Preferred Counseling Request Form

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Need deeper guidance? Book a private in-person, video, or phone session with a faith-based counselor for personalized biblical support. Sessions typically last 30–60 minutes and require a donation to support this ministry.

Email *

Full Name *

Preferred Counseling Method
*

In-Person

Zoom/Google Meet

Phone

What Do You Need Help With?
*

Marriage / Relationships

Finances

Faith

Family

Depression, Anxiety, Fear

Loneliness

Bereavement

Other:

Required

Briefly Describe Your Situation
*

Preferred Session Date
*

YYYY

Preferred Session Time
*

Time

Minimum suggested donation: $49 per session.

Make Your Donation Here 🟩

Your counseling session will be confirmed immediately.

I made the suggested donation

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