Marriage Survey Thanks For Participating!
Thank you for participating in our marriage survey. This survey is designed to help us better understand what is happening in marriages today both in and outside the church and will assist us in knowing how to better address the needs of couples. Please provide us with feedback by filling in the information below. Thanks!
Survey completed by?
Husband
Wife
How long have you been married?
Less than one year
1 - 5 Years
5 - 10 Years
Ten - 15 Years
15- 20 Years
20 - 25 Years
25- 30 Years
30- 40 Years
40 - 50 Years
Over 50 Years
How many times have you been married?
First Marriage
Second Marriage
Third Marriage
Fourth Marriage
Fifth Marriage
Did you have premarital counseling?
Yes
No
How many children do you have? What ages?
How many times do you go on a date with your spouse monthly without kids?
0
1-2 times
3-5 times
Over 5
What qualifies as a date to you?
Do you have a good friendship with your spouse?
Yes
No
I want to be best friends with my spouse, but we aren't now.
What do you think is the key to keeping your friendship alive in your marriage?
What first attracted you to your spouse?
What are your favorites characteristics about your spouse today?
What are the top three things you argue about?
How would you define romance?
Is romance a priority in your marriage?
Yes
No
I want it to be
Don't care
What would make romance in your marrige better?
How often do you give meaningful kisses, hugs, and other touches to your spouse?
Several times a day
Once a day
Very Seldom
What qualifies as meaningful touch?
How would you define sexual intimacy?
Is sexual intimacy a priority in your marriage?
Yes
No
I want it to be
Don't care
On average, how often are you sexually intimate weekly?
5 or more times
4 times
3 times
2 times
1 time
0
I would rate our sexual intimacy as:
Very Satisfying
Satisfying
Just Ok
Poor
What would make your sexual intimacy better?
Do you feel honored or dishonored by your spouse?
Honored
Dishonored
Why do you feel honored or dishonored?
Are you a Christian? You have invited Jesus Christ into your life as Lord and Savior?
Yes
No
Not sure
How often do you attend church?
3 or more times a week
2 times a week
1 time a week
Not currently attending
Does your church provide classes or seminars to help strenghten marriage and family?
Yes
No
Very Seldom
Would you be interested in a marriage seminar for your church?
Yes
No
I would rate my marriage as:
Very Satisfying
Satisfying
Just ok
Unsatisfying
If just ok or dissatisfied, what would help make your marriage better?
Is the current economy placing stress on your marriage?
Yes, extremely
Yes
Somewhat
No
If you attended one of our marriage seminars or retreats, what topics would be of priority to you?
If United States citizen what state do you live in? If out of United States, what country do you live in?
First Name (Optional)
Last Name (Optional)
Email Address (Optional)
Indicates Response Required