- What worries you
- How does your family health history factor in to your end of life planning
- Who’s important in your life that you’d like to know of your plans
- Who would you talk to about being your Substitute Decision Maker
- What are your spiritual or religious needs
- How important is quality of life vs living longer
- How important is ‘comfort’ to you and what does that mean
- How much do you know -or want to know – about life prolonging interventions
- How important is ‘independence’ and what does that mean to you
- Is there anyone who might not agree with your wishes
- Is there anything you feel important that your family and community should know about you