This book belongs to. Signature. Page 1 of 32

Transcription

1 This book belongs to Signature Page 1 of 32

2 Statistics Name Maiden Name Address City State Zip Telephone Social Security Number Date of birth Place of birth U.S. Citizen Sex Race Education Marital Status Spouse U.S. Veteran Spouse's Maiden Name Location of Military Information Occupation Page 2 of 32

3 Family Information Father s Name His Place of Birth: Mother s Name and Maiden Name Her Place of Birth: Brothers and Sisters Children Page 3 of 32

4 Grandchildren Page 4 of 32

5 History What did your parents tell you about the day you were born? Who was the President when you were born? What was your nickname and how did you get it? What did your father do for a living? What did your mother do for a living? What do you remember as special about your Grandpa? What do you remember as special about your Grandma? Tell about a favorite Aunt. Tell about a favorite Uncle. Did any relatives ever live with you? What experiences or memories do you have about your cousins? Page 5 of 32

6 What was the naughtiest thing you ever did? Did you get caught? What were the consequences? At what age did you first vote and for whom did you cast your first Presidential vote? Did you ever meet a President in person? If so who? Who was the most famous person you ever met as a child? Did you ever have an imaginary friend? What did you and your brothers or sisters fight about the most? What was the dumbest stunt ever pulled by you and a brother or sister? What was the worst winter storm that you can remember as a child? Page 6 of 32

7 What is your favorite winter sport and was there a special game you played? Did you ever break a bone and how did it happen? Did you ever need stitches? Were you ever sick as a child? What do you remember about your experience at the doctor s? What was the biggest fib you ever told and to whom? What were the most memorable events you remember about your childhood? Page 7 of 32

8 What was your biggest challenge in life? Who had the biggest influence over your life? Who were your best school friends? Who were your best friends as an adult? What was your favorite food as a child and who prepared it for you? Who was your first boyfriend/girlfriend? Where did you go on your first date? Tell about your first kiss. Page 8 of 32

9 What was your most favorite date or special date or special occasion date? What were the family reunions like? What were your favorite and not so favorite subjects in school? What was the biggest problem you remember having in Grade School? Jr. High? Senior High? College? Where did you and your friends hang out? Who was your favorite pet and why? Page 9 of 32

10 How did you spend your weekends after the school week? How did you spend your summers as a child? What was your favorite movie as a child? Did kids ever tease you? About what? How old were you when you first tried to smoke? Do you remember your first pizza? Do you have a good April Fool s day story? As a child what did you want to be as an adult? If you went to college, tell which college, what was your major, why you choose it, and what memory was the fondest about college? Page 10 of 32

11 What is your favorite time of year? Why? What chores did you have as a child? What allowance were you paid as a child? Have you ever hunted, or tried to capture a wild animal? If you went hunting, what was your best hunting trip? Share a memory of going to church as you were growing up? Did you ever have a recurring dream as a child? When you played make-believe what did you pretend? Page 11 of 32

12 What was your most favorite birthday party? Did you ever write something that you were really proud of? What is the best book you ever read? What is the biggest problem you had to deal with? Did you have any superstitions? Where were your best hide-and-seek places? Tell about the first time you were ever behind the wheel of a car? What was your first car? Did you have a tree house? Where was it and what games did you play? Were you ever bitten by an animal or person? Page 12 of 32

13 Did your Mother ever make a special gift for you? Did you make your mother a special gift? Tell a favorite memory of your mother. Did your Father ever make a special gift for you? Did you make your father a special gift? Tell a favorite memory of your father. Page 13 of 32

14 What good advice did your parents give you? Do you remember any special childhood songs or rhymes? What was your favorite singing group? Favorite song? What kind of dances did you do as a youth or young adult? Tell about your high school prom or formal dance? What year did you graduate? What do you remember about graduating day? How many students were in your high school? In your graduating class? What was your proudest moment? What is your most favorite holiday? Why? Page 14 of 32

15 What musical instrument did you play? Did you play in a band? What was your favorite song to play? Did you sing in a choir? What was your favorite song to sing? Tell a story about the closest friend you had? Is there anything special or unique that you kept from childhood? Did you ever go camping? Where? What was the occasion? What was your first job? How much did you get paid? Did you ever win anything? Were you ever in a parade? When? What was the occasion? Share a childhood memory about a death that affected you. Page 15 of 32

16 Tell about your happiest memory as a child? Did you ever learn to swim? Who taught you and where did you go swimming? Describe the military experience of someone in your family. Share a memory involving a war during your childhood or youth. If you were in the military, share a memory. Page 16 of 32

