Client Questionnaire
Pease provide as much information as you can. You are not expected to know all, or even most, of the requested data; but the questions will spark your memory and provide minute seemingly insignificant details. Often, such details such as were relatives lived, their nickname, their occupation or military service, etc., will open entire avenues of research. Email data to: dpagenealogist (@) gmail (.) com
Your Name:
Phone:
Email:
Research Objective:
Father
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Mother
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Paternal Grandfather
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Paternal Grandmother
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Maternal Grandfather
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Maternal Grandmother
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Paternal Great, Grandfather
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Paternal Great, Grandmother
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Maternal Great, Grandfather
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Maternal Great, Grandmother
Date of Birth:
Date & Place of Death & Interment (if applicable):
Occupation:
Places he Lived:
Date, Place, and Bride(s) Name(s) of Marriage(s):
Military Service:
Sibling’s Names, ages & Place of Birth:
Children’s Names ages & Place of Birth:
Additional Information:
Additional Notes
Family stories, oral tradition, or other ancestral information: