Blessed with Grit Marriage Coaching
Please complete the following assessment form to help us better understand your needs and goals.
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
What are your main goals you want to create within your marriage through our coaching?
What are the 3 areas in your marriage that are the most challenging for you & your spouse?
How committed are you to making changes in your marriage?
Very committed
Somewhat committed
Not sure
Not committed
If you could look forward to 1 year from now, what area would you most like to see growth in your marriage?
Communication
Intimacy
Finances
Family relations
Spiritual growth
Other
On a scale of 1-10, how motivated are you to make changes and take action towards your goals?
On a scale of 1-10, how motivated is your spouse to make changes and take action towards their goals?
What is your preferred method of communication?
Please Select
Phone
Email
In-person
Video call
Is there any additional information you would like to share about your marriage and your goals within your relationship?
Submit
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