This questionnaire should be filled out completely and turned in to the church office. After being reviewed, an appointment will be made to meet with a pastor, at this time we will determine whether or not to begin the pre-marriage counseling.

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 the pastor.*

General Information

Personal Information

Marital Status

Engagement Period

(We require that you have been dating seriously for at least eight months before we will begin counseling)

Religious Background

Pre-Marital Questionnaire

Please answer the following questions as completely yet as briefly as possible. Remember that our goal is to help you prepare for marriage. Please be honest with your responses. Don’t simply write the answers you think we expect.

How have you prepared for marriage?


Please Note:

Performance of marriage ceremonies is an accommodation to the body, NOT an obligation. It is understood that entering into pre-marital counseling is NOT an agreement of approval to be married by this pastor or anyone else at this church. We do not claim to be “Professional” Counselors. Our counsel is based solely on God’s Word. Be sure you thoroughly understand our position, before signing below.

I acknowledge that I have read and understand the above, and that all of the information filled in is true and correct to the best of my knowledge.