Book Your Support Session

Set aside 10 to 15 minutes to complete this form; couples should submit separate forms. Be sure to upload your verifying identification BEFORE you hit the “Submit” button. Complete the temperament test at least 5 days prior to your scheduled session; and those seeking couple support should also take the love language test in addition to the temperament test. You will receive a response to your inquiry within 3-5 business days.

God bless your courage to invest in your emotional or relationship health!

 

Request Counseling Support
If you request face-to-face mobile sessions, you will need to get a free Skype account.
If you are younger than 18, you will need guardian consent.
Your spouse should also complete this form separately.
1 sentence maximum for each line.
You must complete the temperament test, and if you are married the love language test (2 total), at least 5 days before your appointment.
*Tests are scored and explained for those who book support; therefore, if you do not understand how to score your results, it will be explained during your support session.
1 sentence maximum for each line.
Write "n/a" if this does not apply.
We suggest a minimum of $20 per 30-minutes.
If you request face-to-face session, you will need to get a free Skype account.
The ID must clearly show your birth date and face.
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Thank you for your application!