| Item or Activity | Taken Action | Thought About but Not Taken Action | Have Not Thought About Taking Action |
| Having a care plan in the event of a serious illness or action | |||
| Documentation of your health care preferences in the event you may no longer be able to make decisions for yourself | |||
| Appointed someone to be your care “proxy” or the person who will make care decisions for you in case you may no longer be able to do so for yourself | |||
| Ensuring you have copies or access to your health records |