* 1. Are you, as a married cople, interested in participating in a Marriage Ministry?

* 2. Number of years married

* 3. This is your first marriage

* 4. What do you hope to gain from the Marriage Ministry? (check all that apply)

* 5. What day/time would you be available to participate in the Marriage Ministry events, classes, etc.? (check all that apply)

* 6. How often would you like to participate in the Marriage Ministry events, classes, etc.?

* 7. Which components of the Marriage Ministry are of interest to you? (check all that apply)

* 8. How would you like to be contacted and/or receive information about the Marriage Ministry events, classes, etc.? (check all that apply)

* 9. Do you have any concerns that would prevent you from participating in the Marriage Ministry? (Please Specify in the text box below)

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