Relationships and Marriage Intake Form

Thank you for contacting The Training Center MD. Our Intake Specialist will be contacting you soon!

Name

Email Address

Phone Number

Married or Single

How Long have you been Married or Single

If Married, are you currently separated?

Have you ever received counseling? If so What Kind?

What are your expectations from meeting with a counselor or coach?

Why do you feel that you need counseling?

Have you received Jesus Christ as your Lord and Savior?

2 + 2 =

Disclaimer: The Training Center MD and The Commission 2818 counselors are not licensed, counselors. We are ordained Elders, Ministers, Pastors of the Christian church, and followers of The Way. All advice, coaching, counseling, and strategies come from The Holy Spirit and are given from The Word of God (Bible). Thank you for contacting the ministry. The TTCMD’s intake specialist will contact you soon.