Harmony Wives Society Community

Harmony Wives Society Community – Enrollment Form

Please take a moment to fill out this survey.
Name*

First NameLast Name
Email*
example@example.com
City/State*
Please answer the following questions honestly. These questions help us maintain emotional safety within our community.
1. Are you a Christian wife?*

YesNo
2. Are you currently safe in your marriage and home environment?*

YesNo
3. Are you currently experiencing physical domestic violence?*

YesNo
4. Are you currently under the care of a licensed mental health professional for severe depression, suicidal thoughts, psychosis, or untreated trauma?*

YesNo
5. Do you understand that this membership provides faith-based coaching and community support and is not therapy, clinical counseling, or crisis intervention?*

YesNo
6. Do you agree to follow the Harmony Wives Society Community Guidelines and maintain emotional safety for yourself and others?*

YesNo
Should be Empty:

Harmony Wives Society Community – Enrollment Form