Muslim Matrimonial Inquiry Form - Islamic Society Of The Washington Area Page 2

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How long have you been a Muslim?
Do you have any family in the USA?
Yes_________ No___________
If yes, give relationship, phone number
1.
2
With whom do you live now?
Are you willing to relocate? Yes________ No_______
Do you have any medical problems that knowingly would impact your marriage?
DEEN
I evaluate my Islamic knowledge to be:
Poor_______ Fair________ Good_________ Very Good____________
I attend Islamic Programs:
Weekly__________ Monthly__________ Occasionally___________Rarely_________
Which of the following groups do you describe yourself as belonging to?
Sunni
Shi’ai
Other
What are the many different
interests you have, and
indicate which of them you are
Talking with friends
Cooking or Eating
practicing now: (select the top
Family
Friendship
ones; up to ten)
Hosting guests
Entertaining in my home
Movies
Learning
Reading
Community work
Masjid Involvement
Da’wah work
Shopping
Teaching
Coaching
Traveling
Volunteering
Watching TV
Socializing
Keeping physically fit
Sports/Workout
Resolving conflict
Other

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