Marriage Coaching Services Interest Form

Our faith-based marriage coaching services will take you through an experiential process and teach you the skills needed to improve your marriage. This whole-person, whole-relationship, growth-oriented, results-focused, and forward-moving cohort experience will enrich, grow, and push your marriage to the next level.

Our unique services are led by relationship experts. As you work through the process, your coaches will use a variety of tools, process the results with you, and integrate Immunity to Change (ITC) mapping, a model developed from years of research from Harvard experts, in order to help support reaching your marriage goals.

Couples will walk away with invaluable skills, equipping them to engage in a new and effective process in their relationship that increases vitality and intimacy within their marriage. We use a variety of tools and technology to enhance the experience and create streamlined processes.
Wife's Information
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Date of Birth

MonthDayYear
Date
Husband's Information
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Date of Birth

MonthDayYear
Date
Mailing Address
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What are you looking for in Marriage Coaching?
My spouse and I are looking for the following in a coaching program:

Increase Communication SkillsIncrease Emotional IntelligenceGain Relational InsightsGain Relational EducationDeepen IntimacyIncrease ConnectionGrow BoundariesLearn Effective Conflict SkillsIncrease VulnerabilityOther
These are the challenges we are CURRENTLY facing in our marriage?

CommunucationResolving ConflictMaking Time for Each OtherPrioritizing MarriageMutual UnderstandingPhysical ConflictParenting ChallengesMaking DecisionsAffair/BetrayalPersonality DifferencesGetting On The Same PageWhat To Do When We DisagreeTrauma Impacting The MarriageDesire Differences in SexSex & AgingInfertility ChallengesFinance/money issuesAdjusting To Life With KidsBoundariesVulnerability & IntimacyAddiction Impacting The MarriageOther
These are the challenges we have HISTORICALLY faced in our marriage?

CommunucationResolving ConflictMaking Time for Each OtherPrioritizing MarriageMutual UnderstandingPhysical ConflictParenting ChallengesMaking DecisionsAffair/BetrayalPersonality DifferencesGetting On The Same PageWhat To Do When We DisagreeTrauma Impacting The MarriageDesire Differences in SexSex & AgingInfertility ChallengesFinance/money issuesAdjusting To Life With KidsBoundariesVulnerability & IntimacyAddiction Impacting The MarriageOther
Other Services
If you have ever received other services from AHA or an AHA clinician, please describe here:
If you are receiving other services from another helping professional or coach, please describe here:
Group Preferences
We are interested in the following Marriage Coaching Program(s):

In-PersonVirtualWe are a part of an organization and would like to be a part of that organization's cohort.
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Wife's Information

Husband's Information

Mailing Address

What are you looking for in Marriage Coaching?

Other Services

Group Preferences