Husband’s Counseling Questionnaire

Please complete this form, and if you can, make sure your partner completes the accompanying form. You will receive a call by one of us or our assistant to schedule a free 20 minute telephone personal interview.

Let’s get started…

Please note: Your privacy is absolutely guaranteed, as is the confidentiality of this form. We will never violate your trust and appreciate your confidence in us!

To your relationship success!

Jesse and Melva Johnson

benlytle

From ben lytle i hope that you can help us solve some of our problems cause i do really want to keep my family together and i have nothing but unconditional love for the women i love

marriagecounseling

Hi Ben:
I hope you received a response from Jesse.
Warmly,
Melva

DUANE

My wife Karla has already sent her Q. Intersted in meeting at your earliest convenience

melvajohnson

Hi Duane:
Thank you for your response. Yes, we have your wife's questionnaire. We can talk tonight. I will send a personal email with the details.
Warmly,
Melva

Revell Pace

none

melvajohnson

Thank you for being open to plan B for us receiving your questionnaire.