Thank you for taking the time to fill out the Marriage Counseling Form. It will take you a couple minutes to fill out this form so please allow yourself enough time. You will be asked questions about your personal self, church information, family information, health information, relationship background, and marriage information. Upon completion of this form, someone will contact you shortly.

*If you are using a desktop computer, please when "checking all that apply" hold the SHIFT key when selecting.