Bay Area Ministers of Reconciliation
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  • About BAMOR
    • What is Biblical Framework Counseling?
    • BAMOR Counseling Philosophy
      • BAMOR Doctrinal Statement
  • BAMOR Counselors
    • Robert Lemley
    • Stacie Lemley
  • Contact BAMOR
  • Documents
    • A Biblical Study for  Drug and Alcohol Abuse Recovery 
    • Abuse in the Family 
    • Abuse, Separation, Divorce, Remarriage
    • Accountability Questions
    • AUDIBLE PRAYER
    • Biblical Framework
    • Biblical Framework Explained
    • Expressions of Love to Practice
    • Four Kinds of Human Relationship
    • Four Kinds of Human Relationship (Outline)
    • Help for the Wise Woman In Turning Away Wrath
    • How Do I Become A Mature Christian?
    • How Far Can A Physical Relationship Go Before Marriage?
    • How Does Psychology Work With Biblical Counseling?
    • How to Date God’s Way
    • How To Deal With Past Abuse
    • How to Quiet a Noisy Soul
    • IS “FALSE GUILT” BIBLICAL?
    • Love Chart
    • Lovingly Fulfilling One’s God-Given Roles
      • Adult Child: Lovingly Fulfilling One’s God-Given Roles
      • Child: Lovingly Fulfilling One’s God-Given Roles
      • Fathers: Lovingly Fulfilling One’s God-Given Roles
      • Husband: Lovingly Fulfilling One’s God-Given Roles
        • 30 Ways to Love Your Wife
      • Mothers: Lovingly Fulfilling One’s God-Given Roles
      • Wife: Lovingly Fulfilling One’s God-Given Roles
    • My Heart Christ’s Home
    • PROVEN WAYS TO MEMORIZE A VERSE EFFECTIVELY
    • Reconciliation with a Hardened Wife by Reb Bradley
    • Sanctification Bible Studies
      • Recognizing & Avoiding Spiritual Amnesia
      • God is Sovereign Bible Study
      • God is Supreme Bible Study
      • Purpose of Life
      • What I Can’t Control / What I Can Control
        • Can and Can’t Control Homework
      • Understanding Lust
      • Understanding Idolatry
      • How do we Process Life?    
        • Identifying My Idolatrous Lust (FORM)
      • A Biblical Study of Idolatry/Desire/Lust/Pleasure from Ezekiel and James
      • Justification by Faith and Justification by Works DID JAMES CONTRADICT PAUL?
    •  Talk Dates 
    • The Doctrine of Spiritual Growth
    • THE FATHER’S LOVE LETTER
    • Understanding Anger
    • What Is Nouthetic Counseling
    •  When A talks to B about C 
    • When To Keep Our Mouth Shut
  • New to BAMOR Forms

Personal Data Inventory

  • Home
  • Personal Data Inventory

Personal Data Inventory Online Form

Personal Identification

Name
MM slash DD slash YYYY
Sex
Address
Marital Status
Education
Emergency Contact

Marriage & Family:

MM slash DD slash YYYY
Spouses Name
Have either of you been previously married
Have you ever been separated
Filed for divorce

Children

You can add multiple children by selecting the (+) button at the end of each row.
Information about children
Name
Age
Sex
Living w/ you?
Grade
Step child (Y/N)
 

Your Childhood

Did you live with anyone other than parents as a child?
Are your biological parents living?
Do your biological parents live locally

Health

Do you have any chronic conditions?
List any important illnesses or handicaps
Illness or handicaps
 
You can add multiple illnesses or handicaps by selecting the (+) button at the end of each row.

Substance Use & Lifestyle

Have you ever been arrested?
Have you ever used drugs for anything other than medical purposes?
Do you drink alcoholic beverages?
Do you drink coffee?
Do you drink other caffeinated drinks?
Do you smoke?
Have you ever had interpersonal problems on the job?
Have you ever had a severe emotional upset?
Have you ever seen a psychiatrist or counselor?
Are you a Christian?
Do you attend church?
Church attendance per month
Name of pastor or deacon over you
Have you been baptized?
How often do you read your Bible

Problem Check List

Select all that apply
Problems Set 1
Problems Set 2
Problems Set 3
List any other problems you are experiencing
You can add additional problems or issues by selecting the (+) button at the end of each row.

Briefly answer the following questions

Personal Inventory

Rate yourself on each of the following traits.
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Are there any other attributes you would like to comment on?

Spiritual Convictions Questionnaire

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

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