1. Your Full Name: *

2. Your Partner's Full Name: *

3. Residence: *

4. Phone Number: *

5. Your Email Address: *

6. How long have you been attending DC Kiengu?

7. How long has your partner been attending DC Kiengu?

8. Which church are you attending if not DC Kiengu?

9. Which church, if any, do you hope to be committed to after the wedding?

10. Which cell group are you in?

11. Name one couple in DC Kiengu whose marriage you admire and why?

12. How long have you known each other?

13. How long have you been seriously relating?

14. When was your engagement made official?

15. How do your parents feel about the upcoming marriage?

16. How do your future in-laws feel about the upcoming marriage?

17. What convinced you to consider marrying your partner?

18. Three attributes in your partner that you admire:

19. Three attributes in your partner that you dislike:

20. What fears do you have about marriage?

21. Are you living together? Have you lived together in the past?

22. Do you have children? And if yes, state the age(s)

23. Are you or is your partner pregnant?
YesNo

24. Describe a recent major conflict. What was the central issue?

25. How was it resolved? Please state if not yet resolved.

26. Have you been married or engaged before?
YesNo

27. How many serious relationships have you had before?

28. If yes to either question 26 or 27 above, state when and describe.

29. Who raised you?

30. Were your parents ever separated, divorced or widowed?
MarriedSeparatedDivorcedUnknown

31. Describe your parents marriage:

32. Describe your relationship with God:

33. Have you accepted Christ as the Lord of your life?
YesNoBackslided

34. Has your partner done so?
YesNoBackslided

35. When do you plan to marry?

36. Name of church:

37. Possible officiating Pastor:

38. Any other comments?

I agree to have read and understood the Pre-Marital Counselling Class Covenant terms and conditions. *

Signature (Type your full name): *

Date: *