Session Form – adduhaacademy.com

Private Heart-Centered Mentoring for Pre- and Post-Marriage Life

Name *

Name PartnerEnter Partner Name (if married)

Age

Age PartnerEnter age of partner (if married)

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Mobile

Email Address

Session Type:Pre-MaritalMarital

Important Note for Female Participants:

> If you are a female and wish to attend the session individually (without your fiancé or husband), please ensure that you are accompanied by a female—such as your mother, sister, or a close female friend.

This is to maintain comfort, transparency, and alignment with Islamic values during one-to-one discussions.

2. Relationship Background (Answer only what is relevant to you)

How long have you known each other?

Are you currently engaged / married / planning to marry?EngagedMarried (How many years?)Planning to marry

Have either of you taken part in any of the following before?Pre-marital courseMentoring/CoachingCounseling/TherapyIslamic studies related to marriageNone

If yes, please share a brief note on what helped or didn’t help.

3. Expectations & Focus Areas

Why are you joining this mentoring program?(Each partner can write their own)

What are your 1–2 most important expectations from these sessions?(Each partner can write their own)

Any specific concern you'd like to address?(Each partner can write their own)

4. Faith & Values

On a scale of 1 to 5, how important is faith (Islam) in your relationship?(1 = Not important, 5 = Extremely important)12345

Partner Response12345

Do you pray together, learn Islamic content together, or reflect spiritually as a couple?YesSometimesNo

Partner ResponseYesSometimesNo

5. Communication & Connection

How would you describe your communication as a couple?Very openSomewhat openNeeds improvementWe struggle to talk

Do you feel emotionally understood by each other?Yes, oftenSometimesRarely

What is one thing your partner does that makes you feel valued?(Each partner can answer separately)

6. Consent & Commitment

Do you both commit to showing up with sincerity, openness, and confidentiality for each session?YesNot Sure

Anything else you’d like your mentor to know before starting?