Marriage Assessment

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Chapter 11 Prayer

APPLICANT INFORMATION

* Indicates required field

Name *

First

Last

Spouse's Name *

First

Last

Phone Number *

Email *

MARRIAGE ASSESSMENT

IS THIS YOUR FIRST MARRIAGE? *

Yes No

IF NO, PLEASE EXPLAIN *

HOW OFTEN WOULD YOU SAY YOU DISAGREE WITH EACH OTHER IN A WAY THAT LEADS TO AN ARGUMENT? *

Daily A couple of times a week A couple of times a month Never

When you fight do you have rules that direct how that happens? (Ex. no yelling; no cursing; no slamming doors, etc) *

Yes No

HOW WOULD YOU DESCRIBE YOUR CONFLICT RESOLUTION? *

You each share your opinions and come to an understanding. One person eventually just gets the other person to back down. You both get so frustrated that you walk away and just leave it alone.

How often do you go on dates? *

At least once a week About once a month Almost never since having kids

HOW OFTEN WOULD YOU SAY YOUR ARE PHYSICALLY INTIMATE? *

1-2 times a week 1-2 times a month 1-2 times every few months Never intimate

IS THERE NOW OR HAS THERE BEEN A PROBLEM WITH ANY TYPE OF PORNOGRAPHY? *

Yes No

HAS THERE EVER BEEN AN INAPPROPRIATE EMOTIONAL RELATIONSHIP OUTSIDE OF MARRIAGE? *

Yes No

HAS THERE EVER BEEN AN INAPPROPRIATE PHYSICAL RELATIONSHIP OUTSIDE OF MARRIAGE? *

Yes No

Submit

Church With U
1032 Boll Weevil Cir.
Enterprise, AL 36330
334.417.0231
8:30 l 10:00 l 11:30

HOME
About Us
Next Steps
Messages
Give
Golf Tournament
2024 Reading Plans
Chapter 11 Prayer

APPLICANT INFORMATION

MARRIAGE ASSESSMENT

Church With U1032 Boll Weevil Cir.Enterprise, AL 36330334.417.02318:30 l 10:00 l 11:30

Church With U
1032 Boll Weevil Cir.
Enterprise, AL 36330
334.417.0231
8:30 l 10:00 l 11:30