Family History Please take your time answering the following questions.Name *What would you like to accomplish in counseling? Briefly describe your relationship with God. Describe your salvation experience. If you had a previous marriage(s), indicate with whom, date married, and how long? List names of children along with their ages (include step-children), and tell how they are related to you. Please indicate which children are no longer living with you. Briefly describe the people in your family growing up (include step-siblings, if any). Siblings (List in birth order, eldest to youngest, including yourself) What problems do you struggle with personally? How would you describe your marriage? How would you describe your spouse? VerificationPlease enter any two digits with no spaces (Example: 12) *This box is for spam protection - please leave it blank: