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Request Assistance - Consultation Request Online Survey


Personal Information (optional)
First Name:
Last Name:
Consultation Information
Name of Consultant:
* Date of Consultation
* Did the volunteer consultant contact you on the day and time scheduled?
* What area of consultation were you provided?
* Please rate the overall consultation you were provided specific to your need.


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All of our volunteer consultants have agreed to maintain strict confidentiality. All contact with the consultant must be made via the committee and not directly by the individual seeking consultation. Please remember we are not endorsing a particular professional or his/her business. Neither the Coptic Orthodox Diocese of the Southern United States nor St. Verena Resource Ministry Committee is responsible for the accuracy of the consultation provided. This ministry should be utilized strictly as an informational, assistance, referral, and network guide. Volunteer consultants do not diagnose, prescribe, intervene, or treat any persons or situations through this ministry.

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