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Autobiographical Questionnaire

 

 1. 

Tell about a person who has had an impact on you. A teacher, neighbor, relative, street person, etc.??? Describe them or tell a particular incident that involves them. (Or do both.)
 

 2. 

Did you ever get in trouble? In school? With your parents? With the police? What happened?
 

 3. 

Can you remember any stories from your childhood that involved animals? How about insect, any good insect stories?
 

 4. 

If you could change one thing about yourself, what would it be? Tell the history of this discontent. When did it all start? How does it affect your life today?
 

 5. 

What were you scared of as a kid? (Nightmares? A relative? etc.) What happened that made you so afraid?
 

 6. 

Did you ever break any bones or hurt yourself? Did you ever hurt anyone else? Get in a fight? What happened and why?
 

 7. 

What is your most embarrassing moment?
 

 8. 

Is there a special place that stands out in your mind as being especially nostalgic? It could be peaceful and spiritual or it could be the closet that you were locked into when you were punished. Describe why this place/space is so memorable. It might be your Grandmother’s attic, a field, a room, a funeral home, etc.
 

 9. 

Any good Halloween, Birthday or holiday stories that come to mind?
 

 10. 

Divide your life into TEN key events that helped shape who your are today from earliest to latest.
 



 
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