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
Requested Wedding Date: // / /
Time: /
to
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? q Yes q No
Do you wish to have one of our pastors officiate your wedding? q Yes q No
If yes, who will you be requesting to officiate your wedding? ______
Name of pastor
Have you contacted him? q Yes q 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? / q Every weekend
q Every weekend plus a midweek ministry
q Other (Please explain):
Do you attend an RBC Shepherd Group? /
q Yes q 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 been previously engaged? ______If so, number of times: ______
5. Do you have any children? q Yes q 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? / q Every weekend
q Every weekend plus a midweek ministry
q Other (Please explain):
Do you attend an RBC Shepherd Group? / q Yes q 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? q Yes q 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)
Premaritial Questionnaire – Page 7