Marriage Coaching - My Marriage Is Worth It

Full Name*

Who are you?

Husband
Wife

Your Spouse's Name*

Who is your spouse?

Husband
Wife

E-mail*

Phone Number*

Country*

How long have you been married?*

What is the current status of your marriage?

Together, but struggling
Separated, but living together
Separated and living apart
The divorce process has already begun

Do you have children and if so, how many?*

Are you and your spouse willing to work on improving your marriage?

I am but my spouse is not
My spouse is but I am not
We both are willing

Briefly tell us your story.*

What do you feel is the biggest obstacle/issue in your marriage?*

Have you ever had marriage counseling before? If so, please tell us a little bit about your experience.*

This is Christian Marriage Coaching. Please tell us a little about your faith.*

What else would you like us to know before we talk?

Disclaimer- Please Read Carefully
*Please understand that we are not professional counselors or medical doctors. We are only sharing the things that we have personally experienced and have worked in our lives and marriage. We cannot guarantee that your marriage will be saved or even improve at all- every situation is different and depends upon the willingness of the couple along with various other factors. If you feel that your situation requires professional counseling or advice, please see your family physician or seek out professional medical advice. Also if you or your children are ever in danger or feel that you are in danger, seek out the proper authorities. Your marriage is important, but your physical safety is more important.

I have read the above disclaimer and understand that I am seeking "Christian Marriage Coaching" and that I will not hold JR & Carrie Lightstein or "My Marriage Is Worth It" liable for any decisions I choose to make from any coaching call.

I have read the above disclaimer and agree.*

Yes I agree

Christian Marriage Coaching Discovery Session Application