We appreciate you taking the time to provide us with some initial information about yourself and your needs. Your truthful and honest answers will help us understand your background, current situation, and what you hope to achieve through Biblical Counseling. Please answer each question as thoroughly as possible. Your responses are confidential and will be used to tailor our services to support you best. If you need assistance or have questions, don’t hesitate to reach out. We estimate that completing this form will take about five minutes. We look forward to supporting you on your journey towards hope and healing.
Data Gathering Form

Biographical Information

Just the Basics

Relationship & Occupation

Personal Connections & Career

Church History

Past & Present

Why You're Here

The Heart of the Matter

Self Perception

Looking Inward

Health & Habits

Daily Life

Family History

Growing Up

Faith Journey

Where are you Spiritually?

Final Questions

You're Almost Done!