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Client Information Sheet

Hope For Marriage Coaching

Karen Kornik, ACC, CPLC

Thank you for choosing Hope For Marriage Coaching. This information will help me get to know you and better understand what you would like to accomplish through our time together.


Information provided on this form will be treated as confidential in accordance with the Coaching Agreement.

Client 1 Information

Multi-line address
Preferred method of contact
Email
Phone
Text

Client 2 Information (if applicable)

Multi-line address
Preferred method of contact
Email
Phone
Text

Relationship Information

Children?
Yes
No

About Your Coaching

Are you seeking

Previous Support

Have you participated in coaching, counselling, therapy, marriage education, or another form of relationship support in the past?
Yes
No

Relationship & Marriage Assessments

During our coaching relationship, I may recommend relationship or marriage assessments, questionnaires, or other coaching tools to help us better understand strengths, patterns, challenges, and areas for growth.

Are you comfortable discussing assessment results as part of your coaching sessions?
Yes
No
Would like more information first

Faith & Values – Optional

Hope For Marriage Coaching welcomes clients from all backgrounds. Faith-based coaching, prayer, or Christian principles can be included when desired.

Would you like faith to be included in your coaching?

Emergency Contact

Additional Information

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Couple in Field

Our Promise

In the journey of love and companionship, we often encounter challenges that test the strength of our relationships.

At Hope For Marriage Coaching Services, we understand the complexities and nuances that accompany marriage. We believe that every marriage holds the potential for growth, renewal, and lasting happiness.

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Led by a team of experienced and compassionate coaches, Hope For Marriage is dedicated to helping couples navigate through the rough waters and rediscover the joy and fulfillment within their relationship. Whether you're facing communication issues, trust issues, intimacy struggles, or any other obstacles, our tailored coaching programs are designed to provide you with the support, guidance, and tools you need to strengthen your bond and reignite the flame of love.

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Our approach is rooted in empathy, respect, and a deep understanding of the dynamics of relationships. We believe in fostering open communication, building trust, and empowering couples to overcome challenges together. Through personalized coaching sessions, practical exercises, and proven strategies, we aim to equip you with the skills and insights to create a marriage that thrives through every season of life.

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At Hope For Marriage Coaching Services, we believe that every marriage deserves a chance to flourish. No matter where you are in your journey, we are here to offer you hope, support, and guidance as you navigate the path towards a happier, healthier, and more fulfilling marriage.

 

Take the first step towards a brighter future for your relationship – reach out to us today and let us walk alongside you on your journey to a stronger, more vibrant marriage.​

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