Couples Retreat - Husband's Form

Couples Retreat Questionnaire – Husband's Form

Answering the following will give us an understanding of how we might help you during the retreat.

Full Name(Required)

Participant Age(Required)

Email(Required)

Phone(Required)

Address(Required)

Street Address

City

State / Province / Region

ZIP / Postal Code

Country

Marital Status(Required)

Yes

Living together or separated?

How Long Have you Been Married?

Do you have children?(Required)

Yes

How many & what are their ages?

Are there any issues with food allergies or other issues related to food we should be aware of?

Participant Questions

Please describe the status of your marriage today:

Please describe your efforts in breaking free from sexual sin, the last time you acted out, and if you’re meeting with another man or group on a consistent basis.

Please describe your family of origin:

Have you ever been molested or abused, physically, sexually, or spiritually?

Have you ever had any exposure to or been involved with occult activities?

What do you see as your wife’s greatest need for healing?

What is your relationship with the Lord like?

What would you say is your greatest need and/or how we could help you and your wife the most?

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Couples Retreat – Husband’s Form

Couples Retreat Questionnaire – Husband's Form

Participant Questions