Book your Free Strategy Session with Savannah Esposito now.

Duration: 45 minutes
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Your information:

How did you hear about The Modern Mr. and Mrs. LLC?
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Did anyone refer you to The Modern Mr. and Mrs.? If so, what is their name and email?
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First and Last Name of You and Your Partner
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Best Email:
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Call Preference:
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Phone number or Skype ID:{"type":"text","name":"phoneskypeid","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}


How long have you and your partner been together?
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How old are you and your partner?
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Have you and your partner ever broken up/separated before? If so, what led to this and how did it resolve?
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Are you or your partner currently struggling with any addictions? If so, please specify{"type":"text","name":"addiction","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","placeholder":""}



What are your biggest relationship struggles currently in your relationship?
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Where do you want the relationship to be? (Describe your ideal)
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What has been your biggest obstacle in trying to achieve this?{"type":"textarea","name":"Obstacle","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}




How committed are you guys to creating your dream relationship?{"type":"textarea","name":"dreamrelationshipcommitment","width":100,"value":"","size":"Normal","validation":"NE","validationMessage":"Please fill in this item.","height":80,"placeholder":""}



How willing and able are you guys to invest in your relationship right now?We have the financial resources to invest in our relationshipWe have access to financial resources to invest in our relationshipWe don't have any financial resources to invest in our relationship{"type":"select","name":"investment","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","options":"We have the financial resources to invest in our relationship\nWe have access to financial resources to invest in our relationship\nWe don't have any financial resources to invest in our relationship"}



If you're accepted, how soon can you guys get started?
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Finally, what makes you different from the other applicants and why should I choose to work with you?{"type":"textarea","name":"different","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","height":80,"placeholder":""}


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