To Have and To Hold Questionnaire (Husband)

To Have and To Hold Questionnaire (Husband)

Your story matters. As a married couple, a widow, or a widower, we welcome you to share your experiences and the wisdom they hold. Family members may also participate by sharing their loved ones' marriage stories. All participants must meet the following criteria: *Complete the To Have and To Hold Questionnaire for both husband and wife. *Have been married for one year or more (spouse can be deceased). * At least one is a member of the AME Zion Church. Laity, clergy, bishops, officers, etc., are invited to participate. *Have a valid marriage license. *Grant consent from both members (or the surviving spouse) to have your story and photos published. *Grant consent to a virtual or in-person interview, if needed. ***NOTE: A family member may submit a couple’s story, but their story must meet the criteria stated above. The submitter must consent to have the story and photos published. Proof of relationship is required.
Instructions:

1. A survey for the husband and one for the wife (separate link) must be completed for each couple. (NOTE: For a widow/widower or family member submission, please complete only one questionnaire, but include names of both on the form, and your version of the story.) Please complete independent of one another. Thank you! 2. Please ensure the correct spelling of names in the first question box. 3. Please email up to five photos spanning your relationship and marriage. Photos may include your children, family members, friends, or other people who were instrumental in bringing the relationship together. 4. Please feel free to share with other members of The AME Zion Church. 5. The deadline for submissions is 11:59 PM PST, October 31, 2026.
Thank you for your participation!

Thank you for your time and consideration! Please contact Bishop Melanie Miller, Presiding Prelate of the Western Episcopal District at bishoprogersmiller110@amezion.org, if you have any questions. Peace and Blessings!
Submitted by:
1. Your Full Name (HUSBAND)

First NameLast Name
Best Phone Number:
Please enter a valid phone number.Format: (000) 000-0000.
2. Your Email Address
example@example.com
3. Wife's Name for pairing with your questionnaire.

First NameLast Name
4. Wife's Email Address used on her questionnaire.
example@example.com
Verification of Membership in The AME Zion Church:

For those providing stories on family or deceased members, please provide information on the last AME Zion Church they attended and the name of an active member of The AME Zion Church, who can attest to their membership.
Episcopal District:
Conference and Presiding Elder District:
Name of AME Zion Church where your (or spouse's) Membership is held:
Number of years of membership?
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email Address for the Church
example@example.com
Phone Number for the Church
Please enter a valid phone number.Format: (000) 000-0000.
Current Pastor's Name and Date of Deacon Ordination:
For those submitting for a family or deceased member, please provide the name of an active member who can attest to your family member's membership in The AME Zion Church. Include their email address and phone number above, instead of church information.
THE SURVEY

You can upload additional information and photos at the end of this document. Ensure that there is something typed in each field for the submission to be accepted. Thank you for your participation!
5. Date first met

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
6. How long have you been together?
7. Wedding Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Number of Years Married
8. Relationship Status
8a. If deceased, date wife died.

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
8a. Family Members: If deceased, date husband died.

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
9. How did you meet? (Describe in as much detail as possible.)
For example, New Brunswick, NJ, Rutgers University-College Ave Cafeteria while having lunch with my roommates, he barged in on our conversation. Afterwards, we had a class and...
10. How did your relationship begin? (What led you to date one another)?
11. What attracted you to your spouse?
12. What makes you say, "I would marry him or her again?"
13. Your spouse may be perfect, but what do you think he or she needs to keep working on?
14. What is the key to making your marriage work?
15. Describe the most memorable moment in your marriage?
16. What Scripture or Prayer is a cornerstone of your marriage?
File Upload

Limit 25 documents. Maximum size upload is 10854. Please email larger files to bishoprogersmiller@gmail.com.
Cancelof
I consent to participating in the "To Have and To Hold" Project with Bishop Melanie Miller and follow the guidelines provided:
Please verify that you are human
Signature
What day of the week is best to set up a Zoom meeting with you and your spouse?
What time of date is best to contact you?
Should be Empty:

To Have and To Hold Questionnaire (Husband)

Instructions:

Thank you for your participation!

Verification of Membership in The AME Zion Church:

THE SURVEY