TEMPLE BAPTIST CHURCH - Reston Bible Church
RESTON BIBLE CHURCH
PREMARITAL COUNSELING QUESTIONNAIRE
(BRIDE TO COMPLETE)
Please do not fill out this form until you have read the Wedding Packet in its entirety. Please use the back of form if more space is needed for any question.
|Today’s Date: | |
| |
|PERSONAL INFORMATION – Please print all information clearly |
| | | | |
|Name: | |Home Phone: | |
| | | | |
|Address: | |Work Phone: | |
| | | | |
|Email: | |Cell Phone: | |
| | | | |
|City, State, Zip: | |Age: | |
| | | | |
|Occupation: | |With whom living: | |
|Name(s) of Parents: | |
| | | | |
|Groom’s Name: | |Home Phone: | |
| |
|WEDDING INFORMATION |
| | | | | | |
| |/ / |Time: | |to | |
|Requested Wedding Date: | | | | | |
| |Mo. |Day |Yr. | | | | |
| | | | | | |
|Requested Rehearsal Date: |/ / |Time: | |to | |
| |Mo. |Day |Yr. | | | | |
| | | | | | |
|Requested Decorating Date: |/ / |Time: | |to | |
| |Mo. |Day |Yr. | | | | |
Are you requesting to have your wedding at Reston Bible Church? ( Yes ( No
Do you wish to have one of our pastors officiate your wedding? ( Yes ( No
If yes, who will you be requesting to officiate your wedding? _______________________________________
Name of pastor
Have you contacted him? ( Yes ( No, not yet
It is the responsibility of the wedding couple to contact the pastor they request to officiate their wedding and to check the date they are requesting with him.
|TESTIMONY INFORMATION – give as much information as possible |
1. How does one become a Christian? ______________________________________________________________
_____________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________
2. Please explain how you became a Christian? ______________________________________________________
_____________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________
|CHURCH ATTENDANCE INFORMATION |
| | |
|How long have you attended RBC? | |
|How often do you attend? | |
| |( Every weekend |
| |( Every weekend plus a midweek ministry |
| |( Other (Please explain): |
| | |
|Do you attend an RBC Shepherd Group? |( Yes ( No |
| | |
|Name of Shepherd Group Leader? | |
| | |
|What other ministries or classes are you currently involved in or | |
|serving in at RBC? | |
| | |
|If you do not attend RBC regularly, do you attend another church? Name of | |
|that church? | |
| | |
|What ministries are you involved in at that church? | |
| | | His | |
|Name of that Pastor? | |Phone: | |
RELATIONSHIP HISTORY INFORMATION
Please answer the following questions completely.
1. How long have you known each other?__________________ Been dating?___________________
Been engaged?___________________
2. How did you first meet? ________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
3. Have you been previously married? _________ If so, number of times: _______________
Please list the dates and duration of each marriage:
4. Have you been previously engaged? __________ If so, number of times: _______________
5. Do you have any children? ( Yes ( No
If yes, how many children do you have? ______ Ages: _________________________________
6. What are three qualities that you appreciate most in your fiancé?
1. ___________________________________________________________________________________________
2. ___________________________________________________________________________________________
3. ___________________________________________________________________________________________
7. What brought you to the decision to want to be married?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
8. How would you define “marriage”?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
9. How would you define “love”?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
10. What areas or situations do you think might cause the most challenges in communication
with each other?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
11. What preparations have you had for marriage (books, tapes, seminars, counseling)?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
12. Who has most influenced your attitude toward marriage? How?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
13. What do your parents think about the coming marriage?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
14. How would you describe the married life of your parents?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
15. What questions do you have or what topics would you like to have covered regarding marriage?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
RESTON BIBLE CHURCH
PREMARITAL COUNSELING QUESTIONNAIRE
(GROOM TO COMPLETE)
Please do not fill out this form until you have read the Wedding Packet in its entirety. Please use the back of the form if more space is needed for any question.
|Today’s Date: | |
| |
|PERSONAL INFORMATION |
| | | | |
|Name: | |Home Phone: | |
| | | | |
|Address: | |Work Phone: | |
| | | | |
|Email: | |Cell Phone: | |
| | | | |
|City, State, Zip: | |Age: | |
| | | | |
|Occupation: | |With whom living: | |
|Name(s) of parents: | |
| | | | |
|Bride’s Name: | |Home Phone: | |
| | | | |
| |
|TESTIMONY INFORMATION – give as much information as possible |
1. How does one become a Christian? ______________________________________________________________
_____________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________
2. Please explain how you became a Christian? ______________________________________________________
_____________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________________________
_______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________
|CHURCH ATTENDANCE INFORMATION |
| How long have you attended RBC? | |
| | |
|How often do you attend? |( Every weekend |
| |( Every weekend plus a midweek ministry |
| |( Other (Please explain): |
|Do you attend an RBC Shepherd Group? |( Yes ( No |
|Name of Shepherd Group Leader? | |
|What other ministries or classes are you currently involved in or | |
|serving in at RBC? | |
|If you do not attend RBC regularly, do you attend another church? Name of | |
|that church? | |
|What ministries are you involved in at that church? | |
|Name of that Pastor: | | His | |
| | |Phone: | |
| | | | |
RELATIONSHIP HISTORY INFORMATION
Please answer the following questions completely.
1. How long have you known each other? __________________ Been dating? ___________________
Been engaged? ___________________
2. How did you first meet? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
3. Have you been previously married? _________ If so, number of times: _______________
Please list the dates and duration of each marriage:
4. Have you previously been engaged? __________ If so, number of times: _______________
5. Do you have any children? ( Yes ( No
If yes, how many children do you have? ______ Ages: ___________________________________________
6. What are three qualities that you appreciate most in your fiancée?
1. __________________________________________________________________________________________
2. __________________________________________________________________________________________
3. __________________________________________________________________________________________
7. What brought you to the decision to want to be married?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
8. How would you define “marriage”?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
9. How would you define “love”?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
10. What areas or situations do you think might cause the most challenges in communication with each
other?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
11. What preparations have you had for marriage (books, tapes, seminars, counseling)?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
12. Who has most influenced your attitude toward marriage? How?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
13. What do your parents think about the coming marriage?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
14. How would you describe the married life of your parents?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
15. What questions do you have or what topics would you like to have covered regarding marriage?
_____________________________________________________________________________________________
_____________________________________________________________________________________________
(Updated 8.7.07)
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