Requesting Marriage Coaching
 
Answer questions for BOTH husband and wife.
 
Names:*
Address:*
City:*
State:*
Zip Code:*
Home Phone:*
Cell Phones:
Husband's Email:*
Wife's Email:*
Wedding Anniversary:*
Husband's Birthdate and Current Age:*
Wife's Birthdate and Current Age:*
Members of Cherry Hills Community Church?*
Yes No
Do you have children?*
Yes No
If yes, please provide ages and gender:
Have either of you been previously married?*
Yes No
If yes, please explain briefly:
How would you rate your marriage? (5 being very strong)*
1 2 3 4 5
Why do you desire to be coached by another couple?
Which category are you seeking a marriage coaching couple for?*
Repairing my marriage
Maximizing my marriage
Do you have any unusual scheduling issues?
Please describe the most outstanding crisis you have experienced as a couple (if any) and how you dealt with it. Would you prefer to be matched with a couple that has had similar experiences in their marriage?
How would you rate your individual spiritual life? (Your personal relationship with Christ?)*
Thank you for your interest, a member of our Marriage Ministry will contact you soon.
 
* Indicates field is required.