Husband Name (required)
Husband Phone Number (required)
Husband's Email (required)
How many years married?
How would you describe your marriage?
---A. FabulousB. FineC. Frustrated, but not withdrawnD. Feuding or in withdrawalE. Final Stages
If the answer is D?
Complete the following sentence. “If nothing changes over the next year, you will be...........".
---FineCommitted, but feuding or in withdrawalHopelessHeaded toward divorce