b. There are plenty of people I can rely on when I have problems.
O
O
O
O
O
O
c. There are many people I can trust completely.
O
O
O
d. There are enough people I feel close to.
O
O
O
e. I miss having people around.
O
O
O
f. I often feel rejected.
37. Have you completed any end of life healthcare documents also known as advance directives? O Yes O No
38. Which advance directives have you completed? Please check all that apply.
Pre-Hospital Directive (i.e., DNR or “Do Not Resuscitate Order”
Medical Healthcare
Mental Healthcare
NA, I haven’t completed any advance directives
Living Will
Power of Attorney
Power of Attorney
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□
□
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39. How recent are your advance directives?
NA, I haven’t completed any advance directives
5 to less than 7 years ago
Within the last 2 years
3 to less 5 years ago
7+ years ago
Don’t know
O
O
O
O
O
O
40. Who in your life has a copy of your advance directives? Please check all that apply.
NA, I haven’t completed any advance directives
Family, friend(s), or neighbor(s)
Healthcare provider(s)
Legal professional(s)
No one
Region II: PCOA
Area Plan 2024-2027
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