Full Name:  
Church Name:  
eMail:  
Address:  
City:  
State:  
Zip:  
 

1. Do you conduct pre-marital counseling for engaged couples?

Yes
No (If no, please skip down to question 9)

 
 

2. How many couples do you see for pre-marital counseling annually?

Less than 6
6-12
more than 12

 
 

3. How many sessions do you meet together?

One
2-4
5-7
8 or more

 
 

4. What are the current issues or trends that you are seeing in engaged couples today?


 
 

5. Which pre-marital resource(s) do you currently use?

I have developed my own resources
H. Norman Wright’s Before I Say “I Do”
Other
None
 
 

If you selected "Other" above, please list them here:


 
 

6. How long have you used these resources in your counseling?

Less than 1 year
2–5 years
More than 5 years

 
 

7. Are you satisfied with the current pre-marital counseling resources available?

Yes
No

 
 

8. What types of resources (workbooks, DVD, etc) would be most helpful in counseling engaged couples? Check all that apply:

  
  Workbook for couples to work through together  
  Workbook for couples to work through individually  
  DVD to incorporate into your counseling session  
  Assessments for the couple and/or individuals  
  Online website to refer the couple to for other resources  
  Other resources  
  None  
 

If you selected "Other resources" above, please list them here:


 
 

9. How many years have you served as a pastor?

Less than 1 year
1–4 years
5–9 years
10-19 years
20 or more years

 
 

10. How many attend your church?

Less than 50
50–100
100–250
250–500
500–1,000
1,000–2,000
More than 2,000

 
 

11. Average age of church attendees?

20-something
30-something
40-something
50-something
60+ something

 
 

12. Church state/country?


 
 

13. Church denomination?


 
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