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