Questionnaire, Bride's for web 2014.11 .pdf
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Calvary Chapel of Delaware County
B r id e ’ s F o r m
PREMARITAL QUESTIONNAIRE
Today’s Date _________________
(For office use.)
Interview Date _____________
Approved _________________
Requesting Pastor:
1. ________________________
2. ________________________
Please hand deliver or mail to: Calvary Chapel of Delaware County, 500 Brandywine Drive, Chadds Ford, PA 19317.
PERSONAL INFORMATION
Name: _____________________________________________________________
Date of Birth: __________________________
Address: ____________________________________________________City: ___________________State: ____ Zip: __________
E-mail address: _____________________________________________ Place of Employment: _____________________________
Phone: (H) _________________________ (C) _________________________ (W) _________________________ * Best
Fiancé’s Name: ______________________________________________________
Date of Birth: __________________________
Address: ____________________________________________________City: ___________________State: ____ Zip: __________
E-mail address: _____________________________________________ Place of Employment: _____________________________
Phone: (H) _________________________ (C) _________________________ (W) _________________________ * Best
CHURCH AFFILIATION
Do you attend church at Calvary?
No
Yes
If yes, how long? _________________________________
If no, please specify which church you attend: ___________________________ Pastor’s Name: _____________________________
Address: _______________________________________________________________ Phone number: _______________________
How often do you attend church? ________________________________________
ENGAGEMENT PERIOD
How long have you known each other? ___________________
How long have you been dating? ___________________
When were you officially engaged? ___________________
What is your projected wedding date? ___________________
MARITAL HISTORY
Have you been married before? No
Yes
How many times have you been married? ________
If divorced, is the divorce final? No
Yes
If no, go on to the Beliefs section. If yes, complete this section first.
Are you (check all that apply): Separated
Divorced
Widowed
If yes, when? __________________________________
Why did the marriage terminate? ________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Were you a Christian at the time of your divorce? No
Yes
Was your spouse a Christian? No
Yes
Did you try to reconcile?
No
Yes If yes, what was the result? ___________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Do you have children?
No
Yes What, if any, are the custody/visitation arrangements? _______________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
1
BELIEFS
Are you a “born-again” Christian? No
Yes
Unsure
Describe in your own words what it means to be born again.
Have you accepted Christ as your Lord and Savior? No
Briefly describe or give your views on the following:
Your Christian faith
Yes
Unsure
Authority of the Bible and its place in your life
2 Corinthians 6:14 states, “Do not be unequally yoked together with unbelievers.” With this in mind, is your fiancée a born-again
Christian? No
Yes
Unsure
Briefly describe your fiancé’s conversion (if any):
2
GENERAL QUESTIONS
As you approach marriage, what do you believe is the greatest challenge you will encounter as husband and wife?
What are some challenges you will experience in relation to friends and family regarding your marriage?
What is your opinion concerning premarital sex, and how does it agree or disagree with Scripture? (See Gal. 5:19; Eph. 5:3.)
Have you ever, or are you now living together? No Yes Are you or have you been sexually active together? No Yes
If yes to either, are you willing to move out and/or remain sexually pure from this point until you are married? No
Yes
What are your short and long-term career goals?
Have you and your fiancé worked on a budget? No Yes
What differences in money management have you discovered?
Are either of you currently involved in a home group fellowship? No Yes
If yes, who is the leader? ___________________
What is your commitment as a couple to reading the Bible and praying together?
3
GENERAL QUESTIONS (cont.)
What are your views on the roles and responsibilities of the husband and wife?
HUSBAND:
WIFE:
In regard to having and raising children, what are the goals you have discussed together?
REFERENCES
Please provide the names of two people who know you well. If possible, one should be a staff member or ministry leader at CCDC or
your former church. Please do not list any close relatives. A pastor from CCDC will contact these references.
Reference 1:
Name: _______________________________________________
Phone: _______________________________
Address: ___________________________________________________________________________________________________
How do you know this person? ____________________________________________________________
Reference 2:
Name: _______________________________________________
For how long? _______
Phone: _______________________________
Address: ___________________________________________________________________________________________________
How do you know this person? ____________________________________________________________
For how long? _______
Please return your completed questionnaire to the church office, Attention: Wedding Administrator.
Next steps:
Premarital Interview. The church office will contact you to schedule a meeting with a pastor to discuss
your questionnaire responses. Note: We cannot guarantee the availability of the church or a pastor
until after this meeting takes place.
Premarital Classes. You are required to take Financial Peace University and a premarital preparation
class. Payment for both classes must be made before your wedding.




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