Family History Questionnaire

We are excited to begin this journey with you, and help you discover your family history.

Please fill in as much information as you know, below. This will help in our initial assessment, and clarify your needs.

If you do not know the answer to some of these questions please enter “Not known”.

Your name / and if different, your birth name

Contact Phone Number

Your date of birth

Your place of birth

Your children's names and dates of birth, if relevant

Your father's name and any other names he is/was known by

Your mother's name at birth and any other names she was/is known by

Your father's mother's name, date and place of birth

Your father's father's name, date and place of birth

Your mother's mother's name, date and place of birth

Your mother's father's name, date and place of birth

Your maternal grandmother's mother's name, date and place of birth

Your maternal grandmother's, father's name, date and place of birth

Your maternal grandfather's mother's name, date and place of birth

Your maternal grandfather's father's name, date and place of birth

Your paternal grandmother's mother's name, date and place of birth

Your paternal grandmother's, father's name, date and place of birth

Your paternal grandfather's mother's name, date and place of birth

Your paternal grandfather's father's name, date and place of birth

Your research goals or any particularly tricky or confusing parts of your family history that you would like answered?

Are you interested in the Museum of Perth producing a professionally-designed Family Tree for framing and display in your home (approximately 43 x 60 centimetres)? See example below.