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Imago Consultation Group 3.0
Michael DiPaolo, Ph.D.
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Home
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Individual Psychotherapy
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For Professionals
Imago Consultation Group 3.0
Home
Services
Individual Psychotherapy
Relationships & Couples
Contemplative Dating
Marriage Preparation
Couples Therapy
The Marriage Wellness Clinic
Relationship Boot Camp!
Major Mental Illness
Library
Presentations
Media
Blog
FAQs
About
Contact
Map and Directions
For Professionals
Imago Consultation Group 3.0
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The Marriage Tune-Up!
The Marriage Tune-Up!
16 Oct 2020
Mike DiPaolo
Marriage Tune-Up
Name
*
First
Last
E-Mail Address
*
Date
*
MM slash DD slash YYYY
Partner's Name
*
First
Last
The following is a list of areas that can bring couples closer together or lead to disagreements or dissatisfaction. Please fill in the bubble which represents your level of satisfaction in each area.
Questionnaire
Other
List and rate any additional area you would like
Overall satisfaction with your relationship
What are your most grateful for in your marriage over this past year?
*
What is one of your favorite memories from this past year?
How have you grown as a couple over this past year?
What is one area that you would like to see your marriage grow in the coming year?
*
What is one thing that you (not your partner) can do to help it grow?
*
What would you like to focus on in your tune-up session?
*
Are there any additional comments that you would like to make?
CAPTCHA
Michael DiPaolo, Ph.D.