17 What is your most memorable boot camp experience? If you were in the military during wartime where were you stationed? Did you receive any decorations? What were they for? What was your rank on discharge? What was your worst military meal? Did you have a special nature place where you went to explore? Did you ever go skinny dipping? Describe a few of the favorite hair styles of your youth? Page 17 of 32

18 Tell about seeing something you thought was very beautiful. What kind of games did you like to play? What were the best fireworks display you have ever seen? Did you ever go to the County and/or State fair? Which one was your favorite and why? Did you ever go to a circus? What was your favorite summertime memory? Where did you go fishing in your childhood? What was your biggest catch? What was the longest trip you have ever gone on? What foreign countries have you visited? What is your favorite snack? Share a memory about going on a picnic? Page 18 of 32

19 Who was your favorite President? Why? Share a memory of the worst summer heat wave and the worst winter weather. Did you experience a tornado, hurricane, flood, or other natural disaster? Share the best vacation experience you can recall? Page 19 of 32

20 Share the most unpleasant vacation experience you can recall? Do you have any other memories about a river, lake, or beach and would you like to share? If you were to return to your youth what would you do differently? What event would you like to do again? Page 20 of 32

21 If you did not have to worry about making a living what would you have done with your time? Describe your childhood home and neighborhood? Tell a memory about having company at your house or of a family party. Did your mom and dad have a favorite remedy for what ailed you? What are your best talents? Did you ever get lost? Where? Who found you? Tell about being stung by a bee or wasp. Or an experience with poison ivy. Page 21 of 32

22 Share a memory of staying overnight with a friend? If you ever ran away from home, tell about it. Did you ever make a purchase that you later regretted? What was your best investment? What was your worst investment? What were your favorite toys? Who was your favorite hero? Why? Did you ever have a fire in your home or accidentally catch something on fire? Did you ever have an accident? Tell about the school bully? Page 22 of 32

23 Name the schools that you went to. What was your most embarrassing school moment? If you were ever in a fight, tell about it. What was your most memorable birthday cake or party? What good advice would you give to your children or grandchildren? What is the strangest thing you ever saw? Page 23 of 32

24 Tell a story about a mouse or bat or loose animal in the house. Did you ever lose something really important to you? Was an injustice ever done to you? What were the best things about your life? Share a favorite fall memory. What is the farthest you ever ran or walked? Page 24 of 32

25 Do you have a story about standing up against odds for something you really believed in? Did you ever help in harvesting a crop or help on a farm? What hobbies or special collection do you have? What is your scariest memory? Did you ever dress up in a costume? What was the occasion? Do you have a ghost story to relate? What book or books would you recommend everyone to read? What were your favorite movies? Page 25 of 32

26 How did you meet your significant other (spouse)? What was your first date with him/her like? What qualities first attracted you to him/her? Tell about your courtship days? Where were you when you proposed or got proposed to? When and where were you married? What was the wedding like? Where did you go on a honeymoon? Page 26 of 32

27 Tell about where you lived when first married. What was your job at the time? What habits in your spouse did you try unsuccessfully to change? Tell about the most serious problem or challenge you faced during your early years of marriage. What is the most memorable memory of your spouse? If you had children, how did it change your life? Page 27 of 32

28 How did you choose your children s names? What is the funniest story you remember about raising your children? What is the most memorable event you remember about your children growing up? When your first child went to school for the first day where were you? What was your most memorable parental experience? What family traditions did you try to create or continue? Page 28 of 32

29 If you lost a spouse or best friend; describe the experience and what you discovered about yourself that you did not know or changes you made because of loss. If you had a 2 nd marriage, tell how you met and why you felt it would work. What was the most difficult thing to work out with the 2 nd marriage? What is your fondest story about your second marriage? Page 29 of 32

30 Were you ever in a life-threatening situation? Do you have any knowledge of how your first name was chosen? Tell about something you built, designed, or made. What were your family Christmas traditions? Do you have a special memory of one of them? Do you remember celebrating any special wedding, anniversaries of your parents or grandparents? What did you like about your career? What made you choose this career and why did you stay with it? What didn t you like about your career choice? What is your idea of being successful? Page 30 of 32

31 Tell about your most memorable experience with a computer? Did you try something totally different? Do you know any history or famous people from your hometown? Is there anything special that has happened to you in your life that has helped you be who you are? If you were going to leave a message to your family, what would you say? Page 31 of 32

32 What makes you laugh? If you had only one word to say about life, what would it be? If history truly repeats itself, we should try to create a solid history for our family, so they can possibly learn from our mistakes and grow from our love. Page 32 of 32