Name

First Name

Last Name

Email Address

Partner's Name

First Name

Last Name

Partner's Email

(My reply will be sent to you both so we're all on the same page from the start.)

How did you learn about Brave Marriage?

Brave Marriage Podcast

Kensi's Substack

Online Search

Church Referral

Professional Referral

Word of Mouth

Guest Interview/Article

Please select reason for inquiry:

Place of Residence:

In detail, please describe your relational situation:

(years married? quality of relationship? coaching goals? why now?)

I understand the following:

1. All coaching services at Brave Marriage are offered online only. 2. Kensi has limited coaching availability. I may be placed on a waitlist or scheduled out 4-6 weeks from now. 3. Kensi is not accepting therapy clients at this time. Visit psychologytoday.com to find a licensed therapist in your area.

Yes, I understand.