Describe briefly how God views you
MARRIAGE INFORMATION
How long did you know each other before marriage?
Length of engagement
How did you get along with your in-laws (including brothers&sisters-‐in law?)
Has anyone (parents, relatives and friends ever interfered in your marriage?
Place the letter “C” Or “I “below as it applies to present marriage (c=compatible, I= incompatible)
value system
commitment
devotion to spouse
devotion to children
What I like in the last few months:
What I disliked in the last few months:
Give specific examples of those things you would like to see your spouse do more often (ex. Take out garbage, spend more time etc.):
Give specific examples of things you would like to see your spouse stop doing (those particular things that irritate you)
Dream about your marriage future
You can’t accomplish your dreams because
PARENTAL FAMILY HISTORY
If you were reared by anyone other than your biological parents, briefly explain:
Are your parents living?
Are/were they Christians?
How was your relationship with parents growing up?
How is your relationship at the present time?
Describe the atmosphere in your home when you were a child (ex: tense, peaceful, and fighting)
Describe briefly your relationship with father:
Mothers condition (emotional & physical ) during pregnancy with you:
How did mom react to the news that you were going to be born?
His personality :
Her personality :
Kind of environment he provided
Kind of environment she provided
Describe your fathers relationship with mother
Describe your mother relationship with father
Who was actually in charge? (Head of the house
Describe his relationship with children (Head of the house
Describe her relationship
with children
What was his ambition for his children
what was her ambition for the children
Describe your ability to confide to him
Describe your ability to confide to her
As a child, what I liked about him
as a child what I like about her
Who was your dad’s favorite
who your mom’s favorite was
Has any parent, sibling, grandparent suffer from a mental problem? Who? What was the problem?
punish myself (if so, how?)
As a child, teenager or later in life, did you ever suffer an injustice? What and by whom?
Were you ever sexually molested or raped? When? By whom?
The information given in this personal data inventory has been provided voluntarily. I understand that this information is to be confidential; however, it may be used by forerunner counseling and their consultants and or facilitators as a basis for evaluating my spiritual needs and providing biblical direction for my life.