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    Note: This form is for general contact and inquiries about our mentoring programs.

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    If you'd like to share your story, see the NOTE below:

    NOTE: If you'd like to share your story or get further faster in our work together, you can answer the following questions.

    Here you can give your story of betrayals with the year they happened; include times you've felt blamed for this.


    On a scale of 1-10, how do you feel about your relationship?
    (1=you are one step away from being completely done; 10=your marriage couldn't get any better)


    On a scale of 1-10, where is your level of inner stability right now?
    (1=you feel you are going crazy every day; 10=you are completely clear headed and never trigger anymore)


    How does he feel about his problems with sexual integrity?


    What help have either of you already sought, and what seems to work the best?


    Are there any other factors complicating the issue?




    * * *My emails sometime go to spam folders, so if you'd like to hear back from me, (1) please add something like "Please write back" in the subject line above, then (2) after hitting SUBMIT below, be sure to add "lori{at}pornpainhealed{dot}com" to your email contacts--OR check your spam folder from time to time. While I'm no longer able to respond to every email, I do read them and do my best to respond during lighter weeks.* * *