Illustrative scene of a couple listening with warmth and care

FOR YOUR FIRST COUNSELLING CONVERSATION

Initial questionnaire

For Apostle Given’s confidential review.Complete separately. Your answers are not automatically shared with your spouse.

Privacy & saving your answers

All sections, including safety answers, are submitted when you press Submit responses to Apostle Given. Nothing is sent automatically. Keep this page open; unsent answers are not automatically saved. Use a private device when safe.

Ask about confidentiality before disclosing sensitive information. You can leave a question for direct discussion. Contact details and safety answers are excluded from printed copies.

Read the privacy notice ↗

About you

Enter your own details. Contact information is optional; use a safe contact method.

Full namePreferred name (optional)Partner’s name (optional)Relationship statusYears together / married (optional)Session date, if agreed (optional)Email address (optional)Phone / WhatsApp number (optional)Safe contact preferenceMay we leave a message?

Safe contact times or restrictions (optional)

Contact details are not included in printed copies.

Use your personal invitation to submit. Appointments are confirmed separately.

Confidential safety questions and answers are excluded from this printed copy. They are included in the online submission to Apostle Given and may require a separate individual conversation.