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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