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41. What are the reasons you haven’t completed advance directives so far? Please check all that apply. □ NA, I have completed advance directives □ Don’t know who to pick as a healthcare power of attorney
□ Doesn’t feel important
□ Not sure where to begin
□ Unpleasant to think about
□ Don’t understand what it is
□ Can’t talk with anyone about it
□ Concerned about cost
□ Other (please specify):
□ I don’t know
About You
Finally, we would like to learn a bit about who you are.
43. What is your zip code? ______________
42. What year were you born? ______
44. What is your current living arrangement? If you live alone, check ‘Live alone.’ If you live with others, please check all the other options that apply. □ Live alone □ Live with other family □ Live with partner or spouse □ Live with friends or roommates □ Live with parent(s) or in-law(s) □ Other (please specify):
45. Which of the following best describes how you pay for your housing?
O Own outright (no mortgage)
O Pay a mortgage
O Pay rent
O Other (please specify):
Region II: PCOA
Area Plan 2024-2027
Page 79 of 113
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