Autobiography Data Sheet Chapter One
Who Am I?
Age now: __ __________________________________________________
What do you look like now: ______________________________________
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Eyes: __________________ Hair: _______________ Weight: __________
Height: ______________ What you like to wear: _____________________
Where you live now : ___________________________________________
Describe your personality: _______________________________________
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Describe your house: ____________________________________________
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Describe your bedroom: _________________________________________
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Who are your friends? ___________________________________________
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What do you like to do with your friends? ___________________________
What do you like to do in your free time? ____________________________
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Favorite movie:_____________________ Favorite book: _______________
Favorite season: ___________________ Favorite subject: ______________
Bedtime now: ______________ Favorite place: _____________________
Activities, Sports, or Clubs you are in now: __________________________
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Favorite vacation you have been on and describe it: ___________________
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Places you have lived in your life? ________________________________
Funny incidents that have happened to you in your life? ________________
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Anything else you would like to add in:
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This chapter should include a picture(s) or a self portrait of you now.
Autobiography Data Sheet Chapter Two
My First Year of Life
Date of birth: __________________________________________________
Place of birth: _________________________________________________
Time of Birth: _________________________________________________
Weight: ______________________________________________________
Length: ______________________________________________________
Hair Color: ___________________________ How much: ______________
Eye color: ____________________________________________________
Why were you given your name? __________________________________
Parents always have two names ready for an unborn child…one boy’s name and one girl’s name. Ask your parents what other name they had picked for you? _________________________________________________________
Were there any unusual circumstances surrounding your birth? __________
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Find out when you first….. Smiled:__________________
Slept thought the night: ______________ Sat up alone:_________________
Held a toy: __________________ Cut a tooth:__________________
Ate baby food: __________________ What did you like to eat? __________
What were your first words? ______________________________________
What was your favorite toy? ______________________________________
When did you take your first step? _________________________________
What was your favorite story? ____________________________________
Song: _____________________ Person: ___________________________
Activity: ______________________ Food: _________________________
Place: _______________________________________________________
What funny incidents can your parents remember about your first year of life? _________________________________________________________
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List any other fists that your parents can remember (birthday, outings, holidays, etc.) _________________________________________________
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This chapter should include a picture(s) or a self portrait.
Autobiography Data Sheet Chapter Three
My Family
List the members of your family with at least one important thing about each one:
1. ________________________________________________________
2. ________________________________________________________
3. ________________________________________________________
4. ________________________________________________________
5. ________________________________________________________
6. ________________________________________________________
7. ________________________________________________________
8. ________________________________________________________
What are some things that your family likes to do together? _____________
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What places have your gone? What special times can you remember? _____
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Describe any pets your family may have:
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What responsibilities do different family members have?
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Describe your house: _____________________________________________________________
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If you could change one thing about your family, what would it be? Why?
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What are some of your favorite family traditions?
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List any other things about your family that you feel are important:
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This chapter must include a photograph (s) or drawing(s) of your family.
Autobiography Data Sheet Chapter Four
My Friends
Who are some of your friends? What are their special qualities?
1. ________________________________________________________
2. ________________________________________________________
3. ________________________________________________________
4. ________________________________________________________
5. ________________________________________________________
6. ________________________________________________________
7. ________________________________________________________
What are some things that you and your friends like to do together?
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Do you have a best friend? _____ If so, who is it and why is he/she your best friend?
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What are the qualities of a good friend?
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What are some of the things that you would do for a friend?
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What makes you angry with your friends? _____________________________________________________________
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Have you ever had problems with peer pressure? If so, explain.
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What do you do when your friends are not around?
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Anything else you want to explain or feel is important to know about your friends.
This chapter must include a photograph (s) or drawing(s) of your friends.
Autobiography Data Sheet Chapter Five
My Feelings
Everyone has different feelings. Below is a list of many feelings. Think about times when you experienced some of them, and fill in the blanks about these experiences. You may be specific or very general in your responses.
After you have filled out your feelings, pick a few feelings and write about those experiences and feelings. I do not want you to write a paper that has “I feel sad when…. I feel happy when…. “ Be creative and support your feelings with experiences and details.
Happy _______________________________________________________
Sad __________________________________________________________
Nervous ______________________________________________________
Embarrassed __________________________________________________
Confused______________________________________________________
Proud ________________________________________________________
Brave ________________________________________________________
Lonely _______________________________________________________
Disappointed __________________________________________________
Frightened ____________________________________________________
Angry ________________________________________________________
Frustrated _____________________________________________________
Worried ______________________________________________________
Anxious ______________________________________________________
Confident _____________________________________________________
Excited _______________________________________________________
Hurt _________________________________________________________
Satisfied ______________________________________________________
Smart ________________________________________________________
Ridiculous ____________________________________________________
Secure _______________________________________________________
Exhausted ____________________________________________________
Shy __________________________________________________________
Sorry ________________________________________________________
Thankful _____________________________________________________
Anything else you want to explain or feel is important to know about your feelings.
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Autobiography Data Sheet Chapter six
My Goals for the Future
In this chapter you will write about what you hope will happen to you in the future. This should include short-term goals as well as long germ goals. Think about your hopes and dreams. Some of the ideas below may be helpful in jotting down your thoughts.
Education: ___________________________________________________
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Occupation (job): _______________________________________________
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Family: ______________________________________________________
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Residence (where will you live): __________________________________
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Appearance: ___________________________________________________
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Accomplishments: ______________________________________________
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Hobbies: _____________________________________________________
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Possessions: ___________________________________________________
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What contribution would you like to make to the world? _______________
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What would you like to be remembered for? ________________________
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Anything else you would like to add about your future:
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