................................................................................................................................. What hopes and goals do you have for the present? .................................................................................................................. ................................................................................................................................................................................................. What fears do you have for the present? ................................................................................................................................... ................................................................................................................................................................................................ What hopes and goals do you have for your future? .................................................................................................................. ................................................................................................................................................................................................ What fears do you have for the future? ..................................................................................................................................... ................................................................................................................................................................................................ Any other information you think will be helpful: ......................................................................................................................... ................................................................................................................................................................................................
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