PREMARITAL COUNSELING
FOR:______age____and______age ____
Telephone #______Telephone #______
Date set for rehearsal:______, Place of Wedding______
Date set for ceremony:______, Any special attire______
Charge for facility use, Church $300.00, Family Life Center $200.00
Have marriage licenses been obtained? Yes______No______
I. Previous Marital History
A. Was There a Divorce? Yes______No______
1. Why?______
______
2. Any Children? Yes______No______
a. How old?______
b. Who has custody?______
c. Do You Pay Child Support? Yes______No______
d. Who will discipline the children, you, your new spouse or both?______
3. Where does your ex-spouse live?______
B. Widow or Widower
1. Any Children? How many______
2. Do you have a will? Yes______No______
II. Present Relationship
A. How Long Have You Dated?______
1. How long were you involved in any previous relationships?______
2. Any pressure to get married now?______
B. Why Get Married Now?______
C. Do You See Any Problem Areas Now?
1. Things you don’t like about your fiancé______
2. Habits______
3. Hobbies______
4. Looks______
5. Age______
6. Anger______
7. Have they ever struck you______
8. Jealousy______
III. Religious Background
A. Are You Born-Again? Yes______No______
1. When______
2. Share your testimony______
______
3. Have you been water baptized Yes______No______
4. Is your fiancé born-again? Yes______No______
B. Are You Baptized in The Spirit? Yes______No______
1. Do you speak in tongues? Yes______No______
2. Is your fiancé baptized in the Spirit? Yes______No______
C. Have You Ever Heard Each Other Pray? Yes______No______
D. Do You Attend Church Regularly? Yes______No______
1. Where?______
2. How often?______
E. Does Your Fiancé Attend Regularly? Yes______No______
1. Where?______
2. How often?______
F. Where Will You Attend Church?______
1. Are you in agreement? Yes______No______
2. Can you be happy there? Yes______No______
G. How Do You Feel About Tithing?______
______
1. What is your fiancé’s beliefs on tithing?______
2. Are you in agreement? Yes______No______
IV. Finances
A. Do You Have Any Debt? Yes______No______
1. Does your fiancé know? Yes______No______
2. Do they know how much? Yes______No______
B. Do You Know How Much Money Your Fiancé Has? Yes______No______
1. Do you know how much they make? Yes______No______
2. Do you know their earning potential? Yes______No______
3. Does your fiancé know your financial condition? Yes______No______
4. Does your fiancé expect you to work? Yes______No______
C. Will You Have Equal Access and Rights To The Finances? Yes______No______
D. How Do You Feel About Saving?
______
1. How does your fiancé feel?______
2. How much?______
3. Are you in agreement? Yes______No______
V. Communication
A. How Does Your Fiancé React When Angry?______
B. Never Complain to Parents or Friends.
C. Married People Should Be Best Friends
1. Free to talk about anything and everything.
2. Never betray their trust, never criticize in public.
D. Are You Easily Offended? Yes______No______
E. Should Your Fiancé Desire Additional Counseling in the Future Will You Agree To It ?
Yes______No______
VI. Family
A. Do You Like Your Fiancé’s Family? Yes______No______
1. Does your fiancé know how you feel? Yes______No______
2. Do they like you? Yes______No______
B. Does Your Fiancé Like Your Family? Yes______No______
1. Does your family like them? Yes______No______
2. Do you see any problems? Yes______No______
C. Have You Decided Where to Spend Holidays? Yes______No______
1. Are you in agreement? Yes______No______
2. Is your family in agreement? Yes______No______
3. Where do your families live?______
D. Do Both Families Agree With This Marriage? Yes______No______
VII. Sex
A. Do You Have Any Hang-Ups About Sex? Yes______No______
1. Be Honest
2. Have you discussed this? Yes______No______
B. Are You Both In Good Physical Health? Yes______No______
C. Are You Able To Have Children? Yes______No______
1. Do you want any? Yes______No______
2. Are you in agreement? Yes______No______
3. How many? ______
D. Do You Think It Is OK to Use Birth Control? Yes______No______
1. If not why?______
______
2. How does your fiancé feel?______
______
3. Are you in agreement to the type birth control you will use if any?
Yes______No______
4. What are your thoughts on abortion?______
______
E. The Marriage Bed
1. Confidential
2. A place of privacy
3. A place of peace
4. Equal enjoyment
5. Never uncomfortable
6. Always in agreement
7. Likes and dislikes, men and woman are different.
F. Past Sexual Involvement
1. Never ask
2. Never tell
3. Words paint pictures and words wound
4. Jealousy will destroy a marriage
Counselor’s Commits______
______
______
______
______
______
______
______
______
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Proceed with Marriage_____Do Not Recommend Marriage At This Time______Will Perform Ceremony______Will Not Perform Ceremony______
VIII. Recommended Reading
A. The Act Of Marriage by Tim and Beverly LaHaye
B. Intended for Pleasure by Dr. Ed Wheat
C. Men Are From Mars, Women Are From Venus by John Gray