Bayside Marriage Coaching Application

Name*

First

Last

Todays Date*

Address*

Street Address

Address Line 2

City

State

ZIP Code

Contact Phone*

Email*

Years Married?*

Wedding Date*

Kids Ages (If Applicable)

Previous Marriages?*

Yes
No

Occupation

Do you attend Bayside Church?*

Yes
No

What Campus?

(Please note - This Marriage Coaching Program is hosted at the Blue Oaks Campus)

How often do you attend church?*

Weekly
Monthly
Occasionally
Special Events only

Rate the following on a scale of 1 to 5

5 - Very Satisfied 4 - Moderately Satisfied 3 - Average
2 - Needs Attention 1 - Needs Improvement

Overall Marital Satisfaction*

How we communicate with each other*

How we handle our differences*

How my partner understands my opinions and ideas*

Agreement on how we spend money*

Agreement in our spiritual values and beliefs*

How motivated are you to work on your marriage? (with 5 being very motivated)*

What is your greatest need in receiving Marriage Coaching?*

How would you describe your relationship with God?*

We want to know you better so we can prayerfully match you with your coaching couple. Please list some life experiences that might give us some helpful insight.*

About

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