Conflict Mediation Free Initial Consultation Form

Conflict Mediation Free Initial Consultation Form

Your initial , no obligation, thirty minute consultation is free. Please call us at 240 938 9588 or complete the form below so we can better understand your needs and how we may assist you in resolving your conflict.
Full Name*

First NameLast Name
Phone Number (please include the country code if you are not in the USA*
Whats App Number if any (please include the country code if you are not in the USA
Email*
example@example.com
Preferred Methods of Contact*

PhoneWhatsAppEmailText
Organisation Name (if any)
Type of Conflict*

ChurchMinistryChurch LeadersFamiliesMarried CouplesEngaged Couples
SiblingsNeighborCommunityFriendsOther
If other, please describe briefly
Brief Description of the conflict*
How long has the conflict been going on?*
Have you attempted any resolution so far?*

YesNo
What outcome are you looking for?*
Once you submit this form, we will reach out to arrange your free 30-minute initial consultation. Our email will come from info@christianmediationservices.com. Please check your spam or junk folder if it does not appear in your inbox.
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