Retreats and Events | I Need This Retreat

First name

Last name

Email

Phone

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Date picker

Choose a date, at least 2 days from today, that works for you and we will do our best to accommodate you. If not, we will suggest another date.

Which of the below options is the most important thing that you would like to work on during your retreat

Opening Constructive Communication

Healing from betrayal, rebuilding trust

Getting past infidelity

Maintaining a relationship after physical, mental or emotional abuse.

all of the above

Other

Let us know where you would like to start your relationship healing.

Which best describes your current relationship?

I am the one who wants to do this

my partner and I both want to do this.

My partner made me do this.

Neither me or my partner really care about saving this relationship

Other

Who is motivated to heal your relationship?

Current Living Arrangements

Co Habitating with my partner we share a bed

My partner and I live is separate homes

Co Habitating with my partner we sleep in separate beds.

Other

Number of years in this relationship

What is you and your partner's desired outcome ?

I want to work this out. My partner does too.

I want to work this out, but my partner is not interested.

My partner wants to work this out, i just want to get out.

Neither of us want to invest in this relationship anymore.

Other

What have you already tried to make positive change in your relationship

Is there a history of infidelity in this relationship?

Yes

No

not sure

Who is employed or financially contributing to the relationship?

Only me

Only my partner

Both me and my partner contribute financially to the relationship.

Are there any minor dependents that are part of this relationship?

I have a child or children from another relationship.

My partner has a child or children from another relationship.

We have a child or children that we parent together.

We do not have any minor dependent children that are part of this relationship or from prior relationships.

I have a child or children from a previous relationship AND we have a child or children together.

My partner has a child or children from a previous relationship AND we have a child or children together.

Neither me or my partner have any children from previous relationships but we have a child or children together.

Neither me or my partner have any children from previous relationships AND we do not have any children together.

is there a history of abuse or violence in the history of this relationship?

Yes

No

Are you willing to invest time and effort into making positive changes in your relationship?

yes

no

maybe if we both work on it together

Describe what changes you would like to see in your relationship.

Couples Retreat Information

I Need This Retreat

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