PIF Adult 2

Marriage and Family Information

Does your spouse know you are coming for counseling?
Is your spouse willing to come for counseling?
Have you ever been separated
How often do you spend meaningful time with your spouse?
Information about children:
*Please place a “PM” beside any children from a previous marriage*. *Please place an “NL” beside any children not living*. *Please place an “A” beside any adopted children*.
Does your family regularly read the Bible and pray together?