Prepare/Enrich Relationship Program
Quiz
What is the status of your relationship?
*
Married
Remarried
Engaged
Newly Married
Dating
Single
Other
Are you getting married within the next 6-12 months?
*
Please Select
Yes
No
Already married
Considering marriage
What kind of couples therapy are you looking for?
*
Pre-Marital
Marriage
Infidelity Concerns (physical/emotional affairs)
Major Communication Concerns
Other
Have you and your spouse discussed couples therapy?
*
Yes
No
Do any of the following need to be addressed before beginning marriage therapy?
*
Infidelity (affairs, emotional, physical, social media, etc.)
High Conflict (frequent arguments/withdrawn/leaving etc.)
Substance use & abuse
Intimacy Concerns
No
Other
Back
Next
Results:
Score of 8 and above = Program is highly recommended. Score up to 7 = High Conflict and/or Traditional Counseling is recommended
Please provide your email if you would like more information.
example@example.com
Submit
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