Couples Cafe’ Survey Name Email Phone (###) ### #### Which Couples Cafe' theme did you attend today? EKG Eat, Play, Love Love is an inside job You know what, I'm tired. Could you call yourself an idiot? Are you currently married? Yes No Engaged Anniversary MM DD YYYY Would you like to host a Couples Cafe'? As a host you invite your friend to your home or church. You provide the refreshments and we come in and do the rest. Yes-I would like to schedule something soon Not at this time Maybe in the future Would you like information on becoming a Couples Cafe' facilitator? As a certified facilitator you can facilitate your own Couples Cafe's. Yes, send me information Not at this time Additional Information Please feel free to use this box to add additional information and leave a comment about the Cafe' you attended. Thank you!
