Couples information form

Please fill out the following form to the best of your ability. For location and map information, please click here.

  • If you have a photo, we'd love for you to upload that now so we can better recognize you when you arrive to our facility.
    If you do not already know, please take the personality assessment here: http://smalley.cc/marriage-assessments/free-personality-test. Then come back and choose the correct style.
  • i.e. My goals are: 1.... 2.... 3.... 4....
  • Choose on a scale from 1 to 10 (1 being no hope at all and 10 being very hopeful).
    You can view terms and conditions at http://hope.smalley.cc/intensive-terms-and-conditions