Couples Interest Form

Couples Coaching Interest Form

Name

First Last

Are you a current Prospera client?

Yes

No, but I was in the past

Best email to reach you

Best phone number

Pricing & Membership Details:

First week: $129 (one couples session & two individual sessions)
Ongoing sessions: $94/week, billed monthly ($376/month)
Membership includes weekly 50-minute sessions and access to between-session tools

Please confirm:

I understand the pricing and I’m interested in being contacted to schedule a first session

What happens next:
We’ll reach out to interested couples in late October by email with instructions to activate your membership and schedule your first session.