Pre-Marital Questionnaire Form

Please fill out this form and click submit.

This questionnaire should be filled out completely and submitted.

NOTE: We reserve the right to discontinue the counseling and planning process at any time, at our discretion.

** Both you and your fiancé can complete a questionnaire separately or together, but both must be present for the actual Pre-Marital counseling with pastor Louis.

General Information:

Have you set a tentative date for your wedding?

*

Please select one option.

Yes No

If yes, when?

Personal Information:

Name

*

Age

*

Phone Number

*

Email

*

This address will receive a confirmation email

Fiancé’s Name:

*

Fiancé’s Age

*

Fiancé’s Phone Number

*

Fiancé’s Email

*

This address will receive a confirmation email

Address

*

Marital Status:

Status

*

Please select one option.

Single Married Widowed Separated Divorced

Do you have children?

*

Please select one option.

Yes No

If yes, how many and age?

Engagement Period:

How long have you known each other?

*

How long have you been going together?

*

How long have you been officially engaged?

*

What brought you together?

*

Religious Background:

Are you a Born Again Christian?

*

Please select one option.

Yes No

Is your Fiancé a Born Again Christian?

*

Please select one option.

Yes No

Briefly describe what it means to be Born Again:

Please answer the following questions as completely yet as briefly as possible.

1. Write a definition of “Love”

*

2. How do you know you “love” your fiancé?

*

3. How have you prepared for marriage?

*

4. What do you expect to receive from marriage that you cannot have staying single?

*

5. Give some reasons why you want to marry your fiancé.

*

Please select all that apply.

** I understand that by entering my name in the box above, I am providing my digital signature on this Form. **

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