Premarital Counseling Inventory

Please take the next 30 minutes or so to complete this inventory.

By completing this, it gives your counselor good preliminary information in order to get a “running start” in the early sessions.

The heart of nouthetic counseling is in the fundamental belief that the Bible is completely sufficient to meet all of life’s most difficult circumstances. Thus, our counseling keeps the Bible at the forefront of everything we teach and counsel.

Although our counseling is free, we have four primary requirements for counseling. If you can agree to these, please complete the form below.

You must be teachable
You must be honest
You must do your homework
If able, you must attend Community Bible Church during the time you are being counseled (it is not a requirement to give or serve)

If you have any questions about our counseling ministry, call (352) 229-2060. Our secretary works as a volunteer so if she cannot answer the phone, please leave a message and your call will be returned as quickly as possible.

Name

Phone

Address

City

State

Zip

Occupation

Employer

Sex

Male Female

Birthdate

Age

Degree

Other Training (List type and years)

Hobbies

Referred to us by

Denomination preference

Are you a member?

Yes No

Church attendance per month

Do you consider yourself a religious person?

Yes No Somewhat

Do you believe in God?

Yes No Unsure

How often do you pray to God?

Often Occassionally Never

Are you saved?

Yes No Unsure

If saved, briefly describe how someone gets saved:

How often do you read the bible?

Often Occassionally Never

Do you have regular devotions?

Yes No

Explain recent changes in your religious life, if any:

Have you ever been married?

Yes No

If yes, what is your current status?

Please list all children (if any):

If you were reared by anyone other than your parents, briefly explain:

How many older siblings do you have?

How many younger siblings do you have?

How did you meet?

How long have you known each other?

How long have you been dating?

Why did you decide to get married?

When do you plan to get married?

Why do you want to have Pre-Marriage counseling?

What is your idea of a Christian marriage?

What is your biblical role in marriage?

How do your friends and family feel about your engagement?

Have any expressed concerns? If so, what are they?

Describe the spiritual aspect of your relationship up to this time:

How would you like your spiritual relationship to improve?

Describe both the strengths and weaknesses of your mate:

What potential problems do you anticipate in your marriage?

What role will your parents have in your marriage?

Premarital Counseling Inventory

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