PRE-MARRIAGE COUNSELING Intake Form Section 1: Personal Details Partner 1 Full Name of Partner 1 Date of Birth MaleFemale Phone Number Email Occupation Religion / Cultural Background Partner 2 Full Name of Partner 2 Date of Birth MaleFemale Phone Number Email Occupation Religion / Cultural Background Section 2: Relationship History How did you and your partner meet and what initially attracted you to each other? What are the strengths of your relationship? What are the main areas of potential conflict or disagreement in your relationship? How do you and your partner typically resolve conflicts or disagreements? Section 3: Expectations and Goals What are your expectations for pre-marriage counseling? What do you hope to achieve through this process? What are your individual and relational goals for your future marriage? Are there any specific topics or concerns that you would like to address during the counseling sessions? Section 4: Family and Cultural Background Please provide a brief overview of your family backgrounds, including family dynamics, upbringing, and cultural traditions. Are there any cultural or religious considerations that are important to you in the context of your future marriage? Section 5: Communication and Conflict Resolution How would you describe the overall communication dynamics in your relationship? How do you and your partner typically handle disagreements or conflicts? Are there any specific communication or conflict resolution skills that you would like to improve or develop? Additional Information Are there any other factors or information that you believe would be important for the counselor to know before beginning pre-marriage counseling?
