Christian Pre-Marital Counseling Intake Form
Couple Information
Partner 1 Full Name
Partner 2 Full Name
Partner 1 Age
Partner 2 Age
Partner 1 Occupation
Partner 2 Occupation
Email Address
Phone Number
Address
Wedding Details
Planned Wedding Date
Wedding Location
Spiritual Background
Partner 1 Church Affiliation
Partner 2 Church Affiliation
Partner 1 Involvement (Ministries/Activities)
Partner 2 Involvement (Ministries/Activities)
Counseling Expectations
What are your goals for pre-marital counseling?
Have either of you previously participated in counseling? If yes, please specify.
Family Background & Relationship
Briefly describe your relationship history (how you met, length of relationship, etc.):
Are there any significant family or relationship dynamics we should be aware of?
Additional Notes
Is there anything else you would like to share with your counselor?