Family History Survey

Today's Date August 6, 2003

Your Full name
Your date and place of birth
Your residence today
Religious affiliation
Your fathers full name
Your fathers date and place of birth
Your fathers date and place of death
Your mothers full maiden name
Your mothers date and place of birth
Your mothers date and place of death
Your parents date and place of marriage
Their marital status today





Your spouses full maiden name
Your spouses date and place of birth
Your spouses date and place of death
Place and date of your marriage
Your marital status today





This section is for your children. Please include answers to each of these questions for each child.

(1) Full name (2) Date and place of birth (3) Date and place of death (4) Date and place of marriage (5) Child's spouses full maiden name (6) Child's spouses date and place of birth (7) Sex of your child

If you wish to include the same information for any grand-children or other family members (siblings, etc.,) please do so here.

Family History Information

1. What do you know about the family surname?
2. Are there any traditional first, middle or nicknames?
3. Do you know the name of your immigrant ancestor?
4. What country did they come from?
5. When and how did they arrive in this country?
6. Do you know their occupations?
7. Do you know of any ancestors that served in the military? If so, names and which service?
8. Do you know of any family cemeteries?
9. Are there any notorious characters, famous people, knights, or royalty in the family?
10. Do you know of anyone in the family already working on their genealogy?
11. Does anyone have photos, letters, family bibles, etc. that they may share copies with us?
12. Are there any extraordinary events that your family has lived through?
13. Are there any family traditions that you uphold?
14. Are there any family stories that you would like to share?
15. Do you have the names and addresses of other family members that we might contact to share or gain information?
16. Do you have any suggestions for our website?
17. Would it be okay to list your email address on the website along with the line you are researching for others to contact you? If so, which address would you like us to use?
18. Would you like to receive any new information that is sent to us? If so, how would you prefer to receive it?





I would like to thank you for the time that you spent filling out our questionnaire. With an unusual name like QUAIFE we could possibly related somewhere down the line!! If there are some things you would rather not fill in we understand. We are very interested in gaining any information at all that you are willing to share with us so that we can in return share it with other Quaife's out there.

We look forward to hearing from each and everyone of you! If you would prefer to mail this form to me instead of sending it electronically, please email me and I'll give you my home address.