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Mentoree Information

 

Forum Marriage Mentoring promotes God-honoring marriages by encouraging a loving and respectful husband/wife relationship.  We offer hope and practical support for growing closer to God and to one another.

This form will provide helpful information for Forum Marriage Mentoring in the matching process with a couple trained to support you.  Please know that the information you provide will be kept confidential.

 
 
Husband's Info
Name *
Name
Phone
Phone
Wife's Info
Name *
Name
Phone *
Phone
Please answer
How would you rate your level of personal satisfaction in this relationship? *
Him
How would you rate your level of personal satisfactionin this relationship? *
Her
How would you rate your personal spiritual life? *
Him
How would you rate your personal spiritual life?
Her
How would you rate the environment in which your relationship exists? *
Him
How would you rate the environment in which your relationship exists? *
Her
For which category are you seeking a marriage mentoring couple?
Disclosure Agreement
We understand that the husband and wife who serve in Forum Marriage Mentoring are not professional counselors, but volunteers who agree to share their life experiences in an effort to help us strengthen our relationship. We agree that we are responsible for the success of our own relationship and will not hold our mentoring couple responsible for the state of our relationship throughout our sessions together or any time thereafter. We will allow the Forum Marriage Mentoring leadership to access the personal information we have provided, knowing that it will be shared with our mentor couple, and not shared with other persons. *