Copyright © 2013 - Midwest Trinity Counselling - All Rights Reserved - Reproduction in whole or part without written permission is prohibited.
 
Helping you get back on track!

Couple's Assessment

How It Works:

1 Complete the form below.
Mr. Esayenko will then invite you to complete the Gottman Relationship Checkup.  Please identify who will pay for the assessment. 
Name:
Address:
City:
Prov
`Code:
Phone:
Email:
Email
He Pays
She Pays
2 Create a private profile
Once you have accepted the invitation to join the Gottman Relationship Checkup, you and your partner will each create private profiles. This information will only be shared with your therapist.

3 Complete the questionnaire
You and your partner can complete the online questionnaire at your convenience. Stop and start at anytime. Your responses will be kept 100% confidential.
Airdrie Alberta
Dennis Esayenko  M.A.  CPC
Certified Professional Counsellor  #20190227
403-828-2664
midwesttrinitycounselling@telus.net
Midwest Trinity Counselling