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Living Will / Advance Directive Worksheet — Free Printable PDF

Per-decision worksheet for life-support, hospice, organ donation, and pain management — pre-think before signing the state-specific advance directive.

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Decisions, not documents, are the hard part

The legal advance-directive form takes 20 minutes. The decisions behind the form take weeks of conversations and end up un-made — and the family ends up guessing in an ICU at 2 a.m.

Sibling page: the End-of-Life Wishes Document (`/seniors/end-of-life-wishes-document`) is a *letter* of broader wishes; this is the structured *decision worksheet* directly mapped to the choices a hospital will ask about. Use both.

Conditions / when matters because almost no one wants the same thing in every scenario. “No CPR if irreversibly unconscious” is different from “no CPR ever” — write the conditions out in your own words; the legal form will encode them.

Templates only — not legal advice. Every jurisdiction has its own statutory form (US states, UK Lasting Power of Attorney for health, Canadian provinces). Sign that form *after* using this worksheet, not instead of it.