Aging Options

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Can You and Your Loved Ones Answer These Questions?

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  • On a scale of 1 to 5, where do you fall on this continuum?


I’m not sure or


1


2


3


4


5

Let me die in my own bed, without any medical intervention

Don’t give up on me no matter what, try any proven and unproven intervention possible

  • If there were a choice, would you prefer to die
    at home, or
    in a hospital?
    I’m not sure
  • Could a loved one correctly describe how you’d like to be treated in the case of a terminal illness?


Yes, or
No

  • Is there someone you trust whom you’ve appointed to advocate on your behalf when the time is near?
    Yes, or
    No
  • Have you completed any of the following: written a living will, appointed a healthcare power of attorney, or completed an advanced directive?
    Yes, or
    No

Please print this out to help aid in your discussion with your loved ones!


Note: We hope to encourage discussion through these questions. The answers you provide do not constitute a legally binding living will or advanced directive.

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