Exit Copy of Couples Clinic Question Title * 1. Thank you for your interest in the Couples Clinic at Regent University. If you are interested in the Couples Clinic, please answer the following questions. We occasionally send e-mail updates on services provided or upcoming workshops but only a few times a year and we never sell your information to others.What is your name? Question Title * 2. What is your e-mail address? (give a personal email, not a work-email for additional security) Question Title * 3. Best phone number to reach you? Question Title * 4. In general, what days/times would the two of you be able to meet? Monday Tuesday Wednesday Thursday Friday morning (9-11) morning (9-11) Monday morning (9-11) Tuesday morning (9-11) Wednesday morning (9-11) Thursday morning (9-11) Friday lunchtime (11-2) lunchtime (11-2) Monday lunchtime (11-2) Tuesday lunchtime (11-2) Wednesday lunchtime (11-2) Thursday lunchtime (11-2) Friday afternoon (2-5) afternoon (2-5) Monday afternoon (2-5) Tuesday afternoon (2-5) Wednesday afternoon (2-5) Thursday afternoon (2-5) Friday evening (5-8) evening (5-8) Monday evening (5-8) Tuesday evening (5-8) Wednesday evening (5-8) Thursday evening (5-8) Friday Other (please comment) Question Title * 5. Are there any restrictions we should know about contacting you? For instance is it OK to call, text, email at any time? Next
