Table 1.
1. Tell me a little about your life history; particularly those parts that you either remember most or think are the most important? 2. When did you feel most alive? 3. Is there anything that you would want your family to know about you, and are there things, you would want them to remember? 4. What are the most important roles you have played in life, e.g., in the family, job wise, or in the community? 5. Why were they so important to you and what do you think you accomplished in those roles? 6. What is the most important thing that has resulted from what you have done, and what are you most happy about? 7. Is there anything that you feel needs to be said to your loved ones, or things that you would want to say once again? 8. What are your hopes and dreams for your loved ones? 9. What have you learned about life (that you would want to pass along to others)? 10. What advice or words of guidance would you wish to pass on to your [son, daughter, husband, wife, parents, other(s)]? 11. Is there anything you could say, to help prepare your family for the future? 12. In creating this record, is there more that you would like included? 13. To be asked after the completion of the interview: If you are too ill or unable to complete this document, what would you prefer happened? |