"Getting the Love You Want" Couples Workshop Interest Survey

1.Please choose one statement below that best describes the current state of your relationship.

We are doing great!

While we are not perfect, we are satisfied with our relationship.

Our relationship is OK, but we would really like it to be better.

One or both of us are not very happy with our relationship.

One or both of us are extremely unhappy with our relationship.

One or both of us think about separating or divorcing.

One or both of us have talked about about separating or divorcing.

One or both of is is seriously considering divorce.

One of us has filed for divorce, but is disappointed that our marriage didn't work out.

We have already separated or divorced, but are worried about the effects of divorce on our children.

Other, not mentioned above.

2.Would you and your partner be interested in attending Carol's 2-day "Getting the Love You Want" Couples' Workshop if you knew it could improve your relationship? (Please see above website.)

Absolutely!

Perhaps

Unsure

Not likely

4.If you were to choose to attend, please check the type(s) of location or venue you would prefer:

5.Would you be willing to attend a Friday/Saturday workshop, if it gave you Sunday on your own?

Yes

No

Unsure or Undecided

7.Would you prefer an in-person workshop or a "virtual" workshop.

Online/Virtual (Able only to see Carol & other participants on the screen.)

In-person (Carol & other participants in the same room, interact on breaks and see how they change during the workshop. Be in a romantic environment, away from home for 2 nights, without interruptions.)

Either would be fine.

Unsure

I'd like to talk with Carol more about this.

8.If you could significantly improve your relationship in one live weekend workshop, what is the most that would be worth to you and your partner?