Please check those topics on which you would like to talk. Check as many categories that may apply.
Your role on the farm: child brother sister uncle aunt husband wife father mother grandfather grandmother hired hand other: (please describe)
Who lived on the farm with you when you were a child (family and non-family members)?
Your position on the farm may have changed over the years as you grew up, married, etc., and you may have experience on more than one farm. Please describe any changes here:
In what year were you born?
Where was/were the farm(s)?
For how many generations was your family farming?
How long were you on the farm(s)?
What were the main products of the farm(s)?
What were other important products?
Was there another source of income, besides the produce of the farm that helped to support you and/or the rest of your family? For example, jobs off the farm, or products of a skill or talent that you or any members of the family may have had? Did you trade or barter for goods and/or services?
Specific topics for consideration. Please check all that apply
farm chores: haying management vegetable gardening regular animal care and management tasks animal reproduction activities building maintenance financial management other:
farm chores in which children usually assisted: haying vegetable gardening animal care housekeeping care of younger children other:
Housekeeping methods: food storage refridgeration cooking laundry making clothes or shoes housecleaning other:
Medical treatment during sickness and after accidents: doctor's role home remedies preventive medicine childbirth other:
Education: schools home other:
Childhood chores an responsibilities. Please suggest any of those you consider important
Family activities: work recreation music games holidays or special events like birthdays, marriages, funerals other:
Do you have any photos or other items of historical significance that you would like us to photocopy?
What other topics would you like to see us include in this project?
Would you consent to be interviewed in your home about your rural family life? yes no Or respond to a more detailed questionaire on any specific topics yes no
Please tell us your name: First: Last Name:
Address:
City: State: ME AL AK AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
Phone number:
Do you know anyone else who would like to participate in this project, please list them with a contact number and best time for us to reach them:
Please feel free to contact us at any time:
The Page Farm & Home Museum University of Maine Orono, ME 04469-5787 Ph : (207) 581-4100 Fax: (207) 581-xxxx or E-mail us at: patricia.henner@umit.maine.edu
A Member of the University of Maine System
