After Completing This Questionnaire Please Enter Your Best Email Address To Gain Access To A FREE 4 Day Online Infidelity Recovery Event and a FREE ebook to help you in the early days after discovery.

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Has The Infidelity Bomb Exploded In Your Relationship?

Do you know deep down, despite the pain, that you'll do whatever it takes to get through this for the sake of your marriage, your children, your finances?

If your heart is breaking and you feel sick with fear for your future, complete this QUESTIONNAIRE & get the help you've been searching for!

As Featured On Channel Five

Pete Uglow: International Infidelity

Recovery Coach & Mentor

"Did you know that Unconditional Love is the ONLY thing that will help you completely heal your marriage and your suffering after an affair?

It's 100% true, but before I teach you all about it, let me learn a little about you and your situation."

PETE UGLOW

This questionnaire will help me to help you...

Once you have completed the 15 questions below, you will be asked to enter your best email address. Use the button below the questionnaire.

This will allow me to send you valuable tips on recovering from infidelity and also emails about an upcoming FREE Online Infidelity Recovery Event spread across 4 days. During this event you will get the answers to your questions and I'll offer you an amazing opportunity that you won't want to miss if you are serious about recovering from this.

I also want to send you to a FREE ebook: 10 Steps To Help Your Marriage Survive An Affair ~ An introduction to the transformative power of unconditional love, so please make sure it's an email address you regularly check.

Which best describes your situation?

Married

In a committed relationship

How long have you been in this relationship?

1-5 years

6-10 years

11-20 years

21 years+

What gender are you?

Male

Female

What is your age?

21-30

31-40

41-50

51-60

60+

What are your living arrangements at the moment?

We are living together

We are living seperately

Is an affair still going on?

Yes

I don't know

This is not applicable to our situation

Is this the first time infidelity has featured in your relationship?

Yes

Do you have children?

Children living at home

Children have left home

No children

Step-children who live elsewhere

What is your partner's gender?

Male

Female

What is your partner's age?

21-30

31-40

41-50

51-60

60+

What did the infidelity involve?

Select the nearest one option

One night stand with a stranger

Visiting prostitutes

Sexting/messaging online

Sex with a colleague/ex or friend

long term sexual affair

pornography/flirting/looking at others in a sexual way

An emotional affair

Multiple sexual partners

None of the above

What role do you find yourself in?

The betrayed partner

The Straying partner

I have been both the betrayed and the straying partner

How are you feeling?

Click the ONE that most describes your feelings

I'm feeling very hurt and betrayed.

I'm feeling angry and I want my partner or the Affair Partner (AP) to suffer too

I'm afraid of a future without my partner

I'm feeling numb. It's like I'm locked away behind a glass screen and I can't access my feelings.

How are you feeling?

Click the ONE that most describes your feelings

I'm feeling guilty and ashamed. I can't believe I've caused so much pain.

I feel justified in going elsewhere for attention because I didn't get it at home.

I feel emotionally shut down, kind of indifferent really.

I feel frustrated that my partner isn't just getting over this to allow us to move on.

I so want to help my partner forget and I want to know how to help them get past the pain I caused.

I feel really lonely in my relationship and don't see it getting any better.

I feel stupid for risking my relationship. I can't imagine life without my partner.

What do you want MOST?

Click the ONE you want the most

I want to get rid of this awful pain.

I want to end our relationship.

I want to do whatever it takes to save our relationship.

I want to feel loved and wanted again.

I want to have an emotional connection in our relationship.

I want to be able to trust my partner.

I want to be able to forgive my partner.

I want the lies to stop and only be told the truth.

What do you want MOST?

Click the ONE that applies the most

I want to be forgiven by my partner.

I want to end our relationship.

I want to do whatever it takes to save our relationship.

I want to be with my Affair Partner (AP) and can't bear to end it.

I want to help my partner recover from all the hurt I've caused.

I want to have an emotionally connected relationship again and put this behind us.

I want to feel connected & not feel lonely in our relationship.

And lastly, is your partner WILLING TO ENGAGE in any form of help/counseling/therapy?

Yes, my partner is willing to seek help.

No, my partner is not open to seeking help.

I don't know what they are willing to do.

Click this button once you have completed the FULL survey and I can send you the free info.

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