Couple's Coaching Application Page

Application for Couples Coaching with Marie Wagner

Please answer these questions together as a couple. Take time to reflect and discuss before submitting.

Full Name *

Phone *

Email *

How did you hear about me?? *

What are the biggest areas of tension, disconnect, or desire for growth in your current dynamic? *

Have you worked with a relationship coach, therapist, or guide before? If yes, what was that experience like for each of you? *

Do either of you have experience with breathwork, embodiment, or nervous system practices? If yes, how have those supported you individually or together? *

What inspired you both to apply for this couples coaching experience? What are you hoping to explore, shift, or deepen in your relationship? *

Is there anything else you’d like to share as a couple that feels important to your journey or readiness for this experience? *

This coaching journey is 12 weeks and includes joint and individual practices. Are you both ready and willing to commit to this depth of work? *