Love, Joy, Peace...
Name (Required)
Email Address (Required)
Your Address (Required)
Address/City/Zip
Your Phone Number (Required)
Sex:
Are you Married?
Yes
No
What has brought you here? (Required)
Describe the main problem in your life as you see it? Include when it began and any other very significant events or information.
What have you done to try and resolve the problem on your own?
Why are you now wanting to seek help?
What types of thoughts come to your mind in your current situation?
When you feel disappointed, discouraged, angry and/or fearful about the situation?
What are you hoping we can do for you?
Is there any other information we need to know?
Have you been referred to Victory Baptist Church for counseling?
Who referred you?
Solve 5 + 4 = ?