HOW PREPARED ARE YOU?

Answer the following questions. Each “YES” is worth five points. Total your points to see your score and evaluate how prepared you are.

• I have completed a Living Will
• I have appointed a Health Care Proxy or Surrogate
• I have completed a Will or Trust
• I have appointed a Power of Attorney
• I have given these documents to my (5 points each)
  • Doctor
  • Health Care Proxy
  • Personal Representative
  • Hospital
  • Family Members
• I keep copies of these documents in my car and when I travel
• I have left clear concise instructions on my end of life wishes and communicated these to my family
• I have left clear concise instructions on where to find critical financial documents
• I have copies of my Medicare Card, Supplemental Insurance Card, Social Security Cards and given to my Health Care Proxy
• I have a list of all my medications in the freezer (Vial of Life) or clearly displayed in my kitchen
• I have an up to date list of who to notify if I have an unplanned emergency trip to the hospital, with current phone numbers
• I know where my long-term care insurance policy is and exactly what it covers (if applicable)
• I have an emergency Pet Plan (if applicable)
• My spouse/partner can access my digital passwords
• I have scanned all important documents to a digital file or to the Cloud
• I have made modifications to my home to age safely in place