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LIFELINE CHURCH PRE-MARITAL SURVEY
GENERAL INSTRUCTIONS

1. Please complete this survey in its entirety without any discussion of your responses with your fiancé.

2. As a Partner of Lifeline Church, please be advised that all pre-marital counseling will be assigned to our Lifeline Counseling Team (NOT Reggie & London) based on need and availability. Marital counseling by Reggie & London can be requested via www.marriedlifeglobal.com.

3. Once the Lifeline Church Pre-Marital Survey has been completed and submitted by both you and your fiancé, you will be contacted and scheduled for a counseling session.

4. Please do not select a wedding date until after you have completed the Married Life Class. If you have already selected your wedding date, the date is not secure with Lifeline Church until we have checked the dates with the church calendar and the Lifeline Counseling Team schedule.

5. After the Married Life Class is complete, the next step would be to make sure you get a wedding packet from the church's main office.

6. If you should have any questions regarding the survey, please call the LC Partner Care Office at 708 477-6686.

7. ALL INFORMATION IN THIS SURVEY AND IN PRE-MARITAL COUNSELING WILL BE KEPT CONFIDENTIAL.
Email address *
PRE-MARITAL SPIRITUAL GUIDANCE SURVEY
GENERAL INFORMATION
Today's Date *
MM
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DD
/
YYYY
Your Name *
Address *
Home Telephone *
Work Telephone *
Your Age *
Fiancé/Spouse Name *
Are you now engaged? *
Pre-Marital Sex ? *
Are you currently living together? *
Length of Association: *
Previous Marriage(s)? *
If yes, how long? *
Choose One: *
Marriage ended because of (please check all that apply): *
Required
Children? *
If yes, how many? *
Choose One *
Child(ren) from previous marriage(s)? *
Children born out of wedlock? *
Are you currently working a job receiving income? *
Monthly income? *
Name of Employer *
Do you have any debt? *
Do you have any savings accounts? *
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