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Marriage Re.DISC.Overy
It's a pleasure to have you sign up for "Marriage Re.Disc.Overy". Kindly fill this form to help us get to know you better.
(ATTN: KINDLY GIVE OTHER EMAILS APART FROM YAHOO, WE'RE CURRENTLY RESOLVING ISSUES WITH YAHOO MAILS)
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Email
*
Your email
NAME
*
Your answer
Telephone Number (Preferably WhatsApp Line. Kindly include area code)
*
Your answer
AGE
*
26-30
31-35
36-40
40 and above
GENDER
*
Choose
Female
Male
SPOUSE'S DETAILS (Name, Email & Tel No)
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Your answer
MARITAL STATUS
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Married, No Kids
Married With Kids
Other:
CURRENT LOCATION (City, Country)
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Your answer
WEDDING ANNIVERSARY
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MM
/
DD
/
YYYY
How Would You Rate Your Current Marriage Status
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Not Good At All
0
1
2
3
4
5
Great
How Would Your Spouse Rate Your Current Marriage Status
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Not Good At All
0
1
2
3
4
5
Great
STATE TWO KEY PROS OF YOUR MARRIAGE IN YOUR LIFE SO FAR (One Point Per Person)
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Your answer
STATE 2 MAJOR CHALLENGES YOU'VE HAD SO FAR (One Point Per Person)
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Your answer
LIST 2 TOP EXPECTATIONS FROM THE MENTORING SESSIONS (Preferably one from each of you)
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Your answer
KINDLY SELECT YOUR PREFERRED ASSESSMENT ROUTE
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THE MAXWELL METHOD OF DISC
SYMBIS ASSESSMENT
Kindly State Your Sign Up Code, If Any
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Your answer
PLEASE SHARE ANY OTHER INFORMATION YOU WOULD LIKE US TO NOTE. Thank you
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