Page 1 of 2

Apply for Relationship Alchemy

Let's explore whether this journey is right for you.
Whatever has brought you here, you don't need to have all the answers. This confidential application takes around 3–5 minutes. Share only what feels comfortable; no graphic details are needed. I'll review your answers and be in touch about the next step.

Your name

Your email address

Who would be joining the coaching journey?

A
B
C
D

What has happened that brings you here now?

What is hardest for you right now? (Choose all that apply)

If our work together went really well, what would be different in your life or relationship?

If an affair is involved, is it currently ongoing?

A
B
C
D

Is there anything affecting your safety or ability to speak freely in your relationship?

Which Relationship Alchemy contribution level would you choose?

A
B
C
These contribution levels are designed to make the programme more accessible. Your choice does not affect the care or quality of coaching you receive. Monthly instalments are paid over six months, even though coaching takes approximately four months.

How would you prefer to pay?

A
B
C

Anything else you'd like me to know?

By submitting, you agree that I may contact you about this application. Applying does not subscribe you to marketing emails. Please share only what is necessary and avoid unnecessary sensitive details about other people. This form is not monitored for emergencies. Coaching is not crisis or emergency support.
Privacy Policy: