Name: * Email: * Date: 1. I want to continue to work on individual issues for now. 2. I want to work on marital issues primarily. 3. I want to continue to work on both individual and marital issues for now. 4. I want to work jointly in session with my spouse/partner.
I want to work on marital issues in the following order. Please select the items in the order you to work on. First Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Second Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Third Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Fourth Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Fifth Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Sixth Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Seventh Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Eighth Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Ninth Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Tenth Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Eleventh Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Twelfth Priority Communication--Affective/emotional intimacy Communication--Problem Solving Aggression--Conflict Management Time Together Finances Sexual Intimacy Role Orientation Family of Origin Issues with children Conflict over child-rearing practices Expectations Forgiveness
Do not enter anything in this field: