Questionnaire for Wives

Identifying Information

Legal Name:(Required)

First Middle Last

Preferred First Name:(Required)

Maiden Name:(Required)

Date of birth(Required)

Cell phone:(Required)

Home phone:

Work phone:

Email Address:(Required)

Alternate Email Address:

Do you have any previous marriages?(Required)

Yes

No

Please briefly explain your previous marriage:

Date of previous marriage:

Church of previous Marriage:

City, State, Country

City State / Province / Region Country

Are you divorced?(Required)

Yes

No

Have you received a Church annulment?(Required)

Yes

No

Name of diocese where annulment was granted:

What is the annulment case number?

Religious History

Are you a Roman Catholic?(Required)

Yes

No

If you were baptized in another Christian church, when did you make your profession of faith into the Roman Catholic Church?

Have you ever been a member of a church or religious organization other than the Roman Catholic Church?(Required)

Yes

No

Please briefly describe your membership in a church or religious organization other than the Roman Catholic Church?

Since becoming a Catholic, have you ever been away from active practice of the Catholic faith?(Required)

Yes

No

Please briefly explain the time you were away from active practice of the Catholic faith.:

Approximate dates you were away from active practice of the Catholic faith:

Ex.) Dec 2020 - March 2021

Did you receive First Communion as a Roman Catholic(Required)

Yes

No

Have you been confirmed as a Roman Catholic(Required)

Yes

No

How frequently do you participate in the Celebration of the Eucharist?(Required)

How frequently do you participate in the Sacrament of Reconciliation?(Required)

Do you have a regular confessor?(Required)

Yes

No

Do you have a spiritual director?(Required)

Yes

No

Briefly describe your personal prayer life:

Who is your closest adult friend (outside of your family)?(Required)

Describe your relationship:(Required)

Professional Background

Who is your current employer?

What is your title/position?

Clearly describe the work you currently do and its responsibilities:

Previous Employer 1: Name of Organization

Previous Employer 1: Title/Position

Previous Employer 1: Start to End

Ex. ) Jun. 2020 - Jan. 2021

Previous Employer 2: Name of Organization

Previous Employer 2: Title/Position

Previous Employer 2: Start to End

Ex. ) Jun. 2020 - Jan. 2021

Previous Employer 3: Name of Organization

Previous Employer 3: Title/Position

Previous Employer 3: Start to End

Ex. ) Jun. 2020 - Jan. 2021

Family

Do you have children?(Required)

Yes

No

What have you enjoyed most about being a parent?(Required)

Do you have any special concerns about any of your children?(Required)

Yes

No

Please briefly describe any special concerns you have about your children:

Marital Information

Describe what you see as the real strengths in your marriage relationship:

Have you ever had any marriage counseling in the past?(Required)

Yes

No

Please briefly describe any past marriage counseling:

What have you done to enrich your marriage and family life?(Required)

What do you feel are the greatest blessings you have received through your marriage?(Required)

What has been the greatest cross you and your wife have borne together as a married couple?(Required)

What do you see in your marriage that strengthens and stabilizes it?(Required)

Formation will place added demands upon both you and your husbands schedule and energy. Have you discussed, together with your family, how this will impact your lives?(Required)

If you have younger children at home who require adult supervision, what arrangements will you make for their care when you are away from home evenings and weekends?(Required)

Additional Information

Please describe how you see yourself(Required)

Comment on any special parish activities or movements (e.g. Small Faith Communities, Cursillo, Charismatic Renewal Community, Marriage Encounter, Individual/Couples’ Retreat) in which you are involved or have participated (please give dates):(Required)

What are your present evening and weekend commitments (including employment, community, school involvements)?(Required)

Have you ever read any of the documents from Vatican II? Which ones have you read (all or part)?(Required)

Have you ever taken any adult religious education classes or other enrichment programs in the Church? If so, please list, and describe how they have benefited you:(Required)

Describe your personal goals in life (outside of your husband’s involvement in Church ministry):(Required)

Describe your husband.(Required)

What kind of person, husband, and father is he?(Required)

What gifts will your husband bring to the Church as a permanent deacon?(Required)

Why do you think your husband wants to be a permanent deacon?(Required)

Having discussed your husband’s desire to enter diaconate formation, please describe any particular difficulties or concerns that were brought to light by your discussion:(Required)

Diaconal formation respects your sacramental marriage and family life. After discussing this with your spouse, please describe how you will be able to maintain a balance between your present responsibilities and formation:(Required)

If your husband were to enter the diaconate formation program, would you be supportive?(Required)

Yes

No

Will you actively participate with him?(Required)

Yes

No

Please explain any reservations you may have:(Required)

If your husband should be ordained a permanent deacon and the Bishop sees a need to assign him to a parish other than your own, would you be open to joining another parish community?(Required)

Are there any other comments you would like to make?(Required)

Signature(Required)

Phone

This field is for validation purposes and should be left unchanged.

Identifying Information

Religious History

Professional Background

Family

Education

Marital Information

Health Information

Additional Information

Contacts