Premarital Questionnaire
Please
review
this
questionnaire
prior
to
your
Premarital
Counseling
Session
with
the
Imam.
Basic Information
1. How old are you?
2. Where were you born?
3. What did you study in college?
4. What is your occupation?
5. Why have you chosen me as your potential spouse?
Core Values
6. What is the role of a husband?
7. What is the role of a wife?
8. What are your expectations of marriage?
9. What are your goals in life? Long-term and short-term plans.
10. Identify three things that you want to accomplish in the new future
11. identify three things that you want to accomplish, long-term.
Previous Marriages
12. Have you ever been married before?
13. Are you married now?
14. Do you want to practice polygamy?
15. Have you ever been engaged? If so, how long ago?
16. Have you ever been divorced? If so, how long?
17. Have you ever gone to counseling for marriage or divorce?
Health
18. Define mental, verbal, emotional, and physical abuse.
19. What would you do if you felt that you had been abused?
20. Who would you call for assistance if you were being abused?
21. Do you suffer from any chronic disease or condition?
22. Are you willing to take a physical exam by a physician, before marriage?
23. What is your understanding of proper health and nutrition?
24. How do you support your own health and nutrition?
Raising Children
25. Do you support the idea of utilizing babysitters and maids?
26. Do you want to have children? If not, why?
27. To the best of your understanding, are you able to have children?
28. Do you want to have children in the first two years of marriage? If not, then when?
29. Do you believe in abortion in your family?
