Pre-marriage/Marriage Counseling Survey Conference Date MM slash DD slash YYYY Name of ConferencePlease select your conferenceABC ConferenceIBCD ConferenceACBC ConferenceYour InformationName First Last What organization are you with? Position Title Email(Required) Enter Email Confirm Email PhoneI would like to be added to Reproductive Loss Network's Email List(Required) Yes No, thanks Pre-marriage/Marriage Counseling SurveyHow likely are you to provide pre-marriage or marriage counseling? Very likely Likely Unlikley Very unlikely Have you ever discussed reproductive grief and loss in a pre-marriage/marriage counseling setting? Yes No I don't recall I feel equipped/comfortable when discussing or counseling the topic of reproductive grief and loss. Strongly agree Agree Disagree Strongly disagree If I needed access to Biblical reproductive grief and loss information, it would be easy to find: Strongly agree Agree Disagree Strongly disagree Journeying Through Reproductive Loss with Hope: An Online Course for Couples in Marriage or Pre-marriage Counseling, provides pastors, counselors, and laypeople in the faith-based community the means to help couples navigate through discussions on reproductive loss. What is your first reaction to this product?Topics include 1. Introduction: Understanding Reproductive Loss (miscarriage, stillbirth, infertility, and abortion), 2. Understanding the Grief That Results from a Reproductive Loss, 3. Understanding How Reproductive Loss Affects Personal Relationships, 4. Understanding How Reproductive Loss Affects Societal Relationships, 5. Understanding the Hope-Filled Biblical Model for Grieving, and 6. Helping Others who Experience Reproductive Loss. Excellent Very Good Good Fair Poor As a counselor, would this product be a helpful tool? Very helpful Helpful Somewhat helpful Not helpful How likely are you to use this product or recommend it to your friends, colleagues or family? Very likely Likely Unlikely Very unlikely I would like to introduce Reproductive Grief Network to: Additional FeedbackEmailThis field is for validation purposes and should be left unchanged.
