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Marriage Care
Our marriage care team are not licensed counselors. They are trained couples in the church caring for other couples in the church and are looking forward to meeting you.
Your name
*
Last name
Email address
*
Address
*
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Phone Number
Phone type
Mobile
Home
Work
Other
Preferred Contact Method
Please let us know your preferred method of contact.
Email
Text
Phone
Do you attend Reach regularly?
*
Yes
No
Are you in a Group?
*
Yes
No
If you are in a group, who is your group leader?
Are you in a DNA?
*
Yes
No
Spouse Information
Name
*
Email
*
Phone
Is your spouse in a DNA?
*
Yes
No
Explain the problem (what is reason you are requesting help)?
*
What have you done about the problem?
*
What are your expectations from counseling?
*
Provide any other information you believe is pertinent.
Is your spouse willing to participate in counseling?
*
Yes
No
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