Completing this section will give whoever’s filling-in for you an insight into your loved one’s life, helping them understand the significance of stories and names and provide a basis for casual conversation.
Birthdate:
Birthplace:
Favourite name(s):
Spouse’s name and birthday:
Terms of endearment:
Wedding anniversary:
Years together:
Children: Name(s) and birthdays:
Grandchildren: Name(s) and birthdays:
Close friends: Name(s) and birthdays:
Place(s) lived:
Job(s)/Occupation:
Other useful information:
For more information visit:
Dementia SA: http://www.dementiasa.org/ or Alzheimer’s South Africa: http://www.alzheimers.org.za/
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