THANK YOU!

Thank you for requesting a marriage/couples counseling session with our excellent and experienced relationship counselors. Please complete the New Client Intake Form below and then select “Choose a Time” to select a day & time that best fits your schedule.

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NEW CLIENT INTAKE FORM

MARRIAGE/COUPLES COUNSELING QUESTIONNAIRE

    Please restate your primary concern(s) in your own words...

    What steps have you previously taken to address these concerns?

    What kind of effect did the actions you took to address the problem have?