Request a Consultation With Jim and Emily

We'd Love to Talk to You!

You are taking the first step towards falling madly in love again!

Please fill out the form below so we can understand your situation. (Your answers are kept confidential.)

If it looks like you may be a fit to work with us, we will respond within 3 business days to set up a complimentary, no-obligation consultation on Zoom.

(p.s. We are coaches, not licensed therapists. This means our services are not covered by insurance.)

~ Jim Griffeth and Emily Liu

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How did you hear about us?

What is your age? (If you have a partner, what is his/her age?)

What is your relationship status? (Single, Dating, Married/In a Committed Relationship, Divorced, etc.

If you are partnered, how long have you been with him/her?

What are the most important struggles you need to overcome in your relationship?

Have you ever worked with a therapist or coach? Have you ever bought personal development programs or read books about healing and relationships?

On a scale of 1-10, how important is it for you to solve your relationship struggles NOW? ('10' is "I need to solve it now! I can't stand another day of pain!")

If we are a fit to work together, are you financially able to invest in a coaching program with Jim and Emily? (Because we are not therapists, we do not accept insurance.)

Anything else you would like to tell us?

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Request a Consultation With Jim and Emily

We'd Love to Talk to You!

You are taking the first step towards falling madly in love again!

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