YOURSELF

Full      Name:___________________________________________________________________________
Age: Date of Birth:__________________________________________________________________
Place of Birth:______________________________________________________________________
Where did you grow up?______________________________________________________________
Are you single, widowed/widower, engaged, married, divorced? ______________________________
If married, when?____________________________________________________________________
where?____________________________________________________________________________
Husband's/wife's name?______________________________________________________________
Occupation?________________________________________________________________________
How did you meet your spouse?________________________________________________________
How long did you court?_______________________________________________________________
How did your parent's feel?____________________________________________________________
______________________________________________________________________________________

PARENTS

Names:____________________________________________________________________________
Are your parent's living?            Y              N
If not, how did they die?_______________________________________________________________
How old were you?___________________________________________________________________
How did your life change with his/her passing?____________________________________________
Parent(s) Occupation?________________________________________________________________
What was the major industry of the town in which you grew up?______________________________
Did your father work at a factory?_______________________________________________________
Did he work in the field?______________________________________________________________
If your father was a farmer; what kind of livestock and/or crops did he raise?____________________
_______________________________________________________________________________________

CHILDREN

Do you have any children?     Y            N
How many alive?________
How many deceased?         _________
And if deceased how old were they and what did they die of?________________________________
Children's names and ages?___________________________________________________________
If they aren't with you, where are they?  They could be with parents, in-laws or other family       members, neighbors, etc. _____________________________________________________________
Why did you leave them?______________________________________________________________
What education have you had?_________________________________________________________
What education has your husband had?__________________________________________________
What religious affilation are you?________________________________________________________

First Person Biographical Information.