Yes, you have to start a new game save. But what you can do if you don't want to start a new game save is this.
Start a new game save to get the story mode. Go through all the questions, and after that do what you want to your sim. Then save your sim(s) in your library. Exit back to your main menu, don't save. Then go to the game save you were playing, and you can then take that sim from your library and place them in your current game save. All their information will still be there.