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Dr. Viviana
Therapist | Author | TV Expert | Instructor
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The 4 Intimacy Styles
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About
Services
Rates
Subscribe
Press
Shop
Contact
The 4 Intimacy Styles
Login
VIVID Relationships: COMING SOON!
SINGLE AND STRUGGLING? TAKE CHARGE OF YOUR SEARCH FOR LASTING LOVE. Take the first step by completing the form below.
DR. VIVIANA IS HERE TO HELP!
VIVID Relationships: For Singles
Date
*
MM slash DD slash YYYY
Your Name
*
First
Last
Your Age
*
Your Gender
*
Your Email
*
Your Phone
*
Your Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
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Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
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Aruba
Australia
Austria
Azerbaijan
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Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
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Bouvet Island
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British Indian Ocean Territory
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Burundi
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Cameroon
Canada
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Central African Republic
Chad
Chile
China
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Colombia
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Cook Islands
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Cuba
Curaçao
Cyprus
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Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
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Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
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Kenya
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Korea, Republic of
Kuwait
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Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
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Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Ã…land Islands
Country
Upload a Current Unfiltered Face Picture
*
Max. file size: 200 MB.
No filters needed.
Upload a Current Full-Body Picture
*
Max. file size: 200 MB.
Current Relationship Status
*
Dating Non-Exclusively
Dating Exclusively
Engaged
Married
Separated
Other
Have you ever been/Are you in therapy?
*
What kind of dating help are you looking for?
*
Please include what you're hoping to get out of your participation.
How did you hear about VIVID Relationships?
*
Are you open to the idea of having your experience working with us documented?
*
Yes, I'm interested
No, I'm not interested
Maybe
Saying "Yes" does not constitute consent. We will discuss this option prior to any recording.
By entering your FULL NAME in the space below you consent to having Dr. Viviana or a member of her team reach out to you regarding this project.
*
You will also be added to her Email List and will have the option to unsubscribe should you ever want to.
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