GURPS Fallout Character Survey

For our next game we decided to play Fallout. Instead of the typical character creation session, I decided to give the players a "Character Interview" and then build the characters myself based on their results.

While I'm not 100% pleased with the final survey, it worked well enough for us to build characters. In the future I may revisit this survey and expand on it. Most of the questions come straight out of Basic Set, so I don't take full credit for this.

Below is the basic form, but I used Google Drive to host the form and record the responses. That can be seen HERE.

Generalized Utility Record and Personal Summery

Basic Information

Name:
Gender:
Age:

SPECIAL

How would your rate yourself? (Total should be around 40)
Strength (1-10)
Perception (1-10)
Endurance (1-10)
Charisma (1-10)
Intelligence (1-10)
Agility (1-10)
Luck (1-10)

Family

Father's Name:
Alive?
Father's Job Assignment:

Mother's Name:
Alive?
Mother's Job Assignment:

Describe your relationship with your parents.

Assignment History

What training have you received?

Do you have any self-taught skills?

What is your current job assignment?

What other job assignments have you held?

Relationships

Friends:

If you can name and describe other vault dwellers you could call friends:

Enemies:

If you can name and describe other vault dwellers you could call enemies:

Close Professional Associates::

If you can name and describe other vault dwellers who are your close professional associates:

Background and Interests

What were the most important moments of your life?

How would you describe your own code of morality?

What are you deep held beliefs?

Likes:

Dislikes:

Hobbies:

Other Interests:

What motivates you the most?

What are your plans for your life in the vault?