copyright ed young, PhD 1 A PERSONAL HISTORY CHONOLOG by Ed Young, PhD

copyright ed young, PhD 2 Mom’s (Step) Father ______ Is he living?______ What was he like? _________________________ ________________________________________ Did he have any problems? __________________ ________________________________________ How (did) do you feel about him? ____________ _________________________________________ _______________________________________W hat role did he play in your 0wn life? ________ ________________________________________ ________________________________________ Mom’s (Step) Mother _____ Is he living?________ What was he like? __________________________ _________________________________________ Did he have any problems?___________________ _________________________________________ How (did) do you feel about him? _____________ _________________________________________ _________________________________________ What role did he play in your life? _____________ _________________________________________ _________________________________________ Dad’s (Step) Mother ____________ Is he living?___ What was he like? ___________________________ __________________________________________ Did he have any problems? ____________________ __________________________________________ How (did) do you feel about him? ______________ __________________________________________ _________________________________________ What role did he play in your life? ______________ __________________________________________ __________________________________________ Dad’s (Step) Father______________ Is he living?___ What was he like? ____________________________ ___________________________________________ Did he have any problems? ____________________ __________________________________________ How (did) do you feel about him? ______________ ___________________________________________ ___________________________________________ What role did he play in your life? _______________ ___________________________________________ ___________________________________________ When you think about it for awhile, what kind of an effect do you think your Grand Parents had on your Mother when they were raising her? _______________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ When you think about it for awhile, what kind of an effect do you think your Grand Parents had on your Father when they were raising him? ______________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ _______________________________________________________________________________ Your Name ____________

copyright ed young, PhD 3 Father _____________ Is he living?______ What is he like? _________________________ ________________________________________ Does he have any problems? _________________ ________________________________________ How (did) do you feel about him? ____________ _________________________________________ _______________________________________W hat role did he play in your 0wn life? ________ ________________________________________ ________________________________________ Mother _____ Is she living?________ What is she like? __________________________ _________________________________________ Does she have any problems?_________________ _________________________________________ How (did) do you feel about her? _____________ _________________________________________ _________________________________________ What role did she play in your Own life?________ _________________________________________ _________________________________________ (Step) Mother ____________ Is she living?___ What is she like? ___________________________ __________________________________________ Did she have any problems? ___________________ __________________________________________ How (did) do you feel about her? ______________ __________________________________________ _________________________________________ What role did she play in your Own life? _________ __________________________________________ __________________________________________ (Step) Father______________ Is he living?___ What is he like? ____________________________ ___________________________________________ Did he have any problems? ____________________ __________________________________________ How (did) do you feel about him? ______________ ___________________________________________ ___________________________________________ What role did he play in your Own life? ___________ ___________________________________________ ___________________________________________ When you think about it for awhile, what kind of an effect do you think your Parents had on you when they were raising you? _______________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ When you think about it for awhile, what kind of an effect do you think your Step Parents had on you when they were raising you? _________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ _______________________________________________________________________________ Your Name ____________ Have your biological parents been divorced and remarried? ________________________________ ________________________________________________________________________________

copyright ed young, PhD 4 Earliest Memories In a somewhat chronological order, briefly describe in the blanks below the major negative and positive turning points in your life. Childhood Memories Pre-teen years PEOPLE EVENTS OR PLACES Early teen years Late teen years

copyright ed young, PhD 5 Young adult In a somewhat chronological order, briefly describe in the blanks below the major negative and positive turning points in your life. Adult PEOPLE EVENTS OR PLACES Continued Take those negative and positive influences that seem to have been the most important in changing the direction of your life and list them in consecutive and in some cases parallel order. See if you can find connections that have shaped the direction of your life and mark these connections.

copyright ed young, PhD 6 Birth Development of Personality Characteristics A sample list the personality characteristics that can be acquired or changed over the course of your life. Health Growth In Strength Fun, Spontaneity, Outgoing Curiosity, Skill, Adventuresome Love of Learning and Trying Love of Retaining and Using Knowledge Expressing and Understanding Feelings Remembering Past and Tagging for Future Recall Understanding and Using Cause and Effect Concepts Understanding Positive and Negative Consequences and Self Control and Correction Understanding the Rationale and Value of Values and Principles Learning to Think and Think Twice before Acting and Resistance to Negative Peer Influence Learning the Value of Honesty and Integrity Learning Fairness and Sharing Developing Conscious Pursuit of Creativity Understanding How to Estimate Risk and to Show Courage Developing a Capacity for Responsibility and Reliability Appreciating Independent Judgment and Accountability Developing a capacity for Determination and Persistence Learning Self Reliance and Productivity Learning consideration for Others, Politeness, and Diplomacy Learning to Integrate Time and Short and Long Term Goals Learning Patience, Delay, Moderation, and Conservation Developing Leadership, and Social and Civic Responsibility Developing Wisdom, Vision, and Serenity Present CHARACTERISTICS TYPICALLY ACQUIRED DURING DEVELOPMENTAL STAGES OUR PERSONAL ROAD OF LIFE

copyright ed young, PhD 7 Influences Take the influences you listed on page 5 and put them in consecutive order on the left above. In the column on the right list the personality characteristics that were acquired or changed over the course of your life. OUR PERSONAL ROAD OF LIFE Present Development of Personality Characteristics Birth Characteristics

copyright ed young, PhD 8 In the Spaces Below, List and Describe, on the Left Side, What You Feel Are the Major Transitional Periods in Your Life or the Most Critical Events and the Significant People Involved and, on the Right Side, Describe the Influences They Had on the Development of Your Personality. Transitional Periods and Events ___________________________ __________________________ Influences on Your Personality __________________________