Form A Pre-Nuptial Questionnaire (Page 3 of 4) in pdf

PRE-NUPTIAL QUESTIONNAIRE

BRIDE

1. Name__________________________________________________________________Phone Number____________________

2. Address________________________________________________________________________________________________

3. Date of Birth_________________Place_______________________________________________________________________

4. Occupation_______________________________________________Religion________________________________________

5. Father’s Name____________________________________________Religion________________________________________

6. Mother’s Maiden Name______________________________________Religion_______________________________________

7. Parish in which you now reside______________________________________________________________________________

8. Length of residence in parish_______________________________________________________________________________

9. Have you ever been baptized?__________If yes, what Religion?___________________________________________________

Date_______________Church_______________________________Place__________________________________________

10. Date of Confirmation_________________Place________________________________________________________________

11. (If convert) Date and place of reception into the Catholic Church___________________________________________________

_____________________________________________________________________________________________________

12. Have you ever been married before (either in church, civilly, or by common law)?____________(If “yes,” refer to box on back of

this page.)

13. Have you ever made perpetual vows in a religious institute?______________________________________________________

If yes, please explain:____________________________________________________________________________________

14. How long have you been dating your proposed spouse?_________________________________________________________

15. Are you related in any way to him?__________________________________________________________________________

16. (If Catholic) Are you a practicing Catholic?______________If not practicing, please explain:_____________________________

_____________________________________________________________________________________________________

17. Are you giving your consent to this marriage voluntarily and without force of any kind?_________________________________

18. As far as you know is your intended spouse giving consent to this marriage voluntarily and without force of any kind?_________

19. Do you understand the nature and obligations of marriage and do you agree, without any condition or reservation:

to enter a marriage that is for life;________________________________________________________________________

to give your spouse the right to have children;______________________________________________________________

and to accept the obligation of being faithful to your spouse?__________________________________________________

20. To the best of your knowledge and belief, is this the intention of your intended spouse?________________________________

21. (For persons under 18 years of age) Have you secured the consent of your parents for this marriage?_____________________

22. Do you have anything else to add regarding the proposed marriage?_______________________________________________

______________________________________________________________________________________________________

___________________________________________________________________

_________________________

Signature of Bride

Date

Page 3 of 4

Form A Pre-Nuptial Questionnaire Page 3