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dove Counseling Intake

Two are better than one — Ecclesiastes 4:9

Pre/Post-Marriage · Life Counsel · Pastoral Care · Confidential

Ordained Minister NACM / CLA VA §54.1-3501(3)
Step 1 of 8 ~8 min remaining

icon About You

This intake is for individuals and couples. If you're filling this out as a couple, the primary contact should complete this first section, and you can note your partner's details below.

Single
Engaged
Married
Separated
Divorced
Yes
Not yet
Individual only
N/A

family Relationship Details

Help us understand your relationship context so we can provide the most relevant pastoral support.

If Engaged

Under 1 year
1–2 years
2–4 years
4+ years

If Married

Yes
No
Expecting

Relationship Goals

Heal from past relationships
Prepare for marriage
Understand myself better
Navigate current dating
Not currently focused on dating
Unsure / I don't know

target What Brings You Here?

You don't have to have it all figured out. Just tell us what's going on — that's where we start.

Pre-marital preparation
Communication breakdown
Conflict resolution
Intimacy restoration
Life transition
Grief / loss
Identity crisis
Parenting challenges
Trust / forgiveness
Military transition
Anger / emotional health
Other
Crisis — need help soon
Urgent — things are hard
Important — proactive
Planning ahead

cross Spiritual Foundation

Pastoral counseling is rooted in Scripture and the grace of Jesus Christ. Understanding your spiritual context helps us meet you where you are.

Committed Christian
Exploring faith
Cultural / background only
No religious affiliation
Other faith tradition
Yes — both
One of us
Neither / unsure
Individual session
Active member
Attending
Occasional
Not currently
Regular — daily
Sometimes
Rarely
Not together
N/A

bible History & Background

Understanding your history helps your counselor meet you more effectively. Your answers will be kept confidential — share only what you're comfortable sharing.

Yes — pastoral
Yes — licensed therapist
Both
No
Unsure / I don't know
Yes — will discuss in session
No
Prefer not to say

If you or someone you know is in immediate danger, please call 988 (Suicide & Crisis Lifeline) or 911.

icon Goals & Expectations

Setting clear expectations for counseling is one of the most important steps. Let's define what you're working toward.

Someone to listen without judgment
Biblical wisdom and guidance
Practical tools and strategies
Help with communication
An outside perspective
Accountability
Prayer and spiritual support
Crisis intervention
Unsure / I don't know

(1 = just exploring, 10 = ready to do the work)

7
1 — Just exploring 10 — All in

book Readiness & Consent

Before we begin, please read and acknowledge the following. Your answers will be kept confidential within pastoral scope, and this protects both you and your counselor.

Pastoral Counseling Acknowledgment

Adam Johns provides pastoral counseling as an ordained minister through the National Association of Christian Ministers (NACM) and Christian Leaders Alliance (CLA). This is not licensed mental health therapy.

Under Virginia Code §54.1-3501(3), ordained ministers are exempt from licensure requirements when providing counseling within the scope of their ministerial duties.

Pastoral counseling is grounded in Scripture, prayer, and faith-based wisdom. If you require licensed mental health services (e.g., diagnosis, medication, trauma therapy), Adam may refer you to appropriate licensed professionals.

Confidentiality is maintained within pastoral scope — consistent with the guidance of Scripture and the ethical standards of NACM/CLA. Mandatory reporting laws apply where required by law.

Confidentiality

What you share in sessions is held in confidence. Information may be shared only in situations involving imminent risk of harm, as required by law, or with your explicit written consent.

Session Information

Book a free discovery call to discuss your needs. This ministry exists to serve — no payment required upfront.

star Review & Submit

Review your intake below, then submit. Adam will reach out within 24 hours to schedule your first pastoral counseling session.

dove You Took the First Step

Your intake is submitted. Adam will reach out within 24 hours.

"Two are better than one, because they have a good return for their labor: If either of them falls down, one can help the other up."
— Ecclesiastes 4:9–10
A Word from Pastor Adam

Reaching out for pastoral counsel is an act of courage and humility — both fruit of the Spirit. Whatever brought you here, you're not alone in it. I'll walk with you with God's Word, prayer, and whatever wisdom He's given me. See you soon.

Ready to schedule your first session?

calendar Book Your Counseling Session