Request edit access
Free Discovery Session form
Explore your relationship, align with our approach, and discover how we can support you on your journey.
Are we the right fit for you?
We're thrilled that you've chosen to explore how we can support your relationship. Our approach is rooted in biblical principles, aiming to strengthen relationships through purposeful interactions, open communication, and emotional connection. Our practice focuses on aligning marriages with God's intended design. We believe that a thriving relationship involves more than just two people-it's a partnership guided by faith, love, and commitment.
When would you like to have your free 15-minutes phone consultation? Provide date and time. *
Full name  *
Contact information (Phone) *
Where did you come across our advertising materials? *
Required
Why are you reaching out to Marriage by God's Design? *
What is your relationship status? *
Are you both seeking help, if you are in a relationship? *
Have you been to couples therapy before? *
What are your expectations for this couples therapy? *
What would you consider your biggest problem? When did it start? *
Do you feel emotionally close to your partner? *
Do you trust your partner? *
What are the positive qualities you bring to the relationship? *
What are the things you love about your partner? *
How would you describe an ideal relationship? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Marriage By God's Design.

Does this form look suspicious? Report

Google Forms