Gottman Method Outcome Study Application

If you and your partner are interested in participating in the Gottman Method Outcome study, please double-check that you qualify here, then complete the information below. Once you have submitted your application, a staff member will get in touch with you to see if the study is a good fit for you and your partner.

Questions may be directed to [email protected].

Do you qualify for the study?

Couples must be married or in a committed relationship

Do you live in a qualifying location?

Couples must be willing to travel to see a therapist located in one of the cities listed below or be willing to engage in telehealth counseling. Check here for a list of specific geographic locations.

Are the costs of Couples Therapy sessions covered for this study?

Unfortunately, the cost of couples therapy sessions are not covered for this study. We cover the assessment which costs $450 and offer each partner a $50 visa for compensation upon completing the final assessment. This is outlined in the Compensation for Your Participation section of the application page where it states therapist’s standard rates still apply.

We live in Canada. Do you see couples here?

Sadly, we are not doing this study in Canada due to the regulations of the research review board in Canada that prevent international studies.

If we have attended Gottman Workshops (The Art and Science of Love, Bringing Baby Home, or Seven Principles for Making Marriage Work), does that disqualify us from participating?

No it does not. You would not be eligible to participate if you have worked with a Certified Gottman Therapist in the past.

Does the therapist I will be assigned to take insurance?

In short, it depends. Some Certified Gottman Therapists are paneled with insurance providers, some Certified Gottman Therapists are not. Additionally, every insurance provider and policy is different so it is important that you check with your insurance provider to see if your plan covers couples therapy. The best way to find out is to contact your provider and if Couples Therapy is covered, then reach out to [email protected] so we can see if a Certified Gottman Therapist in your area does take insurance.

Gottman Method Outcome Research Study Application

Address*
Street Address Address Line 2 City ZIP / Postal Code
Lookup*
CountryState
PSYPACT STATES*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $150-$350 per session.
Worldwide*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between USD $120-$500 per session.
Australia*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between AUS $180-$385 per session.
Canada*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be approximately $300 CAD per session.
Alaska*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be approximately $400 per session.
Colorado*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $125-$600 per session.
California*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $210-$360 per session.
Indiana*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $125-$350 per session.
Iowa*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $400-$600 per session.
Massachusetts*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $140-$240 per session.
Michigan*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $125-$350 per session.
Mississippi*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $200-$275 per session.
Montana*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be approximately $275 per session.
Nebraska*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $145-$350 per session.
New York*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $220-$260 per session.
Ohio*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $125-$350 per session.
Oregon*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $140-$260 per session.
Vermont*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $200-$240 per session.
Washington*
- I understand that therapy done in the context of this study will be offered at a discounted rate when possible, but due to the limited nature of grant funding for couples research at this time, it is not free of charge. The estimated cost based on your location is estimated to be between $155-$400 per session.
[Partner 1] What is your name (first and last)?*
[Partner 1] How old are you (age)?
[Partner 1] Contact Email*
[Partner 1] Phone Number
[Partner 1] If you enroll in the study, do you have a preferred form of contact for receiving occasional reminders?
- Email
- Call
- Text
[Partner 2] What is your name (first and last)?*
[Partner 2] How old are you (age)?
[Partner 2] Contact Email*
[Partner 2] Phone Number
[Partner 2] If you enroll in the study, do you have a preferred form of contact for receiving occasional reminders?
- Email
- Call
- Text
What is the current status of your relationship today?*
- Married and living together
- Married, but not living together
- In a relationship and living together
- In a relationship, but not living together
- Separated
- Divorced
How long have you and your partner been married and/or in a relationship? (Please specify months and/or years)*

Note: This is the total time together
How long have you been married?

If this doesn’t apply, please skip.
If you are no longer in a relationship (separated), please indicate the total length of time.
Do you have any children?*
- We do not have any children
- We have one or more children together
- We have children together and one of us has children from a prior relationship
- We have children together and both of us have children from a prior relationship
- One of us has children from a prior relationship and we don’t have children together
- Both of us have children from prior relationships and we don’t have children together
[Partner 1] What gender do you identify as?*
- Male
- Female
- Non-binary
- Transgender
[Partner 1] What is your ethnic or racial group membership?*
- Black or African-American
- Asian
- Latinx or Hispanic
- Non-Hispanic White or Euro-American
- Native American
- Native Hawaiian or Pacific Islander
If you are mixed-race, please select all that apply
[Partner 1] What is your identified sexual orientation?*
- Heterosexual
- Lesbian
- Gay
- Bisexual
- Queer
- Polysexual
- Pansexual
- Asexual
[Partner 1] What is your highest level of completed education?*
- Finished High School
- Received a GED
- Tradeschool
- Associate Degree
- Bachelor’s Degree
- Master’s Degree
- Doctorate Degree
- None
[Partner 1] What is your religious affiliation?
- Agnostic
- Atheist/Not Religious
- Buddhist
- Christian
- Hindu
- Jewish
- Muslim
- Spiritual
- Bahá’í
[Partner 2] What gender do you identify as?*
- Male
- Female
- Non-binary
- Transgender
[Partner 2] What is your ethnic or racial group membership?*
- Black or African-American
- Asian
- Latinx or Hispanic
- Non-Hispanic White or Euro-American
- Native American
- Native Hawaiian or Pacific Islander
If you are mixed-race, please select all that apply
[Partner 2] What is your identified sexual orientation?*
- Heterosexual
- Lesbian
- Gay
- Bisexual
- Queer
- Polysexual
- Pansexual
- Asexual
[Partner 2] What is your highest level of completed education?*
- Finished High School
- Received a GED
- Tradeschool
- Associate Degree
- Bachelor’s Degree
- Master’s Degree
- Doctorate Degree
- None
[Partner 2] What is your religious affiliation?
- Agnostic
- Atheist/Not Religious
- Buddhist
- Christian
- Hindu
- Jewish
- Muslim
- Spiritual
- Bahá’í
How soon are you hoping to start therapy?
- ASAP
- A few weeks
- A month or two
- We are not in a hurry / willing to wait for an opening
- Unsure
Who completed this application:*
- Partner 1
- Partner 2
- We did it together
Who sought out couples therapy for this study?*
- Partner 1
- Partner 2
- We both did
Partner's Consent*
- I have my partner’s consent to add their email to this form and they agreed to participate in this study.
Is there any other important information that you would like to convey to the research team at this time?
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