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I'm an awful explainer and kinda new to this, but basically, you're given a family with name options, i.e:
DH [70]: John Henry Michael William (Smith, Jones, Williams)
DW [72]: Olivia Mae Flora Jessica (Walker, Daniels, Freeman)
And you choose a first and middle name from the list of first names and a surname/maiden name as well. You generally get to choose the parents, children, and often grandchildren.
Sorry this wasn't very clear, if you need another explanation just ask!