Meeting WMEA

First Name

Last Name

Email *

How long was your relationship before the breakup (or before the current issues started)? *

Less than 6 months

6 months to 1 year

More than 1 year

What best describes your current relationship status? *

I'm single — the relationship has ended.

I'm still in a relationship with the person I want to work things out with.

It's complicated — we're in contact, but things are unclear.

What's your main reason for booking this call today? *

I'm serious about getting support and ready to invest in saving my relationship.

I'm curious to learn more, but l'm not sure yet if l'm ready to commit to a full program.

Our coaching programs require a financial investment. Are you ready and able to invest in yourself and your future? *

Yes, I have the resources to move forward

Maybe, it depends on the offer presented and the type of support that will be recommended.

No, I don’t have the resources to move forward. I have no budget and I am only looking for free content.

If you had the opportunity to be personally coached by Coach Alex or Coach Adri, when would you like to starten would you like to start? *

I want to start now — I don’t want this to keep getting worse.

I’m ready, I just need a bit more clarity first.

I want help, but I’m still in the early stages of thinking things through.

Phone *

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