2. My Life in Facts and Photos
Let’s Talk About Me
My Life in Facts and Photos
Photo from the past
Photo from the present
Name:
Name
Elliot, G. (2017)

3. My name is ___________. This is me when I was younger. This is me now.
Elliot, G. (2016)

4. My Schedule
Time
Event
Location
Check when done
Elliot, G. (2017)

5. My schedule for today
I put a check mark on the schedule when I am finished each thing noted on my list.
( ) My schedule is on my kitchen table.
( ) My schedule is on my night table.
( ) My schedule is ________________________.
( ) I don’t use a schedule.
Elliot, G. (2017)

6. My full name is: _________________________
My Address:
My Phone Number:
Elliot, G. (2017)

7. If I had an emergency I would contact:
Name: ____________________________________
Phone:____________________________________
Special instructions I need to remember in case of emergency:
Elliot, G. (2017)

8. Things I must remember. Important phone numbers: Other
Elliot, G. (2017)

9. My birth date is: _______________.
A photo of me celebrating.
My favourite birthday memories.
________________________
Elliot, G. (2017)

10. This is where I live. Address I have lived here for ______ years.
Some of my favourite memories are:
Photo
If the person lives in a nursing home, place a photo of the home and a picture of his/her room.
If this is upsetting – because the person does not wish to live here - do not use this page.
Elliot, G. (2017)

11. My Early Years Details about where I was born:
______________________________.
This is a photo of where I grew up.
If you do not have a photo of the town
Elliot, G. (2017)

12. This is where I lived in the past.
Elliot, G. (2017)

13. These are pictures of my living space now.
Insert photo
Describe as needed.
Elliot, G. (2017)

14. This is where I eat.
Elliot, G. (2017)

15. Some of the jobs I do each day are:
List the tasks and details as needed A schedule is recommended.
Elliot, G. (2017)

16. Some routines are important to me. These include:
Morning routines
Meal routines
Bedtime routines
Other
Elliot, G. (2017)

17. Some of my routines or rituals include: (For example, are you a morning person or a night owl? Do you like to sleep late or get up early? Do you like to say prayers or have coffee before breakfast?)
Elliot, G. (2017)

18. This is how I would describe myself.
Elliot, G. (2017)

19. Things I want people to know about me.
Elliot, G. (2017)

20. Things I like people to know about me.
Language(s) I speak:
Language(s) I can read:
My religion is:
Religious/spiritual practices that are important to me.
Elliot, G. (2016)

21. Other things I like people to know about me.
My favourite movies and/or television shows.
My favourite types of music.
Singers
Songs

22. This is how I like to spend my time.
My favourite things to do.

23. The foods I like and don’t like.
Sweets
Treats
Meats
Fruits &Vegetables
Foods I do not like:
Sweets
Treats
Meats
Fruits &Vegetables
Elliot, G. (2017)

24. Other things I like people to know about meals and foods I like and don’t like.
Elliot, G. (2017)

25. The things I liked to do best when I was younger.

26. The things I never enjoyed when I was younger.
Elliot, G. (2017)

27. The things I like to do now.

28. Things I like to do when I have time.

29. Things I would like to do but I don’t do now.

30. I like to talk on the phone to:
Name
Phone Number

31. People who visit me regularly.
Names and photos

32. Growing Up My Family I had ________ brother(s).
I had ________ sister(s).
Others that lived with us include (such as animals and/or other family or friends):

33. My favourite memories of my parents.
Elliot, G. (2017)

34. Siblings: Photos and stories.
Elliot, G. (2017)

35. My best childhood friends.
Elliot, G. (2017)

36. My favourite childhood stories and memories.
Elliot, G. (2017)

37. My favourite childhood stories and memories.

38. My school years. I attended a school called ___________________.
My favourite memories of my school years are:
Names of friends
Things they did together
Chores

39. More memories of my school years.

40. First Dates, Dances & Romance
My recollections of my first dates, dances and fun are:
How important was “getting married” to me?
How important was “getting married” to my family?

41. Marriage I married_________________ on _________, _____.
This is what we looked like then This is us in more recent years.
Date Year
Elliot, G. (2017)

42. Photos and stories about our life together.
Details:
Details:
Photo
Photo

43. Children I had _________ child/children. Their names are:
Elliot, G. (2017)

44. Photos and/or stories about my children.

45. Photos and/or stories about my children.

46. Photos and/or stories about my children.

47. Special memories about my children.
Elliot, G. (2017)

48. These are photos of my grandchildren and their parents.
Elliot, G. (2017)

49. These are photos of my grandchildren and their parents.
Elliot, G. (2017)

50. These are photos of my grandchildren and their parents.

51. Photos of my best friend(s).
Insert photos and names.

52. My friends – photos and/or stories.

53. Things I always like to do with friends.
Elliot, G. (2017)

54. Photos of special people in my life: friends, heroes and family.
Elliot, G. (2017)

55. People I have admired.

56. Pets I have had ________ pets over the years.
List what type of pets you had:
List your favourite types of animals:

57. My Career
What job(s) did I do/have in the past?

58. My first job(s). What I liked most about my first job(s).
Things I did not like about the jobs I have had.

59. Chores (Did you have any chores or daily responsibilities that you would like tell others about?”

60. My Fashion and Style (Describe the types of fashions you liked best
My Fashion and Style (Describe the types of fashions you liked best. Add photos if you have them. Think about what you wore for work and for play.)
Insert photos and descriptions of your favourite clothes to wear for home, work and/or special occasions.

61. Favourite transportation (Did you have a favourite car or other method of transportation?)

62. The biggest risk I ever took was . . .

63. Summer Vacations
My best memories of summer vacations are:

64. These are photos from special occasions or stories from special occasions.
Elliot, G. (2017)

65. These are photos from special occasions or stories from special occasions.
Elliot, G. (2017)

66. My special skills and talents are:

67. My favourite sports or athletics. (Include photos or stories.)

68. My volunteer activities.

69. Special awards I have received.

70. The greatest adventure(s) I have ever had:
Insert photos and details.

71. Some of my favourite memories that I like to share with others.

72. Some of my favourite memories that I like to share with others.

73. Other details about me.

78. Note For more information about memory books see:
Bourgeois, M., (2014) Memory and communication aids for people with dementia. Baltimore, MD: Health Professions Press.
Elliot, G. (2017)

79. My Life in Facts & Photos
Created by: Gail Elliot, BASc, MA
DementiAbility Enterprises Inc., Canada
In partnership with AMI World Assembly, Prague (2017) AND
Anne Kelly, RN
Montessori Ageing Support Services
Australia
Jennifer Brush, MA, CCC/SLP
Brush Consulting
USA
Michelle Bourgeois, PhD
University of South Florida
USA
© 2017
ISBN: