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Pre-Marital Assessment

Complete this comprehensive assessment to help us understand your relationship readiness and tailor the program to your needs

100% Confidential10-15 MinutesHIPAA Protected

Pre-Marital Assessment Checklist

Mental Health Defense and Fitness PLLC

Rory E. Carothers Sr., LPC (License #79375)

This checklist helps us determine if pre-marital counseling is the right fit for your relationship. Please answer honestly - all responses are confidential and protected under HIPAA regulations.

CLIENT INFORMATION

Section 1 of 8

🔐 Your privacy is our priority. This assessment is confidential and protected under HIPAA regulations. All information will only be used to determine program suitability and personalize your counseling experience.