Couples Therapy Session - Wellness Compassion

Couples Therapy
Relationship Information

How long have you been in a relationship?*

What is your current living situation?*

What are your goals for therapy?*

Communication

How would you rate your communication with your partner?*

What are some common topics of conflict or tension in your relationship?*

How do you typically resolve conflicts?*

Intimacy and Emotional Connection

How would you rate your emotional intimacy with your partner?*

How often do you engage in romantic or intimate activities?*

Do you feel seen, heard, and understood by your partner?*

Conflict and Stress

What are some common stressors or challenges in your relationship?*

How do you handle conflicts or disagreements?*

Have you experienced any traumatic events or betrayals in your relationship?*

Individual Information

What are your individual goals for therapy?*

What are your strengths and challenges in the relationship?*

Are there any personal issues that may be impacting your relationship?*

Contact Details
May we contact you to follow up on your progress and provide additional support? If so, please provide your:

Enter your name below:*

Enter your email below*

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