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TherapyMantra

Help us match you to the right online therapist

Please fill our short anonymous questionnaire. It will help us better understand your issues and match you with the right counselor.

What are the benefits you're looking to achieve?*
- Improve our communication
- Decide whether we should separate
- Resolve conflicts
- Overcome adultery
- Understand myself better
- Understand my partner better
- Get to a more fair workload
- Reduce tension
- Prevent separation or divorce
- Learn “good” ways to fight
- Stop hurting each other
- Win back my partner’s love
- Love my partner again
- Discuss issues around raising kids
- Improve our sex and intimacy
- Divorce or separation mediation

What gender do you most identify with?*
- Male
- Female
- Gay/ Lesbian / Trans/ Other

How Old Are You?*

Do you Currently live with your partner*
- Yes
- No

Is domestic violence currently an issue in your relationship?*
- Yes
- No
- Sometime

How would you rate current financial status?*
- Good
- Fair
- Bad

What is Your Partner's first name?*
Would you like us to invite your partner?*
- Yes
- No
What is your partner's email?*
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lead
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Name
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Email id
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Country

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