Pre-Marriage Counselling Form HTMLPersonal InformationAge *Gender *MaleFemaleOther0 / 20Phone Number *Email Address *Age *Gender *MaleFemaleOther0 / 20Phone Number *Email Address *How long have you been in a relationship? *Less than 1 year1-3 years3-5 yearsMore than 5 yearsAre you currently engaged? *YesNoHTMLFamily Background & ValuesFamily Type *NuclearJointExtendedReligious/Spiritual Beliefs *SameDifferentNeutralHow important is religion/spirituality in your future family life? *Very ImportantSomewhat ImportantNot ImportantHow do your families feel about your marriage? *SupportiveNeutralOpposedHTMLCommunication & Conflict ResolutionHow do you usually handle disagreements? *Discuss OpenlyAvoid ConflictArgue Until ResolvedNeed Time Alone FirstWhat is your conflict resolution style? *CompromiseDominantPassiveAvoidantAre you comfortable expressing emotions and concerns? *Yes, alwaysSometimesNo, I struggle with itHTMLFinancial ExpectationsHow do you plan to manage finances? *Joint AccountsSeparate AccountsCombination AccountsAre you open to discussing financial planning? *YesNoNot sureDo you have debts or financial obligations to disclose? *YesNoWho will handle budgeting and financial decisions? *One PartnerBoth EquallyNot Discussed YetHTMLCareer & Future GoalsHow important is career growth in your marriage? *Very ImportantModerately ImportantNot ImportantWill both partners continue working after marriage? *YesNoNot DecidedAre you open to relocating for career or family reasons? *YesNoMaybeHTMLChildren & ParentingDo you both want children? *YesNoUndecidedIf yes, how many children do you plan to have? *123 or moreOpen to discussionHow do you view parenting roles? *Traditional (one stays home)Shared equallyFlexibleHow do you plan to discipline children? *StrictlyModeratelyGentlyNot decided yetHTMLHealth & LifestyleDo either of you have existing health conditions? *NoYesDo you follow a specific diet or lifestyle choice? *VegetarianVeganNon-vegetarianOtherDo you or your partner smoke or drink alcohol? *YesNoOccasionallyHow important is physical fitness to you? *Very ImportantSomewhat ImportantNot ImportantHTMLIntimacy & Emotional ConnectionHow comfortable are you discussing intimacy and physical needs? *Very ComfortableSomewhat ComfortableUncomfortableDo you believe in equal emotional and physical effort from both partners? *YesNoNeeds DiscussionWhat is your love language? *Words of affirmationQuality timeActs of serviceGiftsPhysical touchHTMLHousehold ResponsibilitiesWho will handle household chores? *One partnerShared equallyHired helpAre you open to discussing division of household tasks? *YesNoNot sureHTMLExpectations & ConcernsWhat is your biggest expectation from your partner in marriage? *0 / 150Do you have any specific concerns about marriage? *0 / 150Send Message
