Custom GCR Intake

Where do you currently place yourself? *

Thinking about it but unsure Actively discussing with my partner Already exploring, but emotionally stuck Returning to this after a past experience

What emotions best describes why you’re here right now? *

Which type of GCR session do you want? *

Are you answering primarily as: *

A husband A wife A partner in a non-traditional role An individual thinking ahead of a relationship

What tone should the session use?

Choose 3 max

Describe the scenario or dynamic you want explored.

Think in terms of where people are, who’s present, what you’re feeling, and what makes the moment charged.

Focus on setting, emotional tone, roles, pacing, anticipation, tension, vulnerability, and what makes the moment psychologically charged.

Add relevant details that will make this more personal and resonate with you.

This is a non-judgmental space. Say it the way it exists in your head.

What should this session help you feel, understand, or process?

What should this GCR session help you feel, understand, or process?

You do not need to have the perfect answer. This can be emotional, psychological, relational, or even difficult to explain clearly. Focus on what you hope to better understand, experience, release, confront, or sit with emotionally through the session.

Boundaries or limits that should be respected

List anything that should not be included, any emotional limits, or any relationship boundaries that matter.

Age confirmation *

I confirm I am 18+

Payment acknowledgment *

I understand this request requires a $250 start deposit and a $250 final payment before delivery.

Your Email *

This email address will be used for communication related to your order deliverables. It may be the same email you use at checkout, but payment receipts and checkout notifications are handled separately by the payment processor.