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Name of Freedom Appointment Applicant

Your Name

Your Email

Your Relationship to Applicant

Years in Relationship

How would you describe your current relationship with above counselee? What’s good? What’s hard?

Can you give an example of a recent or historical interaction that has been hard?

What, if anything, do you most admire about the above counselee?

What do they do that you would prefer they would stop? (and any real life examples or stories to shed light on this behavior)

Could you describe any changes you would hope to see in the counselee’s life, character, or behavior? (can you give examples in a story of when they missed an opportunity due to an inability to see you or understand you?)

FOR SPOUSES FILLING OUT FOR MARRIAGES

Anniversary

How did you meet? (who introduced you, what did you initially think)

Describe your dating relationship? (Significant good moments, hard moments)

What are your spouse’s greatest qualities?

What, if anything, makes you hesitant or gives you concern to trust your spouse? Any wounding moments from your spouse to your heart?

Anything else you want to share or offer?

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