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Thanks for interest in creating a video memoir with Words of Clarity.

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We're excited to start the process of turning all your wonderful memories and stories into a special keep-sake for you and your loved ones.

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But first, before we sit down and start filming, we'll need a few pieces of key information from you so we can tailor your experience to suit you. It also helps us stay on track during our filming time together.

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Just a friendly hint to help you get started - this is not the space to go into any great detail. It's simply a way for us to build a basic picture about you and your life before we add all the exciting details later on. 

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Please also be mindful, unfortunately the form can't be half filled, saved and filled out at a later time. So you'll need to complete in one sitting once you start.

PART 1: Let's get to know you...

Parents

My mother is:
My father is:

Siblings

Close Relationships

Please select an option based on your current relationship status:

Other important Relationships

Apart from your immediate family, who are/were the 3 most important people in your life? Pets are okay to add too! Same goes for mentors, spiritual leaders, etc. What matters is the positive impact they have made on your life. Please fill out details on each one...

Additional information

Thanks for taking the time to complete our online form. We'll be in touch to discuss filming dates and what to expect during the filming process...

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