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Please pour your heart into answering each question (but without being too explicit and without uncovering ANYONE else's sins, just as you wouldn't want anyone revealing things about you to others). "Confess YOUR faults one to another, and pray one for another, that YOU may be healed.” James 5:16 “If we confess OUR sins, He is faithful and righteous to forgive us OUR sins and to cleanse US from all unrighteousness.” 1John 1:9

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Name:
Please make sure you fill this out carefully so that we can send you your evaluation.
List all the languages you speak, separated by a comma, starting with your Home Language.
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What is your current marital status? Please be sure to choose the one that BEST describes your situation.
Have you read the book "How God Can and Will Restore Your Marriage?"
In order for us to minister more effectively to you, please check what concerns apply to you:
Are you interested in learning how you can help other women who are in marriage crisis as a 💔 Marriage Minister 💔? CLICK on the IMAGE that describes you right now.
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