Escolar Documentos
Profissional Documentos
Cultura Documentos
Fill out the following completely. Please be prepared to discuss your responses during your class sessions.
Name ____________________________________
Age _____________________________________
Address ____________________________________________
State _______
Zip _________________
City _______________________________
Occupation _____________________________________
Phone ___________________________________
Relationship ___________________
MARITAL STATUS
Have you been previously married? ____________
When? __________________________________
Ages _______________________________________________
Did you try reconciling? _________________ What was the result? __________________________________
________________________________________________________________________________________
Your Fiancs Name ________________________________________
How long have you known each other? ___________
Started ___
Started ___
Do you have any difficulties in planning for your marriage, honeymoon or post-marriage days? ________
If so, please state in which area(s) you have difficulty _______________________________________
________________________________________________________________________________________
Why are you getting married? ________________________________________________________________
________________________________________________________________________________________
SPIRITUALITY & BELIEFS
Are you a Christian? Yes ___ No ___
When _________________________________________
Mother: ______________________
Father: __________________
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If so, can you talk about your spiritual life with them? __________
Has either of your parents ever remarried? _______________________ Do you have a step family? ______
If so, please describe your relationship with your step family including how many family members are included:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Rate your parents marriage:
Unhappy _____
Average _____
Happy ____
Very Happy___
As a child, did you feel closest to your father (Yes __), mother (Yes__), or another (Who? _______________)?
Rate your childhood:
Unhappy _____
Average _____
Father ___
Mother ___
Happy ____
Very Happy___
Younger sisters____
Yes ___
No___
HEALTH INFORMATION
Rate your physical health:
Good ___
Average ___
Lost: ________
Gained: __________
Declining ___
Have you recently had a medical examination especially with marriage in mind? ________________________
Have you used drugs for other than medical purposes? Yes ___ No ___ What kind? ___________________
Are you presently taking medication? Yes ___ No ___ What kind? __________________________________
Have you ever had a severe emotional upset? Yes ___ No ___ If so, when was the latest? ______________
Have you ever had psychotherapy or counseling? Yes ___ No ____
When? _____________________
Do you have any fears or worries concerning health? Yes ___ No ____ What are they? _________________
Do you have any physical or emotional concerns? Yes ____ No ____
SEXUAL EXPECTATION
Have you had any previous sexual experience? Yes ___ No ___ When? _____________________________
If so, does your fianc know of them?
Fully _____
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No ____
None ____
How will you raise your kids in the same manner as your parents? ___________________________________
________________________________________________________________________________________
How will you raise your kids differently than your parents? _________________________________________
________________________________________________________________________________________
What goals have you discussed together regarding having and raising children? ________________________
________________________________________________________________________________________
________________________________________________________________________________________
FINANCES
What is your fiancs attitude toward finances? __________________________________________________
________________________________________________________________________________________
What is his/her habit with money? ____________________________________________________________
What type of specific plan have the two of you discussed for how to manage your finances? ______________
________________________________________________________________________________________
COMMUNICATION
Are there any issues you wonder whether you should tell your fianc? Yes ______
No ________
When it comes to communication, what do you like about your fiancs style? (Keep in mind that how they
communicate now is how they will communicate after marriage as well)__________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
How are disagreements and conflict best resolved between you and your fianc? (Briefly describe) ______________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
In what ways are your lifestyles, backgrounds and opinions different? ________________________________
________________________________________________________________________________________
What are some behaviors you like about your fianc? _____________________________________________
________________________________________________________________________________________
What are some behaviors you dont like? _______________________________________________________
________________________________________________________________________________________
Can you live with or without these behaviors? Explain. ______________________________________
__________________________________________________________________________________
MARRIAGE EXPECATIONS
What are your views of the roles of the husband and of the wife respectively?
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
What are the responsibilities of a spouse and of a parent respectively? _______________________________
________________________________________________________________________________________
________________________________________________________________________________________
OTHER CONCERNS
Is there any pressure to get married, either by someone or some circumstance? Yes ____ No ______
What are the career plans for each of you once you are married? ___________________________________
_______________________________________________________________________________________
What are some of the challenges you are facing in relation to friends and family members in regard to your
marriage? ______________________________________________________________________________
________________________________________________________________________________________
As you approach marriage, what would be the greatest challenge that you believe you will be facing as
husband and wife? ________________________________________________________________________
What activities does your fianc enjoy the most and what would prevent you from fulfilling these activities after
marriage? _______________________________________________________________________________
_______________________________________________________________________________________
Do you desire to be married by a pastor from New Life? ___________________________________________
Who? 1st Choice ________________________________ 2nd Choice ________________________________
How will you handle holidays between your families? _____________________________________________
What kinds of traditions surrounding holidays, meal times, and vacations etc. will you establish? ___________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
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1. Strongly agree
2. Mildly agree
3. Not sure
4. Mildly disagree
5. Strongly disagree
Your Response
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The husband should have at least one night a week out with friends.
Neither the husband nor the wife should purchase an item costing
over thirty dollars without consulting the other.
The husband should take his wife out somewhere twice a month.
The wife should always obey what her husband asks her to do.
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Neither husband nor wife should invite their parents into the home
without the other's permission.
Concerning the following areas, how would you rate yourself on a scale of 1 to 10
(with 10 being the most positive):
_____ Communication
_____ Resolving conflict
*PLEASE NOTE*
Completion of the pre-marital counseling does not necessarily mean that New Life will endorse your
marriage, or that one of our pastors will perform your wedding ceremony. Since endorsement of your marriage
is given near or after your counseling is completed, New Life Church is not obligated to meet any wedding date
set prior to counseling. Our sincere desire is that God will richly bless your lives.
Please complete two copies of this form one for the prospective groom and one for the prospective bride.
After you have completed these forms, please mail the forms to New Life Church, 2690 Bishop Drive, Suite
250, San Ramon, CA 94583, or you may email these forms to nlcoffice@newlifeinfo.com. You will be
contacted by the Pastoral Care staff regarding your availability or you may call us at (925) 399-9200.
Prospective Grooms e-mail address: __________________________________________________________
Prospective Brides e-mail address: ___________________________________________________________
Signature ________________________________________________________
Date Questionnaire Completed ______________________
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SCRIPTURAL GUIDELINES
FOR ALL PERSONS CONSIDERING REMARRIAGE
To aid the staff of New Life Church, each person contemplating remarriage following divorce must fill
out this form. The form must be turned in to the office before any counseling sessions can be
established, or before the wedding can be placed on the church calendar.
JUSTIFICATION FOR REMARRIAGE AFTER DIVORCE
1. When the marriage and divorce occurred prior to salvation (II Corinthians 5:17). Then the
clause in I Corinthians 7:39 must prevail, must belong to the Lord (this means no believer
should marry an unbeliever).
2. When ones mate has been guilty of sexual immorality and is unwilling to repent and live
faithfully with the marriage partner (Matthew 19:9). It is always wise to seek healing and
reconciliation even when this has occurred, but if there is no willingness on the part of the
guilty party to reconcile, the other party is free to remarry in the Lord.
3. When one of the mates is an unbeliever and willfully and permanently deserts the believing
partner (I Corinthians 7:15).
After carefully reading the above, please give a summary of your situation stating how it fits into one
of the above Scriptural principles.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
(USE OTHER SIDE IF MORE ROOM IS NEEDED)
STATE
ZIP
________________________
DATE
DATE
ATTENTION: This sheet may be shared with the entire pastoral staff for evaluation and decision on
the scriptural grounds for remarriage.
(If both parties have been divorced, photocopy this page for each person to fill out.)
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