Private Couples Retreat Questionnaire
For your confidentiality and privacy, Miles is the only one who will read these answers.
First and Last Name of both people
How did your hear about Miles' work with couples?
How long have you been a committed couple?
Do you live together, have children, share finances?
Have you been to couples coaching or counseling before? If so, how did that work?
What kind of help do you think you need now in your relationship?
Give us some idea about dates that you are available for a two-night retreat, or a single session.
Thanks for submitting!