Help Couples Prepare for a Strong, Lasting Marriage

Gather each partner's confidential views on communication, conflict resolution, and marriage readiness before premarital counseling begins.

השתמשו בתבנית בחינם תצוגה מקדימה

Matcha ערכת עיצוב

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Premarital Counseling Couple Communication & Marriage Readiness Survey

Your Full Name

· · ·

Your Email Address

· · ·

Your Phone Number

· · ·

שליחה

The Premarital Counseling Couple Communication & Marriage Readiness Survey is a confidential questionnaire that each partner completes on their own before the first counseling session. It collects basic relationship details, such as how long the couple has been together, whether they live together, and their planned wedding date. It then covers how each partner communicates, handles disagreements, and views the road ahead. Rating scales, ranking questions, and open-ended prompts give a full picture of each person's experience and expectations.

This template is designed for marriage and family therapists, pastors, clergy, relationship coaches, and premarital counselors. It helps them understand each couple before the first meeting. Because partners answer separately, counselors can spot shared strengths, differing priorities, and topics the couple has not yet fully discussed, such as finances, family, children, or roles. The survey also asks how ready each person feels for marriage and which areas they most want to focus on, so you can tailor sessions to what matters most to them.

Using an online form saves time and puts couples at ease. Each partner can respond privately from any device, and you receive organized answers ready to review. You can customize the questions, add your own branding, and adjust the sections to fit your counseling approach or faith tradition. Whether you guide a few couples a year or run a busy practice, this survey helps you start every session with useful insight.

3 עמודים

17 שאלות

~6min זמן מילוי

חינם כלול בכל התוכניות

סוגי שדות שם מלא ×2 רשימה נפתחת ×2 choicematrix ×2 טקסט ארוך ×2 אימייל טלפון תאריך כן / לא דירוג כוכבים ranking דירוג בסולם בחירה מרובה termsandconditions

השאלות בתבנית

תבנית חינמית

אלה השאלות שכלולות בתבנית — אפשר להתאים כל אחת מהן לצרכים שלכם.

עמוד 1 About You & Your Relationship 7 שאלות

About You & Your Relationship

Welcome, and thank you for taking this step together. Please complete this survey on your own, separately from your partner, and answer as openly and honestly as you can. Your responses are confidential and are used only to help your counselor prepare for your first session. There are no right or wrong answers.

1 Your Full Name * שם מלא

2 Your Email Address * אימייל

3 Your Phone Number טלפון

4 Your Partner's Full Name * שם מלא

5 Planned Wedding Date תאריך

6 How long have you and your partner been together? * רשימה נפתחת

7 Do you and your partner currently live together? * כן / לא

עמוד 2 Communication & Conflict 5 שאלות

Communication & Conflict

Every couple communicates and works through disagreements in their own way, so there are no right or wrong answers here. Please answer honestly and on your own, based on your personal experience. Your responses are confidential and will help your counselor support you both.

1 Please rate your agreement with the following statements * choicematrix

2 Overall, how satisfied are you with the communication in your relationship? * דירוג כוכבים

3 How do you typically respond during a disagreement? * רשימה נפתחת

4 Rank these relationship priorities from most to least important to you * ranking

5 Describe a recent disagreement and how you and your partner resolved it טקסט ארוך

עמוד 3 Marriage Readiness & Expectations 5 שאלות

Marriage Readiness & Expectations

1 How thoroughly have you and your partner discussed each of these topics? * choicematrix

2 On a scale of 1–10, how ready do you feel for marriage? * דירוג בסולם

3 Which areas would you most like to focus on during counseling? * בחירה מרובה

4 Are there any concerns, fears, or hopes you would like your counselor to know about? טקסט ארוך

5 I understand that my responses are confidential, will be used solely to guide our premarital counseling sessions, and will not be shared with my partner without my consent. * termsandconditions

איך משתמשים בתבנית

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