CONTACT DR. LIZ JENKINS

Please fill out this short questionnaire so I can learn more about you and your couple goals before we speak.

After you complete this quiz you will have the chance to book your free 30-minute connection call with me.

Couple's Connection Quiz

Please fill out this short quiz so that I can get a true look at what's going on in your relationship as well as your long term relationship goals. This will help us move with more clarity on our 1:1 call.

First Name *

Last Name *

Email *

Phone *

Why are you booking this call? What are your current relationship struggles? *

Why are you interested in a reconnection call (mark all that apply)? *

What have you tried to improve or fix the problems in your relationship? *

Nothing

Personal Therapy

Couple's Therapy

Personal and Couple's Therapy

By booking this call you are acknowledging that you value your relationship...and like anything of value...it requires time, money and attention. Are you in a position to invest all 3 of those things if we find we are a good fit to work together? *

Yes, I value my relationship above all other material things and want to figure this out. I'm willing to do what it takes.

Yes, I value my relationship above all, but I'm not sure that my partner is all in.

I'm just not sure at this point. I feel emotional and want to know if my partner is also interested. If I thought we had hope I would check Yes.

Dr. Liz is an expert at Rapid Transformation with her 1:1 couples. She has found that couple’s who invest their time, money and energy over a longer amount of time and more frequently, get 10x better results and save their marriages. Which of the following programs would appeal to you and your partner the most at this time? *

10-Week Marriage Makeover: An in-depth, fast action VIP approach to helping you reconnect and move to the next level in your marriage. From weekly calls (1:1 or couples), daily text/audio support via WhatsApp (1:1 and group chat), recreation of vows, and even 2nd honeymoon planning this is the proven way to reconnect and restart fast. Investment starts at $5k. Space is limited—early commitment is recommended.

6-Week Couple’s Smart Restart: A reboot to help you decide if you want to move to the next level. Weekly 1:1 sessions, Daily Chat support and worksheets and to-do's to help you rekindle that passion and connection. Investment starts at $2k Space is limited to ensure personal access and support. Priority given to couples ready to take immediate action.

Breakthrough Coaching Session (1 Hour) A single private session to gain clarity, shift stuck patterns, and explore your next step. $300 per session. Apply the full amount toward a program if you join within 5 days.

We’re not ready to invest in our relationship right now. If this is where you are, Dr. Liz encourages you to pause and reflect: What happens if nothing changes? And how long are you willing to wait for things to get better on their own?

How soon are you looking to get started to reconnect with your partner in a healthy and intentional way? *

ASAP! We want to get started and reconnecting.

1-2 weeks

In the next month

I'm not sure.

I realize I am booking a real time with Dr. Liz Jenkins. I promise to respect both of our times by showing up, with no distraction, for the time I selected. All parties who need to be present to make this emotional and financial commitment will be there. If it's a good fit you agree that you have $1k-$5k on hand to get started and sign an agreement. *

Yes

No