Couples Counselling

A thoughtful place to begin, together.

This confidential assessment helps Dr. Nicole E. Francis Cotton and Mr. Roy Cotton, Jr. understand your relationship story, strengths, and the areas where compassionate support may be most helpful.

Confidential & compassionate. Each partner should complete this assessment separately, with honesty and kindness. Your answers are received directly by the VLF counselling team and guide the conversation; they are not a diagnosis.

Allow approximately [XX] minutes to complete.

Your responses are sent directly to Dr. Nicole E. Francis Cotton and are seen only by her and Mr. Roy Cotton, Jr. They are not published, shared, or passed to any third party. Please read the disclosures in Step 5 regarding email communication before you submit.

Your progress is saved on this device. Clear saved progress

This is the first of two assessments.

Each of you completes it separately, in your own words — please do not fill it in together or discuss your answers as you go. Should you choose to proceed, the Gottman Relationship Assessment follows, and each of you receives a private link for that one as well.

Victorious Living is a Gottman Approved Member, authorised by The Gottman Institute to administer it.

Mr. Roy Cotton, Jr.

Mr. Roy Cotton, Jr. is VLF's Lead Perinatal Coach, bringing compassionate, specialist support to individuals and couples navigating pregnancy, postpartum, and perinatal loss. He is also an interpersonal and professional development coach, youth specialist, motivational speaker, and international radio host of Love & Inspiration — with over 2 million dedicated listeners — fully dedicated to transforming lives through authentic coaching and inspiration.

Mr. Roy Cotton, Jr. conducts co-therapy with Dr. Nicole E. Francis Cotton in marriage and relationship counselling.

Step 1 of 5Couple information

Step 1 of 5

Couple Information

Share the details that will help us welcome and support both of you well. Fields marked with * are required.

Partner 1

Full Name *

Email Address *

Phone Number *

Date of Birth *

Partner 2

Full Name *

Email Address *

Phone Number *

Date of Birth *

Relationship Status *

How long have you been together? *

Reason for seeking counselling *For example: pre-marital preparation, conflict, communication, infidelity recovery, or another concern.

How did you hear about VLF? *

Preferred session format *

In-person (St. Maarten) Virtual Cohort program

Preferred session time *

Please complete the highlighted fields before continuing.

Step 2 of 5

Relationship Vulnerability Map

The following questions help us understand the current health of your relationship. There are no right or wrong answers — your honesty helps us serve you better.

0 of 16 answered

Your score and a gentle interpretation will appear here as you respond.

Please answer each statement before continuing. “Not applicable” is always available.

Step 3 of 5

Friendship Boundaries Awareness

The following questions help us understand boundaries within your relationship and social connections.

Answer Yes or No. Scoring: Yes to questions 1, 2, 6, 7, 8 = 1 point each. No to questions 3, 4, 5 = 1 point each.

0 of 8 answered

Your score and a gentle interpretation will appear here as you respond.

Please answer each question before continuing.

Step 4 of 5

Communication & Conflict Style

These questions help us understand how you and your partner communicate and handle conflict.

Section A — Fair Fighting Self-Assessment

Section B — Open Questions

1. Describe your typical communication style as a couple. *

2. What tends to trigger conflict between you and your partner? *

3. How do you typically resolve disagreements? *

4. What communication patterns would you like to change? *

Please complete the highlighted fields before continuing.

Step 5 of 5

Email Communication Consent

Please review the following disclosures carefully before submitting your assessment.

Victorious Living Healing, Restoration & Training Center — COC #: 018720 | Crib#: 435115315

Please read the following disclosures about communicating with Dr. Nicole E. Francis Cotton and Mr. Roy Cotton, Jr. using email:

Email is a non-secure and non-confidential form of communication. Hackers and unauthorised users can attempt to access emails through malicious software such as spyware or a virus that may be located on your computer unbeknownst to you.
Many people feel comfortable communicating via email because they have installed firewalls or other protective programs. However, there is no guarantee such programs will always be effective.
Sent and received emails are stored on Dr. Francis Cotton's, Mr. Roy Cotton, Jr.'s and your computer until deleted.
Dr. Nicole E. Francis Cotton and Mr. Roy Cotton, Jr. may or may not delete such emails. Generally, routine emails will be deleted while substantive emails may be kept or printed and placed in your file for record-keeping purposes.
Any saved emails will be kept in a password-protected account accessible only to Dr. Francis Cotton and Mr. Roy Cotton, Jr.
Emails sent via the internet may be accessible to authorities under various circumstances due to the nature of internet transmission.
Dr. Francis Cotton and Mr. Roy Cotton, Jr. will use email to respond to emails you send them.
As a rule, they do not conduct therapy via email, but may use it for simple questions or scheduling matters related to therapy.
At their discretion, they may choose to refrain from email communication for therapeutic reasons.

Your assessment is retained as part of your confidential client file. You may request a copy, or ask that it be deleted, by writing to us at any time.

By submitting this form, I confirm that I have read and understand the above disclosures regarding email communication with Dr. Nicole E. Francis Cotton and Mr. Roy Cotton, Jr., and I agree to accept the above-stated risks.

Any additional notes or context you would like Dr. Nicole to know before your first session

How would you prefer to be contacted? *

Email Phone WhatsApp

Please complete the highlighted items before submitting.

We were unable to submit your assessment just now. Please check your connection and try again, or contact VLF directly. Your answers have not been lost. Please contact us directly: dr.nfranciscotton@victoriouslivingfoundation.com or WhatsApp +1 (721) 524-8731.

Thank you.

Your assessment has been received by Dr. Nicole E. Francis Cotton. You will be contacted within 2 business days to discuss next steps.