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.

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Premarital Counseling Couple Communication & Marriage Readiness Survey

Your Full Name

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Your Email Address

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Your Phone Number

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Submit

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 Pages

17 Questions

~6min To complete

Free Included on every plan

Field types Full Name ×2 Dropdown ×2 choicematrix ×2 Long Text ×2 Email Phone Date Yes / No Star Rating ranking Scale Rating Multiple Choice termsandconditions

Questions in this template

Free template

The exact questions included — customize any of them to fit your needs.

Page 1 About You & Your Relationship 7 questions

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 * Full Name

2 Your Email Address * Email

3 Your Phone Number Phone

4 Your Partner's Full Name * Full Name

5 Planned Wedding Date Date

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

7 Do you and your partner currently live together? * Yes / No

Page 2 Communication & Conflict 5 questions

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? * Star Rating

3 How do you typically respond during a disagreement? * Dropdown

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 Long Text

Page 3 Marriage Readiness & Expectations 5 questions

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? * Scale Rating

3 Which areas would you most like to focus on during counseling? * Multiple Choice

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

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

How to use this template

Click "Use This Template Free" to open it in the FormBuilder editor. From there you can add, remove, or reorder fields with drag-and-drop, switch themes for instant restyling, add your logo, configure email notifications, and set your success message. When ready, publish with a unique link and start collecting responses immediately.