Client Satisfaction Survey

Congratulations on completing our premarital program! To receive your certificate, please complete this form. Once completed, we will email you your certificate to you.
  • We will only used the information you provide for training purposes. Please indicate if you would prefer to remain "anonymous".
  • Date Format: MM slash DD slash YYYY
  • Please note that this is about the QUALITY of the services you received by your therapist, regardless of the outcome of your therapy sessions.
  • Much like you, most potential clients appreciate hearing about others' experiences at HRT. Please share a brief (or long) testimonial about your experience and we may share it on our website without your full names attached. Thanks in advance.
  • This field is for validation purposes and should be left unchanged.