Premarital Program - End of Program Review

Congratulations on completing the Get it Right: Premarital Counseling Program! To receive your certificate, please complete this form. Once completed, we will email your certificate to you.

Name*
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Email Address*
Name*
First Last
Email Address*
Date*
MM slash DD slash YYYY
Date of Program Completion*
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Your Therapist's Name:*
Your Testimonial (optional but greatly appreciated):
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.
Permission to Publish Your Testimonial:*
- I permit my testimonial to be used in promotional materials (print/digital) including my initials.
- I permit my testimonial to be used in promotional materials but would like to be listed as “Anonymous”
- I do not wish to have my testimonial used in any promotional materials (digital/print)
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Premarital Program – End of Program Review

Premarital Program - End of Program Review