Pre Interview Questionnaire - Loved One

Name

First Name

Last Name

Name of Interviewee

First Name

Last Name

Relationship with Interviewee

Would you like to stay involved in planning or leave it fully in their hands?

Please list at least three stories, memories, or moments you’d especially love to hear them talk about.

Is there a specific occasion this is tied to? (e.g., birthday, anniversary, memorial, just because)

Does your loved one have a favorite drink or snack? If possible, we like to bring a small surprise on filming day to help them feel comfortable and cared for.

Is there anything else you’d like to share with us before we begin?