COUPLES' FEEDBACK FORM

The relevancy and helpfulness of the inventory statements were	OutstandingGoodPoor
The advice provided in the counseling insights was	Very helpfulModerately helpfulNot very helpful
What area of your relationship was helped the most by the counseling insights?	CommunicationConflict ResolutionFinancesSexualityChildrenReligionFamily & FriendsOther
Was there an issue that was not covered you feel should be included in the inventory and insights?
Was there any advice provided with which you disagree?
Would you recommend that other couples complete the inventory?	YesNo
Would you recommend that other couples order the counseling insights?	YesNo
On what date did you order the counseling insights?
What were the last four digits of the credit card you used to purchase the counseling insights?
What is your Email address

Couples' Feedback

Thank you for your feeback that will help us in our efforts to strengthen the relationships of married and dating military personnel and law enforcement officers. If you have any further comments to offer, please send them to: support@plaintec.net