Online Intake Form

Thank you for arranging your 2-hour Intensive Session.

Before we meet, please complete this intake form individually and privately, without discussing your answers with your partner beforehand.

Your answers will help me understand how you currently see the relationship, what feels most important, and how best to focus the session.

There are no right or wrong answers. Please respond as openly and thoughtfully as you can.

Basic details
Section 1 — Your relationship at this point in time

A background to the difficulties, including when they began and how things have developed over time, can be helpful.

You may find it helpful to reflect on whether improving one issue could have a positive effect on other areas of the relationship.

Section 2 — What happens between you

11. Thinking about the relationship as it is at present, how would you rate your current experience of your partner in the following areas? (0 = not at all; 10 = as much as you could realistically hope for at this stage)