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Application for Marriage Coaching
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Name
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First
Last
Phone
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Email
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Wedding Date
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Occupation/Profession
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Number of Children and Ages
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What is your goal for marriage coaching?
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What is the biggest concern/stressor/conflict in your marriage currently?
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Have you ever been in counseling or therapy before? If yes, please explain.
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Briefly describe your current relationship with God.
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Any additional details/concerns you would like us to know?
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