The Love Camp Couples Coaching Intake Form
 
Couples Coaching Intake Form

A Warm Welcome!

Hey there! We're so excited to start this journey with you both. We know that choosing to invest in your relationship is a big step, and we honor your commitment to creating a stronger, more fulfilling bond. This intake form is designed to help us get to know you better so we can make the most of our time together.

Before We Begin:
Please take a few moments to complete this form thoughtfully and honestly. Your answers will help us tailor our coaching to your specific needs and goals. Remember, there are no right or wrong answers – this is about creating a safe space for growth and connection.

Here's what to expect after you submit this form:

  1. Confirmation: You'll receive an email confirming that we've received your form.
  2. First Session Scheduling: We have not scheduled your first coaching session, schedule your session here.
  3. Preparation for Our First Call:To make the most of our first session, here are a few things to think about:
    • Your Vision: What does your ideal relationship look and feel like? What are your hopes and dreams for the future?
    • Your Challenges: What are the biggest challenges you're facing as a couple? What patterns keep repeating?
    • Your Strengths: What are your strengths as a couple? What are you already doing well?
Relationship Status*
What are each person's occupation?*
How long have you been a couple?*
What do you like about your relationship?*
What are your top 3 challenges in your relationship?*
What is your highest goal for your relationship?*
Did something pivotal happen in the relationship? If so, what?*
On a scale of 1–10, how effective do you feel your communication is as a couple? What’s one recurring topic that often leads to miscommunication or tension?*
What’s one recurring topic that often leads to miscommunication or tension?*
What does trust look like for you in this relationship? Have there been any trust ruptures that still need healing?*
Do you both feel emotionally safe to express yourselves fully, even during conflict? If not, what do you believe is preventing that safety?
In what ways do you currently show respect and honesty to one another, even when you disagree? Are there any unspoken truths or withheld emotions that may be impacting your connection?
How connected do you currently feel to each other—emotionally, physically, and spiritually? What fears (spoken or unspoken) might be keeping you from deeper vulnerability with each other?