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    Marriage Preparation Questionnaire: Your Personal History

    Uploaded by

    Michael Balan
    This document is a marriage preparation questionnaire that collects personal and family history information. It requests the respondent's name, contact details, education, occupation, marital status and siblings. It also asks for details about the respondent's father and mother such as their name, age, occupation, education, marital status, religion, church attendance and any hereditary health problems. The purpose is to gather background information about the individual and their family as part of marriage preparation.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Marriage Preparation Questionnaire: Your Personal History

    Uploaded by

    Michael Balan
    32 views2 pages
    This document is a marriage preparation questionnaire that collects personal and family history information. It requests the respondent's name, contact details, education, occupation, marital status and siblings. It also asks for details about the respondent's father and mother such as their name, age, occupation, education, marital status, religion, church attendance and any hereditary health problems. The purpose is to gather background information about the individual and their family as part of marriage preparation.

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    Form

    Original Title

    MarriagePrep History

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    This document is a marriage preparation questionnaire that collects personal and family history information. It requests the respondent's name, contact details, education, occupation, marital status and siblings. It also asks for details about the respondent's father and mother such as their name, age, occupation, education, marital status, religion, church attendance and any hereditary health problems. The purpose is to gather background information about the individual and their family as part of marriage preparation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    32 views2 pages

    Marriage Preparation Questionnaire: Your Personal History

    Uploaded by

    Michael Balan
    This document is a marriage preparation questionnaire that collects personal and family history information. It requests the respondent's name, contact details, education, occupation, marital status and siblings. It also asks for details about the respondent's father and mother such as their name, age, occupation, education, marital status, religion, church attendance and any hereditary health problems. The purpose is to gather background information about the individual and their family as part of marriage preparation.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    Marriage Preparation Questionnaire 

    YOUR PERSONAL HISTORY 
    NAME: _____________________ BIRTH DATE: _____________ HOME TOWN: _____________________ 

    ADDRESS: ____________________________________________________________________________ 

    PHONE NUMBER: ________________ (H) _________________ (W)  EMAIL: _______________________ 

    OCCUPATION: ________________________________________ YEARS AT THE JOB: ________________ 

    EDUCATION: ________________________________________ (Last year Completed) _______________ 

    SIBLINGS? (Gender and Age) _____________________________________________________________ 

    MARITAL STATUS: _ _____  NEVER BEEN MARRIED _______ WIDOWED_______ DIVORCED (Date: _____) 

    YOUR FAMILY HISTORY 

    FATHER 
    NAME: _______________________________________ LIVING (If not, date of death)? ______ AGE: ____ 

    OCCUPATION: ____________________ EDUCATION: ______________ (Last year Completed) _________ 

    MARTIAL STATUS: __________________  MARRIED (______Yrs) _________ WIDOWED (Date:________) 

                                                                               DEVORCED (Date: ____________________________________ 

    CHRISTIAN: ______________ CHURCH: _____________________________________________________ 

    HEREDITARY HEALTH PROBLEMS: _________________________________________________________ 

    MOTHER 
    NAME: _______________________________________ LIVING (If not, date of death)? ______ AGE: ____ 

    OCCUPATION: ____________________ EDUCATION: ______________ (Last year Completed) _________ 

    MARTIAL STATUS: __________________  MARRIED (______Yrs) _________ WIDOWED (Date:________) 

                                                                               DEVORCED (Date: ____________________________________ 

    CHRISTIAN: ______________ CHURCH: _____________________________________________________ 

    HEREDITARY HEALTH PROBLEMS: _________________________________________________________ 
    Marriage Preparation Questionnaire 
    YOUR PERSONAL HISTORY 
    NAME: _________________ BIRTH DATE: ____________ HOME TOWN: ___________________ 

    ADDRESS: _____________________________________________________________________ 

    PHONE NUMBER: _______________ (H) ________________ (W)  EMAIL: __________________ 

    OCCUPATION: _________________________________ YEARS AT THE JOB: ________________ 

    EDUCATION: _________________________________ (Last year Completed) _______________ 

    SIBLINGS? (Gender and Age) ______________________________________________________ 

    MARITAL STATUS: ____  NEVER BEEN MARRIED _____ WIDOWED____ DIVORCED (Date: _____) 

    YOUR FAMILY HISTORY 

    FATHER 
    NAME: ____________________________________ LIVING (If not, date of death)? ___ AGE: __ 

    OCCUPATION: ___________________ EDUCATION: ____________ (Last year Completed) _____ 

    MARTIAL STATUS: _____________  MARRIED (______Yrs) _______ WIDOWED (Date:________) 

                                                                    DEVORCED (Date: __________________________________ 

    CHRISTIAN: ______________ CHURCH: ______________________________________________ 

    HEREDITARY HEALTH PROBLEMS: __________________________________________________ 

    MOTHER 
    NAME: ____________________________________ LIVING (If not, date of death)? ___ AGE: __ 

    OCCUPATION: ___________________ EDUCATION: ____________ (Last year Completed) _____ 

    MARTIAL STATUS: _____________  MARRIED (______Yrs) _______ WIDOWED (Date:________) 

                                                                    DEVORCED (Date: __________________________________ 

    CHRISTIAN: ______________ CHURCH: ______________________________________________ 

    HEREDITARY HEALTH PROBLEMS: __________________________________________________ 

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