Family Tree Questionnaire

FAMILY TREE QUESTIONNAIRE

YOUR FULL AND COMPLETE NAME:

YOUR MAIDEN NAME:______

YOUR DATE OF BIRTH:______

WHERE WERE YOU BORN:______

WHERE DID YOU LIVE:

(Street Address)______

(City/State/Zip Code)______

Phone Number ( )______-______

E-Mail address:______

WHERE DID YOU GO TO SCHOOL:______

______

WHAT IS / WAS YOUR OCCUPATION:______

WHAT ARE YOUR HOBBIES:______

WHAT ARE YOUR OTHER INTERESTS:______

YOUR FATHERS FULL NAME:______

WHERE & WHEN BORN/DATE OF BIRTH/DEATH:

______

HIS OCCUPATION:______

YOUR MOTHERS FULL NAME:______

HER MAIDEN NAME:______

WHERE & WHEN BORN/DATE OF BIRTH/DEATH:

______

HER OCCUPATION:______

WHEN & WHERE WERE YOUR PARENTS MARRIED (if known)(DATE/LOCATION):

______

YOUR MOTHER AND FATHER HAD THE FOLLOWING CHILDREN:
(your brothers and sisters)

Name at birth:

1.  ...... (date born/where)...... ………..

2.  ...... (date born/where)...... ………..

3.  ...... (date born/where)...... ………..

4.  ...... (date born/where)...... ………..

5.  ...... (date born/where)...... ………..

6.  ...... (date born/where)...... ………..

7.  ...... (date born/where)...... ………..

8.  ...... (date born/where)...... ………..

9.  ...... (date born/where)...... ………..

10.  ...... (date born/where)...... ………..

11.  ...... (date born/where)...... ………..

12.  ...... (date born/where)...... ………..

ARE ANY OF THE ABOVE DECEASED?

......

ARE ANY OF THE ABOVE CHILDREN MARRIED, IF YES, TO WHOM & WHEN?

name:...... when...... name:...... "...... name:...... "...... name:...... "...... name:...... "...... name:...... "......

ARE YOUR PARENTS DECEASED?
Mother...... location & date......
Father...... location & date...... …

YOUR FATHERS PARENTS NAMES/DATE OF BIRTH/DEATH:

(list their siblings on back of form, including dates of birth/death)

Your Grandmothers maiden name:______

Your Grandfathers name__________

YOUR MOTHERS PARENTS NAMES/DATE OF BIRTH/DEATH:

(list their siblings on back of form, including dates of birth/death)

Your Grandmothers maiden name:______

Your Grandfathers name__________

YOUR GRAND PARENTS, PARENTS NAMES/DATE OF BIRTH/DEATH:

ON YOUR FATHERS SIDE OF THE FAMILY:

(list their siblings on back of form, including dates of birth/death)

Your Great Grandmothers maiden name: ______

Your Great Grandfathers name:

______

YOUR GRAND PARENTS, PARENTS NAMES/DATE OF BIRTH/DEATH:

ON YOUR MOTHERS SIDE OF THE FAMILY:

(list their siblings on back of form, including dates of birth/death)

Your Great Grandmothers maiden name: ______

Your Great Grandfathers name:

______

IF YOU HAVE INFORMATION ON OTHER ANCESTORS BEYOND YOUR GREAT GRANDPARENTS PLEASE INDICATE ALL NAMES/DATES of BIRTH/DEATH

(use back of this form)

FULL AND COMPLETE (maiden) NAME OF YOUR SPOUSE:

HOBBIES (and interests):______

FULL NAME OF SPOUSES FATHER:______

FULL NAME OF SPOUSES MOTHER (maiden):______

WHERE AND WHEN DID THEY MARRY:______

BROTHERS AND SISTERS OF YOUR SPOUSE:

Name at birth:

1...... (date born/where)...... ……

2...... (date born/where)...... ……

3...... (date born/where)...... ……

4...... (date born/where)...... ……

5...... (date born/where)...... ……

6...... (date born/where)...... ……

7...... (date born/where)...... ……

8...... (date born/where)...... ……

9...... (date born/where)...... ……

10...... (date born/where)...... ……

11...... (date born/where)...... ……

12...... (date born/where)...... ……

INFORMATION ON YOUR MARRIAGE

WHERE MARRIED:______

WHEN MARRIED:______

YOUR CHILDREN:

Name at Birth:

1...... (date born/where)...... ……..

2...... (date born/where)...... ……..

3...... (date born/where)...... ……..

4...... (date born/where)...... ……..

5...... (date born/where)...... ……..

6...... (date born/where)...... ……..

ARE ANY OF THE ABOVE CHILDREN MARRIED, IF YES, TO WHOM & WHEN?

name:...... when...... name:...... "...... name:...... "...... name:...... "...... name:...... "...... name:...... "......

If any of your children are married and have children of their own, would they be prepared to complete a "family questionnaire" of their own? If so then…

Please forward their name and address so a questionnaire can be sent to them.

Name:………………………………………………………………………..

Address:……………………………………………………………………...

City/State/Zip……..…………………………………………………………

Phone Number:( )…………… .- ………………………

Name:………………………………………………………………………..

Address:……………………………………………………………………...

City/State/Zip……..…………………………………………………………

Phone Number:( )…………… .- ………………………

Name:………………………………………………………………………..

Address:……………………………………………………………………...

City/State/Zip……..…………………………………………………………

Phone Number:( )…………… .- ………………………

(feel free to write on the back of this form if more space is needed)

IF YOU KNOW OF ANY FAMILY MEMBER/S THAT ARE INTERESTED IN THE FAMILY HISTORY, COULD YOU PLEASE FORWARD THEIR NAME AND CURRENT ADDRESS?

Name:………………………………………………………………………..

Address:……………………………………………………………………...

City/State/Zip……..…………………………………………………………

Phone Number:( )…………… .- ………………………

Name:………………………………………………………………………..

Address:……………………………………………………………………...

City/State/Zip……..…………………………………………………………

Phone Number:( )…………… .- ………………………

Name:………………………………………………………………………..

Address:……………………………………………………………………...

City/State/Zip……..…………………………………………………………

Phone Number:( )…………… .- ………………………

(feel free to write on the back of this form if more space is needed)

DO YOU HAVE ANY PAPER CLIPPINGS, PERTAINING TO FAMILY EVENTS, THAT COULD BE COPIED?

(Please List Person(s) in article/year of article)

______

______

DO YOU HAVE ANY BIRTH, MARRIAGE OR DEATH CERTIFICATES THAT COULD BE COPIED?

(Please List Person(s) on Certificates & indicated what type of document)

______

______

DO YOU HAVE ANY PHOTOGRAPHS THAT YOU WOULD BE WILLING TO HAVE REPRODUCED OR BRING TO THE REUNION OR EMAIL? ______you may email photos to:

Names of RELATIVES in photographs/year(s) taken:

______

We do appreciate the time that has been spent on answering the above questions. If at anytime there are further additions or corrections, could you please notify us as soon as possible including any current births or deaths.

THANK YOU!!!!

Fatimah Hassan

Please mail your completed form to:

Fatimah Hassan

P.O. Box 1948

Rialto, Ca. 92377-1948

email:

all info will be updated to the family tree