ScreenerBilling DetailsSchedule"*" indicates required fieldsThanks for your interest!This beta program is meant for someone who has decided for themselves to quit pornography, not someone who feels pressured by someone else to do so. If this sounds good to you, please answer the questions below.This field is hidden when viewing the formfirstnameThis field is hidden when viewing the formlastnameThis field is hidden when viewing the formEmail I am a:* Man Woman Prefer not to answerI’d prefer that the person I meet with is a:* Man Woman No PreferenceI recognize this is a beta test program.* Yes NoI am seeking to find freedom from pornography.* Yes NoI am doing this for myself, and not because someone is pressuring me to participate.* Yes NoI am able to commit to a weekly phone call for six weeks.* Yes NoI understand each 45-minute call would be between 1-5 p.m., EST.* Yes NoI have a device that is compatible with Covenant Eyes software.*Compatible Devices Yes NoΔ
