Page 1 of 4

Premarital Counseling Initial Questionnaire

To My New Friends:

You completing this questionnaire because you have asked me to perform your premarital counseling (and perhaps your wedding, as well), and because I want to offer you the best premarital counseling that I am able to offer. I realize that I might not know you well – not yet! I trust that during counseling I will get to know you both much better. However, for me to counsel you well from the start, I need to ask some questions about who you both are, what are your backgrounds, what work is like for you, what your family was like growing up, and other things about you and your past.

In consideration for receiving any form of premarital counseling from me, Reverend Dr. Robert C. Scott. This letter will acknowledge that while receiving the counseling you both agree to release and waive any and all claims of any kind against the ministry, the staff, the premarital counselor(s) or the Church, which may arise from, result out of, or be related to conduct or advice given. Also, you are being asked to recognize that all counseling files and their contents belong to the St. Paul Baptist Church Pastoral Counseling Ministry.

Choosing your life partner is the second most important decision of your life. I will treat your appointment times with the respect and the seriousness that is due, and I asked that you do the same by keeping all set appointments or by notifying my Executive Assistant 48 hours before the set appointment. All counseling sessions must be completed at a minimum of 2 weeks before your set wedding date. If I am performing the ceremony, I may not agree to do such if the sessions are not completed by that time. There are no fees for your premarital counseling sessions, however, there maybe fees for certain assessment inventories that might be used. Your sessions with me are confidential except in cases where it is necessary to report the suspicion of child abuse, threats to harm self or others, or to receive supervision.

Be advised that I will assign homework. Homework is a vital part of the preparation process; therefore, completion of the homework assignments before your next session is expected. I will require the use of an excellent workbook, it is mandatory that you bring your workbooks to every session.

Sincerely,

Your Pastor

Revered Dr. Robert C. Scott
You can not complete the form without agreeing with the terms.
Please let us know your name.
Please let us know your email address.
Please input your address.
Please input your city, state, and zip code
Invalid Input
Invalid Input
Invalid Input
Please answer this question.
Invalid Input
Invalid Input
Invalid Input
Please input your birthdate.
Please input your age.
Please answer this question.
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
You can not complete the form without agreeing with the terms.
Please let us know your name.
Please let us know your email address.
Please input your address.
Please input your city, state, and zip code
Invalid Input
Invalid Input
Invalid Input
Please answer this question.
Invalid Input
Invalid Input
Invalid Input
Please input your birthdate.
Please input your age.
Please answer this question.
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please answer this question.
Invalid Input
Please submit a date.
Please submit a date.
Please submit a date.
Please answer this question.
Invalid Input



Please Input Date information
Invalid Input
You'll need to setup your Site key in order to use reCAPTCHA.
Invalid Input

We would love to keep in touch with you!

St. Paul Newsletter

Sign up today to receive periodic information about the events and services that take place at St. Paul Baptist Church.

Please let us know your name.
Please let us know your email address.