Blended Family Marriage Preparation Intake
Personal Information
Partner 1 Full Name
Partner 1 Age
Partner 2 Full Name
Partner 2 Age
Contact Information
Phone Number
Email Address
Relationship Details
How long have you been together?
Planned Wedding Date
Have either of you been previously married?
Yes
No
Children & Family Composition
How many children will be in the blended family?
Please list the age(s) of each child and if they are biological to either partner.
Goals & Expectations
What are your main goals for marriage preparation?
Are there any specific concerns or topics you would like to address?
Additional Information
Anything else you'd like your facilitator to know?