Full Name *

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Spouse's Full Name *

How Long Have You Been Married? *

What is the biggest challenge in your marriage right now? *

What outcome are you believing God for in your marriage?

What have you already tried to help your marriage? *

Is your spouse willing to participate in coaching? *

Are you open to a Christ-centered approach that includes inner healing, prayer, and deliverance if needed? *

If we determine Kingdom Alignment is the right fit, how ready are you to invest in the support needed to restore your marriage? *

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