ARE YOU READY?
ELI: Education for Life's Issues
A community education program of San Gorgonio Memorial Hospital, in partnership with the California Coalition for Compassionate Care
Take this "Are You Ready" quiz
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Give yourself 10 points for each "Yes" answer
1. I have made my healthcare wishes known in writing and there is someone who can get to this document today if I could not.
2. I have my healthcare wishes in writing and my primary care physician has a copy and we have discussed this.
3. I have discussed my healthcare wishes with my family, friend, or significant other.
4. I have a trust and/or a will and I have someone who can get access to it today if I could not.
5. I have a plan for when I can no longer take care of myself in my own home.
6. I have a current list of all of my medications and medical history in my wallet or purse and ready in my home if needed.
7. I have a designated person or persons to make decisions for me if I was not able to do so.
8. I have a financial plan to take care of myself for as long as I expect to live.
9. I have someone to call or check up on me daily.
10. I understand my current medical condition(s) and am comfortable discussing them with my healthcare provider.
Total score:
Results - How ready are you?
100 - You are ready; keep your plans current! Very good!
80-90 - Good, just keep your plans current.
70 or below - Work on your plan!
It's about how you LIVE!
For planning information contact Caring Connections
1-800-658-8898, or www.caringinfo.org
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