FBC Burleson · Marriage & Family Series

Marriage & Family Survey

For our coming series on marriage & family. Answer all that apply. Please respond before August 12 — more information is preferred!

This survey is completely anonymous.

We do not collect your name, email, login, or device.
No one can tell who submitted any response — not even us.
Only Pastor Chris, Billy Beacham (& an assistant to tabulate) will read the results.

Preferably, fill this out in private, away from your spouse. Please elaborate on any question — more information is preferred.

Print 1-page paper survey Download PDF

About You

I am:

Male Female

Marital status:

Single Married

Choose one above — the rest of the survey adjusts to fit your answer.

How many years married?

5 or less 6–10 11–20 21–30 31–40 41–50 50+

Your Marriage

Rate your marriage 1–10 (10 = best)

How your spouse would rate it 1–10

Other than God, is there anything that sometimes seems more important than your marriage? Ideas: job, kids, hobby, sports, money, social media

For you?

For your spouse?

Physical Intimacy

How would you rate physical intimacy in your marriage? 1–10 (10 = best)

Do you wish it was…

A little more Less Like it as it is

What do you think your spouse would prefer?

More Less As is

Any other comments or questions about this area? Ask the question you never had the nerve to ask, no matter how far out there it is. Remember — this survey is anonymous.

Conflict & Growth

What are the two main sources of conflict in your marriage? Please explain. Ideas: work, finances, parenting, communication, in-laws, sex, anger, spiritual/values/beliefs, stress, boredom, alcohol/drugs, jealousy, expectations, gets defensive, drifting apart, lack of romance/emotional intimacy, porn

What do you think you could do to improve your marriage?

What do you think your spouse could do to improve your marriage?

In Your Own Words

For women: “I wish you would tell the men…”

For men: “I wish you would tell the women…”

If you have children, what is your biggest challenge in parenting?

Do you feel equipped to disciple your children? Please explain.

What topic(s) would you like addressed in this marriage & family series?

Quick Ratings

How happy are you in your marriage? 10 = best

You think your spouse is…

How teachable (willing to change/grow) are you? 1–10 (10 = most)

How teachable is your spouse?

Anything Else

Anything else you’d like to ask or state related to marriage & family?

Check one:

Please do not read anything I wrote. It might bother my spouse. You can comment on this, but please disguise it. You are welcome to read or comment on anything I wrote.

Other comments related to this

Your responses go directly into a private results sheet. No identifying information is ever recorded.

✓

Thank you.

Your responses have been received anonymously. Thank you for helping shape this series — your honesty matters.

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