Your evaluation will be reviewed by a member of the marriage crisis team at Family Dynamics Institute.They will email you the results along with information on what you can do to strengthen your marriage.

Be sure to answer as you are, not as you think you should be.

Questions

1. My spouse and I are happily married.
2. If we remain married and things continue as they are now, I will be unhappy and unfulfilled in my marriage.
3. If we remain married and things continue as they are now, my spouse will be unhappy and unfulfilled in our marriage.
4. It is important to me to keep my marriage together.
5. It is important to my spouse that we keep our marriage together.
6. The problems in our marriage are too great to overcome.
7. I am willing to forgive my spouse for what he/she has done to hurt me.
8. My spouse is willing to forgive me for what I have done to hurt him/her.
9. I am willing to do what it takes to overcome any problems in my marriage and make it a loving, intimate relationship.
10. My spouse is willing to do what it takes to overcome any problems in our marriage and make it a loving, intimate relationship.

Use the box below to write anything you would like to share with us about your marriage and what your relationship is like right now. Feel free to be honest; we respect your privacy. Also feel free to ask questions. We care.

Contact Information

Per your preference, we will mail, email, or phone you to discuss with you whether this turn-around weekend is right for you and your situation. Absolutely none of your information will be shared with any third parties. Your information will be reviewed by one member of our marital-crisis team and will be kept entirely confidential.

We must have a way of contacting you to inform you of your results of this evaluation.

* Represents a required field.

*First Name:
Last Name (optional):
Address (optional):
City (optional):
State (optional):
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*Day Phone & Extension:
Evening Phone (optional):
*Email Address:

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Note: If you have come to this web site looking for christian divorce advice or need marriage or divorce counseling, go to our Marriage And Divorce Sources Of Help page or/and our Book Excerpts pages. We have provided you with a number of very helpful links for marriage and divorce advice, marriage and divorce counseling as well as valuable information for your critical situation.

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