WOW Consultation Form
Please complete this short form before your consultation. Your responses will help you to prepare for your session and help our team serve you intentionally and effectively.
Personal Information
client
Spouse’s Name (if applicable): {"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
Phone Number:
{"type":"text","name":"PhoneNumber","width":100,"value":"","size":"Normal","validation":"TN","validationMessage":"Use numbers only","placeholder":""}
Email Address:
{"type":"text","name":"Email","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
City/State:
{"type":"text","name":"CityState","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
Marriage
1. What is your current marital status?
SingleEngagedMarriedSeparatedDivorced{"type":"select","name":"MaritalStatus","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Single\nEngaged\nMarried\nSeparated\nDivorced"}
2. In one sentence, describe the current state of your marriage/relationship.
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
3. What is the greatest challenge you are currently facing in your marriage or relationship?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
Ministry
4. Are you currently serving in ministry?
YesNo{"type":"select","name":"YN","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Yes\nNo"}
If yes, what is your area of assignment or calling?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
5. What is the biggest challenge or transition you are facing in ministry right now?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
Marketplace
6. Are you currently employed, in business, or building a vision in the marketplace?
EmployedBusiness OwnerMinistry EntrepreneurIn Transition Other: __________________{"type":"select","name":"Employment","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please make a selection for this item.","options":"Employed\nBusiness Owner\nMinistry Entrepreneur\nIn Transition\n Other: __________________"}
7. What is your current biggest challenge in the marketplace (career, business, finances, purpose, leadership, etc.)?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
Final Reflection
8. What is the main outcome you are believing God for from this consultation?
{"type":"text","name":"__generic","width":100,"value":"","size":"Normal","validation":"","validationMessage":"Please fill in this item.","placeholder":""}
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