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story
Coaching
support
Testimony
Marriage Coaching
Marriage Coaching Intake Form
To be filled out once by each spouse prior to your first coaching appointment.
Name
*
First Name
Last Name
Email
*
Cell Phone
*
(###)
###
####
What are 3 areas you desire your spouse to grow in?
*
What are 3 areas in which you desire to grow?
*
Which of these have you tried working on in the past?
How ready are you to do the work that all great marriages require?
*
1 (I'm fine if nothing changes)
2
3
4
5
6
7
8
9
10 ( I'm ready to do whatever it takes to make this marriage all it can be)
Husband's Occupation
*
Wife's Occupation
*
What is the date of your wedding?
*
Checkbox
Coaching will not diagnose nor treat mental illness. Coaching cannot replace psychological counseling by a licensed practitioner. If you are concerned that mental illness may play a role in your marriage, we recommend an evaluation by a licensed professional.
I understand
Thank you!