Collecting Memories
Your loved one deserves a great eulogy. That's exactly what we want
to provide. Please take some time and answer the questions below for
our writers so that they might get to know your loved one and write
sensitively about his or her life. Be as complete as you can, the text
will automatically make all the space you need as you type. After you
email it to us we will begin writing immediately. We'll send it to you
for your approval and then discuss any changes or additions you might
want. We want you to be completely satisfied.
Your name:
Your email:
Your Phone:
Full name of the deceased:
Date:
Name of Funeral Home/Funeral Home City:
When will the funeral or memorial service be held?:
Would you like the eulogy to be written in First Person (My mom was a great woman...) or Third
Person (Dora Stark was a great woman...):
Did he/she have a nickname?:
How old was he/she?:
Date of Birth:
Date of Death:
Was he/she married?
Married for how long?
Is spouse still living?
What was/is spouse’s name?
Where were they married?
Do you know when and where and how they met? Please
share that story here.
His/her parent’s Names:
Was ancestry something that influenced his/her life? If so, please explain.
Did he/she have children?
How many?
Any stepchildren?
Names and Ages please:
Grandchildren?
Names and Ages please:
Great Grandchildren:
Names and Ages please:
Names and Ages please:
Any other important inter-generational relationships?
Do children and grandchildren live in the area?
Did they see him/her frequently?
Describe their relationship.
Names of siblings (Please designate whether they are living or deceased):
Had he/she been ill for a while or did he/she die suddenly?
If an illness, how long was it?
Did he/she suffer much?
Were his or her mental faculties sharp at the end or had dementia set in?
Was he/she living independently or in a nursing/rehab facility?
Did he/she ever talk about his/her childhood?
What stories did he/she tell?
Any stories about teen and young adult years?
What educational level did he/she reach?
Where? What was his/her major?
Did he/she ever serve in the military?
Which branch?
Where?
Any stories?
Did he/she have any obstacles to overcome in his/her life (like chronic illnesses or handicaps or
crisis)?
Would you describe him/her as quiet or outgoing or something else?
How would you describe his/her outlook on life (sunny, somber, pensive, reflective, happy-golucky...)?
What did he/she do for a living?
How many years?
Retired?
Did he/she enjoy the work?
Any other employments?
Are there any stories about his/her work life that you remember?
Name three things he/she enjoyed doing?
What do you think he/she would say were the biggest achievements of his/her life?
What do you think he/she was most grateful for in life?
What was most important to him/her?
What would come in second most important?
Do you think he/she had any regrets about his/her life?
Was he/she a religious person?
If so, to what extent?
Where?
Was he/she involved with any clubs or other organizations?
Did he/she hold a leadership position?
Who were his/her closest friends?
How many years?
How did they meet?
What kinds of things did they do together?
What were his/her favorite pastimes or hobbies?
What other talents or skills did he/she have?
What would you say might have been the greatest day or days of his/her life (other than children
being born)?
What three words do you think best describe him/her?
Is there some phrase or words he/she always used - some expression uniquely his/hers?
What did it mean?
Did he/she grow up here?
If not, what brought him/her to our city and/or state?
What trait or characteristic or value do you think he or she would most like to have passed on to the
next generations?
Did he/she have any pets?
Describe them please.
Did he/she enjoy music?
What kind?
To what extent?
Any favorite songs?
How do you think he/she influenced the lives of those he/she knew?
If someone were to ask you what he/she was like, what would you say in one sentence?
May we quote you?
A second quote from someone else if others are working with you completing this questionnaire:
Who is writing this sentence?
What's your relationship?
May we quote you?
What special memory of him/her do you have - something you did together or something he/she said
or some quirk he/she had.
Are there some things you think would be important to mention about him/her in describing his/her life
that we haven't asked?