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Name
Surname
Email
Phone
Partner's Name
How many children do you have?
First Child's Name
Second Child's Name
Third Child's Name
Fourth Child's Name
Fifth Child's Name
Please contact us to add more children to the form.
Ice Breakers
If you could have any superpower - what would it be and why?
What is your most embarrassing story or cringe worthy moment?
If you were stranded on a desert island and could take 3 things with you - not counting life essentials - what would you take with you?
What is a favourite guilty pleasure movie or TV series?
If you could be any fictional character for a day - who would you be and why?
If you could only eat one food for the rest of your life - what would it be?
If you could time travel to any era - past or future - when would it be and what would you do?
What is the silliest nickname you have been given and how did you get it?
What’s the most ridiculous fashion trend you’ve participated in?
If animals could talk - which animal would you ask just 1 question of?
What is your go-to dance move? Please feel free to show us.
What’s the most ridiculous excuse you’ve used to get out of something?
About your partner
Are there any memories you would like to recount of you and Partner together?
What moment between yourself and Partner will always bring a smile to your face?
How did you feel most loved by Partner?
Through what trial or tribulation did you feel the most supported by Partner?
What joint dream / aspiration or goal that you achieved together makes you the most proud?
What strength or quality do you admire the most about Partner?
How do you envision Partner’s life moving forward?
Are there any unspoken words or sentiments which you would like to express to Partner?
Is there any tradition you would like started on your behalf that will be a way of remembering and celebrating your life?
About your first child
What is one of your favourite memories with your first child?
Can you share a moment where you felt proud of your first child or saw them feeling proud of themselves?
What special qualities do you see in your first child that makes them truly remarkable?
When do you think your first child feels most at peace or most themselves?
Can you share a recent achievement from your first child that made you feel proud or filled you with admiration?
What aspects of your first child’s personality do you admire most?
About your second child
What is one of your favourite memories with your second child?
Can you share a moment where you felt proud of your second child or saw them feeling proud of themselves?
What special qualities do you see in your second child that makes them truly remarkable?
When do you think your second child feels most at peace or most themselves?
Can you share a recent achievement from your second child that made you feel proud or filled you with admiration?
What aspects of your second child’s personality do you admire most?
About your third child
What is one of your favourite memories with your third child?
Can you share a moment where you felt proud of your third child or saw them feeling proud of themselves?
What special qualities do you see in your third child that makes them truly remarkable?
When do you think your third child feels most at peace or most themselves?
Can you share a recent achievement from your third child that made you feel proud or filled you with admiration?
What aspects of your third child’s personality do you admire most?
About your fourth child
What is one of your favourite memories with your fourth child?
Can you share a moment where you felt proud of your fourth child or saw them feeling proud of themselves?
What special qualities do you see in your fourth child that makes them truly remarkable?
When do you think your fourth child feels most at peace or most themselves?
Can you share a recent achievement from your fourth child that made you feel proud or filled you with admiration?
What aspects of your fourth child’s personality do you admire most?
About your fifth child
What is one of your favourite memories with your fifth child?
Can you share a moment where you felt proud of your fifth child or saw them feeling proud of themselves?
What special qualities do you see in your fifth child that makes them truly remarkable?
When do you think your fifth child feels most at peace or most themselves?
Can you share a recent achievement from your fifth child that made you feel proud or filled you with admiration?
What aspects of your fifth child’s personality do you admire most?
Quickfire questions
If you were in a room of everyone you had ever met - alive or dead - who would be the person you would look for?
If someone gave you a box of everything you had ever lost - what would be the one thing you would look for?
If the entire world was ending in a month - what would you do with your remaining time?
If you were to receive a letter from your future self with advice or insight - what would you hope to find inside?
Imagine you had a chance to revisit the past and relive one moment - what moment would that be and what would you do differently? If anything?
If you had to define your purpose in one sentence - what would it be - and how does it influence the choices you make in your daily life?
What is your favourite place on earth?
Tell me about a habit of yours and a pet peeve?
If you were to step into the shoes of any character / cartoon / celebrity or animal - alive or dead for a day. Who or what would it be and why?
Do you feel older or younger than your age and why?
What is the lie you tell yourself most often?
Who was your favourite pet / animal in your life?
What is the day-to-day thing that makes you feel good or brings you the most joy?
What is your favourite thing about yourself?
If you didn’t have to work to earn money - how would you choose to spend your time?
Is humanity inherently good or evil and why did you answer the way you did?
Do you think it’s scarier to imagine that humans are the most intelligent life form in the galaxy or that there is something more intelligent?
What is the most life-changing decision you’ve made on a whim? Can you imagine your life if you hadn’t made that decision?
Can you share a time in your life that stands out — a day / a week or even a month — that holds some of your most joyful or meaningful memories?
As our conversation draws to a close - imagine you’re standing at the edge of a cliff overlooking a vast uncharted landscape. In this moment you have the opportunity to shout one sentence into the wind knowing it will echo throughout eternity. What message do you send out into the world?
Background questions
Can you share a brief overview of your upbringing and family background?
What is a cherished memory or significant event from your childhood?
Do you have any cultural or family-based traditions that you hold close to your heart?
Career
What was the driving factor behind your education and chosen career path?
Are there any notable moments within your career or working years?
Are there any mentors or influences during your career or education you would like to mention or speak about?
Interests
Tell me about your interests or hobbies?
What hobby or activity were you interested in but never got round to trying or fully pursuing?
Any remarkable experiences related to your hobbies or interests?
Values
Describe your personality in a few words?
What are some core beliefs that help shape your world view?
Can you recall a moment that exemplifies your character and values?
Moments
What are significant achievements or milestones in your life that you’re proud of?
What moment has had a lasting impact on you?
Are there any special accomplishments or contributions that hold a special meaning for you?
Lessons
What are some important life lessons you’ve learnt along the way?
Do you have any personal philosophies or outlooks on life and death that you would like to share?
Is there any particular message or advice you would like to pass on?
What is your strongest family tradition?
What is the strangest family habit?
What was your favourite annual family occasion?
Relationships
How would you describe your relationship with family members and friends?
Can you recall a memorable moment or shared experience with a loved one or close friend?
Have you had the opportunity to make a meaningful impact on someone else’s life?
Legacy
How do you hope to be remembered by others?
Are there any specific contributions or actions you would like to be remembered for?
Do you have any causes or passions that you feel strongly about advocating for?
Closing Thoughts
Is there anything else you would like to share or any final reflections you would like to offer?
How do you envision your legacy continuing after you are gone?
Finally - tell your loved ones one last thing to bring comfort in your absence.
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Eulogy Video
Keepsake Journal
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Contact
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Heike Evans - Teaser Video