Marriage Form Pastor Rivers Marriage & Relationship Counseling Sessions Name* First Last Are you a Christian?* Yes No How long have you been a Christian?*Do you currently attend a church?* Yes No What's your relationship status?* Married Engaged Single (Never Married) Single (Divorced) Do you have children?* Yes No Have you had previous relationship counseling?* Yes No If so, who was that counseling with?Tell me a some background information about the situation that you would most like me to help you with.*What goals do you hope to achieve through your counseling sessions with Pastor Rivers?*What's the best day and time of day to reach you?*Email PhoneWhat would be your preferred method of communication for your sessions?* Regular Phone Call Video Call Video Call/Phone Call How many sessions do you want with Pastor Rivers? (each session is up to 60 minutes)*1 Session3 Sessions5 SessionsTotal $0.00 (You'll have a option to pay by credit card or paypal on the next page after pressing the button above.)
