SYMBIS provides engaged or newly married couples an exciting opportunity to prepare for a strong and passionate marriage. In SYMBIS, couples take an online assessment to discover more about each other by identifying their similarities and differences. Even couples who have been together for years will learn new things about each other.

HOW IT WORKS: After registering, participants will receive an access code to take the SYMBIS Marriage Assessment. Participants will then schedule virtual or in person counseling sessions with a SYMBIS certified Chaplain who will help participants interpret the results of the assessment and discuss ways to grow in their relationship.

Please enter your information below and we will send you information about how to get started with this program.

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* 1. Soldier Last Name:

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* 2. Soldier First Name:

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* 3. Soldier Middle Initial:

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* 4. Rank:

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* 5. Soldier Sex:

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* 6. Fiancé/Spouse Last Name:

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* 7. Fiancé/Spouse First Name:

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* 8. Fiancé/Spouse Sex:

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* 9. Fiancé/Spouse Rank (if dual military):

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* 10. Soldier Military Email:

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* 11. Soldier Alternate Email:

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* 12. Fiancé/Spouse Email:

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* 13. Soldier Phone:

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* 14. Fiancé/Spouse Phone:

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* 15. Unit:

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* 16. Street Address:

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* 17. City:

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* 18. State:

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* 19. Zip code:

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* 20. Marital Status:

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* 21. If married, how long have you been married?

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* 22. If engaged, when are you getting married?

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* 23.  Do you have a preference regarding which chaplain you would like to conduct your counseling sessions? If so please enter the chaplain's name below. (Note that we can't guarantee your choice of chaplain due to each chaplain's availability and whether or not they are a trained facilitator in SYMBIS.)

Thank you for completing this registration. The State Chaplain's Office will contact you within one week of this registration.

For more information about this program, contact Chaplain (LTC) Nicholas Chou @ 614-202-4757 or nicholas.a.chou.mil@mail.mil.

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