Relationship intake form
Take time to describe the breakup and recurring conflicts.
We’ll review your submission, then share consultation guidance.
Write the diagnosisWhether reconnecting or starting anew, find your direction in the reality of your relationship.

Shall we add your real story to the patterns explored through Saju?
Before choosing support, put the one part that feels most stuck into a few words.
We have looked at the flow. Will you tell me one scene from where things stand now?
Do not enter names, contact details, dates of birth, addresses, or information that identifies either person. The conversation stays on this screen and is not saved in our service database.
Put your thoughts in writing, or talk them through together.
Take time to describe the breakup and recurring conflicts.
We’ll review your submission, then share consultation guidance.
Write the diagnosisWhen deciding about contact or your relationship feels difficult alone.
Check the schedule and fee before applying. Your booking is confirmed after review.
Check consultation timesYou can choose the intake form or a consultation independently.
Explore our user interviewThe next step looks at what was actually said and done.
How did your last contact go, and what did you say to each other?
Did any situations repeat as you grew closer?
What would you like to do differently this time?
Operational records and a specialist consultation system grounded in real relationships.
Composed of professionals with master's and doctoral-level expertise
Quickly defines the central issue and focuses guidance on the direction needed now.
Designs a phased action plan from relationship analysis and change through contact and what follows a meeting.
* Based on cumulative operating data as of September 2026. Each item is a separate operating metric; consultation outcomes vary by individual circumstances.
The form isn’t an automatic Saju report. Share your actual relationship story, and we’ll review it before following up.
Nothing is submitted automatically. On the next screen, you enter the information needed and give consent before sending it.
No. Check the schedule and fee before applying. The booking is confirmed after payment and availability are verified.
Start your story in whichever way feels comfortable now.
Choose the support that fits Back to Reunion SajuWe don’t guarantee a reunion or the other person’s response. Respect any request to stop contact or any decision to block you.