Name of student:___________________________

Name of person filling out

survey:________________________________
Family Heritage Interview
Dear Families,
We are discussing personal identity this week, and talking
about what makes each of us unique. Please go over these
questions with your student to help us with our project. You
may write the answers for your child, but please discuss
with them what you are writing. We are going to use these answers to help us throughout the
week. Thank you for taking time to lend a helping hand!
--Mrs. OLeary

1. What is your familys heritage? Or what is your ancestors origin? (For example, my
last name is OLeary, and that is Irish)

2. What are some of your familys traditions?

3. What are some holidays that you celebrate?

4. Where do you live and who lives with you in your home?

5. What are your family dinners like? (Who all is there? Who cooks? Where do you get
your food)

6. How did you get your name or what do you think it means?

7. Is there anything unique you would like to share about your family?