Questionnaire for Interview Guest Your answers will help us lead the best possible conversation. Name Date of Birth What is your marriage status? Number of siblings? Number of children? Who would you be most interested in sharing your interview with? Is there anything you want us to cover during this interview that is difficult to bring up? Are there any accomplishments that you want us to specifically ask about? Is there any organization you were invloved with that you want us to ask about? What is your mailing address for delivery of the interview? I want my Legacy Interview uploaded to a private YouTube channel. I recognize that placing the interview online may allow an outside person to view or even download your interview. YesNo Submit