Marriage Counselling This form has been designed for married and unmarried couples to enrol for our counselling sessions. Are you already married? – Select –YesNoPOST-MARITAL COUNSELLINGName Phone Number (WhatsApp preferably) Email Name of spouse How long have you been in CCI? CCI Network – Select CCI Network-KumasiAccraHoKoforiduaTamaleCape CoastPrampramTakoradiTarkwaSunyaniTarkwaSunyaniTechimanBolgatangaNyankpalaWaMampongVirtual ChurchBahamasAustraliaGeorgiaVietnamMinistry Mustard Seed Which type of marriage did you contract? – Select –CustomaryOrdinanceIn which church did you get married? How long have you been married? * Do you have children? – Select –YesNoHow many children do you have? Have you agreed with your spouse to go through this post marital counselling? – Select –YesNoDo you agree to be present at all times in all of the sessions? – Select –YesNoPRE-MARITAL COUNSELLINGPERSONAL DETAILSName Phone Number (WhatsApp preferably) Email Date of Birth Age Tribe Hometown PreviousNextEDUCATIONAL BACKGROUNDLast school attended (add year of completion) Academic qualification – Select –Primary SchoolJunior High (BECE)Senior High (SSSCE/WASSCE)DiplomaUndergraduate (Bachelors)Graduate (Masters)PhDOtherState qualification PreviousNextEMPLOYMENT DETAILSOccupation Place of Work Rank/Status RESIDENCEResidential Address Do you own your own accommodation? – Select –YesNoDo you live in a rented apartment? – Select –YesNoPreviousNextPARENTS & GUARDIANSFather’s Name Father’s Residential Address Father’s Occupation Mother’s Name Mother’s Residential Address Mother’s Occupation Guardian’s Name Guardian’s Occupation Guardian’s Residential Address PreviousNextPREVIOUS MARITAL EXPERIENCEHave you been married before? – Select –YesNoWhere and when? Spouse’s Name Are you two separated, divorced or your spouse is deceased? – Select –SeparatedDivorcedDeceasedReason Do you have children? – Select –YesNoHow many children do you have? With whom are they staying? Do you care for them? – Select –YesNoPreviousNextMARRIAGE PROPOSALHave you proposed marriage to someone before and/or vice versa? – Select –YesNoWhat happened? PreviousNextSEX LIFEHave you had sex before? – Select –YesNoDid you marry your sex partner? – Select –YesNoReason for separation Have you had a boyfriend/girlfriend before? – Select –YesNoHow many? For how long did you date in the previous relationships (breakdown)? PreviousNextWELL BEINGList five qualities you have. List five qualities he/she (your beloved) has. List five qualities you expect from him/her (your beloved). List five things you like about yourself. List five things you like about your beloved. List five things you dislike about your beloved and state why. If you are to change two things about yourself, what would you change? How do you plan to make yourself a better person? How do you plan to make your beloved a better person? PreviousNextHEALTHHave you ever smoked? – Select –YesNoWhy? Have you ever used hard drugs? – Select –YesNoWhy? Do you have a chronic disease? – Select –YesNoState the disease Are you prepared to undergo medical examination including HIV/AIDS and HEPATITIS B? – Select –YesNoReason PreviousNextMARRIAGEWhat is marriage? What are your reasons for wanting to get married? What is the name of the one you want to marry? Why do you want to marry him/her? How long have you known each other? How long have you been going out? Has any formal introduction of your relationship been made to the network pastor? – Select –YesNoHas formal introduction of your relationship been made to both parents? – Select –YesNoHave both parents consented to your marriage? – Select –YesNoAre you ready to marry within 4 to 6 months from now should you pass your counselling requirements? – Select –YesNoExplain how you happened to meet each other and proposed love. What does the bible say about marriage? Which type of marriage do you want to contract? – Select –CustomaryOrdinanceHow many siblings of your parents are married, if you have any? PreviousNextSPIRITUALHave you accepted Jesus as your Lord and personal saviour? – Select –YesNoWhen Name of church Date of baptism Place of baptism Baptized by whom? What is the name of your current pastor? How long have you been a member of the church? Where would you want your marriage to be blessed? Do you have any special request for prayer? HAVE YOU MADE YOUR RELATIONSHIP KNOWN TO PASTOR OBED? – Select –YesNoHAVE YOU SUBMITTED YOUR RELATIONSHIP TO PASTOR OBED AND PASTOR BRENDA? – Select –YesNo I have agreed to be present at all sessions. Previous Register