T.R.P Free Consultation Form

T.R.P Free Consultation Form

We are bible based in consulting with you. In no way should our personal opinions affect the truth of proper counsel. Our goal is to teach in love and truth. Our consultations are for genetic women only.. WWW.TheRuthProgram.Org
Name or Alias for confidentiality

First NameLast Name
E-mail
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Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Would you like prayer?
1. How did you hear about The Ruth Program?
2. Are you in any danger?
3. Are you in need of medical care for any physical issues?
4. Are you in your situation alone or accompanied with someone or pet? If so please share...
5. Do you now or have you battled with any mental health issues? Are you currently on any medication? Are you unaware but believe you need assistance in this area? Please be specific...
6. Are you or have you been a part of any church or organization in the past 5 years? If so do share...
7. Are you currently employed? If so what industry are you in? Company name not required. This help us understand what could be a stress level for you
SHARE YOUR STORY | Free Confidential Written Consultation Response (Up to 100 characters)

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Optional (Further Paid Services)

Thanks for completing our Free Consultation Form. Someone will get back with you within 24 hours, Monday-Friday. If you feel you'd need a formal consultation, the rates will be $75 for the first hour and $50 for each additional hour.

We are bible based in consulting with you. In no way should our personal opinions affect the truth of proper counsel. Our goal is to teach in love and truth.

Be aware that all information is confidential unless we are required by law to release information do to an ongoing investigation.
(PAID CONSULT) Mon or Tue 11am to 3pm ~ 24 hour advance scheduled

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Date
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