First Interview With Married Couple
Prepared By Dr. Ed. Watke Jr.
Please write in your answers to the following questions!

Name: ______________________________ Date:________________

Address:____________________________ City:________ Zip: ________

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1. What brings you here and which one was concerned about coming? __________
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2. Often when people come for counseling they are experiencing some kind of pain. What is the pain (emotional distress, etc.) that you are experiencing in this relationship? _________________________________________________
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3. Who do you feel is contributing to this pain and in what way?
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4. What efforts have been made to eliminate this pain and what has happened? ___________________________________________________________
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5. Describe what you want to have in your marriage. ______________________
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6. How much time do you have to work on your marriage?__________________
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7. What is your dream that you had for your marriage when you got married and what has happened to it? ________________________________________
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8. What would it take for you to be satisfied with you spouse?_________________
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What would it take for him/her to be satisfied with you? __________________
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9. If your marriage were really good tomorrow, how would you know?
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10. What do you want from your marriage and what are you willing to do to get there? ______________________________________________________
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11. If I were to ask you the question, "What are you doing to mess up this marriage?" -- after you recover from the shock of such a direct question --"What would you say?" ___________________________________________________________
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12. In what way do you complement each other? __________________________
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13. What are your needs? __________________________________________
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Is your spouse aware of how to meet them? ____________________________
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14. Let's think about the goals you have for counseling. What would it be like if the counseling were completely successful? What do you expect or desire? ___________________________________________________________
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15. What is the worst possible thing that could happen in counseling? What do you fear the most?_________________________________________________
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16. Are you willing to do the assignments that I will give to you as the counselor?
Will you work at the necessary steps toward change?
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