Did the interviewer ask questions as per the Dignity Therapy protocol?	Yes ___	No___
Was the interviewer flexible to include content areas as directed by the patient?	Yes ___	No___
Was the interviewer respectful to the patient’s direction about content areas they wished not to have included in the generativity document?	Yes ___	No___
Was the tone of the intervention respectful, and was the interviewer non-judgmental in attitude?	Yes ___	No___
Did the interviewer use elaborative techniques (as defined in the Dignity Therapy Manual) to elicit further detail when needed?	Yes ___	No___
Was the sequence of contacts as per the Dignity Therapy protocol?	Yes ___	No__
Was the participant prompted to designate at least one recipient of the Dignity Therapy generativity document?	Yes ___	No___
Was the editing process carried out in accordance with the Dignity Therapy protocol?	Yes ___	No___
Was the participant given ample opportunity to make changes to the generativity document?	Yes ___	No___
Was the generativity document read to the patient in its entirety?	Yes ___	No___
Total score	_______ out of 10