Conscious Couples Course Survey - Rebuild Title*MissMsMrsMrName* First Last Email* Landline* Mobile* Country* Postcode* Age Bracket* Under 18 18 - 25 26 - 34 35 - 44 45+ How did you hear about Getting Naked?* Reasons for enrolling in the Conscious Couples course* What would you like to achieve by completing the course?* Please rate yourself from 1-10 in each area so we have a snapshot of where you are right now. 1 being awful and 10 being amazing!Relationship with self* 1 2 3 4 5 6 7 8 9 10 Relationship with partner overall* 1 2 3 4 5 6 7 8 9 10 Communication with partner* 1 2 3 4 5 6 7 8 9 10 Love for partner* 1 2 3 4 5 6 7 8 9 10 Ability to resolve disagreements with partner* 1 2 3 4 5 6 7 8 9 10 Respect for partner* 1 2 3 4 5 6 7 8 9 10 Ability to be transparent and honest with partner* 1 2 3 4 5 6 7 8 9 10 Comfortable being vulnerable with your partner* 1 2 3 4 5 6 7 8 9 10 Please ensure you have read the full terms and conditions here. By ticking this box you acknowledge that you understand and agree to the terms and conditions outlined.* Yes I understand and agree Δ
