30 Minute Marriage Assessment
To sign up for your free 30 minute marriage coaching call, complete this survey as completely and honestly as you can. It will give us some information ahead of time so we can make the most of our time together.

After receiving your responses, we will contact you at the email you supplied and set up a time to meet.

Free Thursday coaching times are between 7:00 and 9:00 PM Eastern Time. Other times may be available.
Email address *
Your Name *
What is the main problem in your marriage that led you to reach out to us? *
How long have you been married? *
How long did you date before you were married? *
What initially attracted you to your partner? *
On a scale of 1-10, describe your level of commitment to your relationship. *
On a scale of 1-10, describe how much you love your partner. *
List three things you admire about your spouse. *
In what area of your marriage would you like to see the greatest change? *
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