Relationship Communication Pulse Template
Help prospects reflect on communication patterns, check-in habits, and reconnection opportunities.
Best for: Relationship coaches, marriage educators, couples workshop leaders, faith-based relationship programs, and communication coaches.
Question 2 of 5
How comfortable do you feel bringing up difficult topics?
Built for coaches who want qualified leads, not just email addresses.
A private, structured reflection tool that gives couples and individuals a useful result — and gives you a scored lead with real context before the first conversation.
Every submission becomes a scored lead in your dashboard.
- Prospect name, contact, and how they found you.
- Their reflected patterns and biggest tension area.
- The topic that feels hardest to discuss right now.
- A scored result band you can reference on the call.
- Status: New · Contacted · Booked · Won · Lost.
Questions that surface real signal.
- 1How often do small disagreements turn into bigger arguments?
- 2How comfortable do you feel bringing up difficult topics?
- 3Do you and your partner have regular check-ins?
- 4After conflict, how often do you repair and reconnect?
- 5What topic feels hardest to discuss right now?
Every prospect gets a scored, useful outcome.
Connected Communicator
Strong foundation with room to deepen. Fit for premium relationship coaching, retreats, or workshops.
Room to Reconnect
Solid intentions but reactive patterns. Ideal for a structured coaching container.
Communication Needs Attention
Recurring tension and low recovery. High-intent prospect for immediate coaching support.
A branded, personalized result — not another PDF.
Every submission ends on a scored result page like this. Prospects walk away with something useful, and you land a scored lead with context.
- Score + result band with a clear one-line summary
- Recommended next steps tuned to the answers
- A booking CTA that goes straight to your calendar
Room to Reconnect
Communication is workable but strained — a structured coaching container can move things quickly.
Recommended next steps
- Schedule a weekly 20-minute check-in
- Name one recurring conflict pattern
- Practice one repair phrase this week
Questions about this template
Launch this assessment funnel today.
Customize the questions, wire it to your booking link, and start capturing scored leads.
This template is for relationship education and coaching lead generation only. It is not therapy, mental health treatment, or clinical advice.