Heart & Soul Class Information If you are human, leave this field blank.A Taste of Heart & Soul of a Real Marriage / RelationshipKnox Presbyterian Church - Winter 2021Tell us about you.....In order to teach effectively, it helps to know who is in the class and their background. We would like each person to complete the following form. This information is totally confidential and will only be shared with the facilitators. Thank you. Name *Email *My current circumstances:SingleDatingEngagedMarriedDivorcedNumber of years marriedIf married, on a scale of 1-10, please select below how you view your marriage today:(help!) 1 2 3 4 5 6 7 8 9 10 (the best!)12345678910Is this your first marriage?YesNoAre you currently separated?YesNoStatus of separationOne of us has filed for divorceBut, we both want the marriage to workOnly one of us wants the marriage to workAre you divorced?YesNoStatus of divorceDivorced but, I would like to know if we could ever reconcileI want to better understand what went wrong in our marriageI just want to heal and get on with my lifeI am considering remarriageChurch involvementNoneYesWhere?How long attending?How did you hear about Heart & Soul?FriendPastorBulletin insertOtherIf "other", please list source:What prompted you to attend the class?(i.e. DVD testimony, written testimonies, promo flyer, personal invitation, personally motivated) Please describe below what got you to attend.What do you hope to gain as a result of attending Heart & Soul?Any other comments or prayer requests?Captcha *reCAPTCHA is required.Submit
