Pre-Interview Questionnaire

Interviewer's name______________________________________________________________

Your name_____________________________________________________________________

Date you filled this out_____________________________

Street________________________________________________________________________

City_______________________________State_______________Zip_____________________

Telephone____________________________________

Birth Date__________________________Birth Place__________________________________

Occupation____________________________________________________________________

Father's Name__________________________________________________________________

Mother's Name__________________________________________________________________

Father's Birth Place______________________________________________________________

Father's Occupation_____________________________________________________________

Mother's Birth Place______________________________________________________________

Mother's Occupation_____________________________________________________________

Number of Brothers______List Brothers' Names________________________________________

Number of Sisters______List Sisters' Names__________________________________________

Describe your life during World War II in the space below. If you were in the service, please list the branch and any significant battles or events you were involved in. If you were involved in the war effort in any way, describe what you did.