Consultation Call Availability: Please write down all of your availabilities between Monday - Friday 10am - 5pm EST.

8. If you selected "no" above, what is your monthly budget that you're willing and able to invest right now?

No, I'm not ready to invest right now. 

Yes, I'm ready to invest in the program right now.

7. Are you currently willing and able to invest $2,000USD right now to make your relationships goals a reality? 

6. Why do you want to do this program?

5. On a scale of 1 to 10, how committed are you to making these changes?

4. What are your relationship goals? And why is this important for you?

3. What have you done so far to work on yourself & the relationship? (e.g. therapy/Coaching/other professional help). And why didn't they work for you?

2. How long has this been a challenge for you?

1B) What are the biggest challenges in your RELATIONSHIPS?
On a scale of 1 to 10, how painful is this right now? 

1A) I help those with anxious attachment tendencies. With this in mind, what are the biggest challenges you're experiencing in YOURSELF that you want to work on?
On a scale of 1 to 10, how painful is this right now?

what's your relationship status?

age/location/profession

email address

last name

first name

Application: Secure Love Program

THIS PROGRAM IS FOR INDIVIDUALS WHO WANT TO BREAK ANXIOUS ATTACHMENT TENDENCIES AND BECOME SECURE IN THEMSELVES AND THEIR RELATIONSHIPS.
PLEASE ONLY APPLY IF THIS IS YOU.