Expressing what is important to you
Your hopes and aspirations towards the end of your life - these may include tasks to be completed, decisions to be made, relationships to be enjoyed, things to be put right.
Concerns about the future
Worries about your health and wellbeing - the things in life that matter to you that you would want to preserve if you become ill and are no longer able to cope with normal tasks.
Concerns about people close to you - how they should be informed about your illness and how they might help.
Past experiences of coping with difficulty - If there is any activity you have found helpful in coping with difficult situations or distracting you, please add this to the statement.
You may have enjoyed listening to music. You may have a play list of the music that you enjoy and which brings back pleasant emotions and memories. Please add your favourite music to the statement below.
Your quality of life - whether it is more important to you to live for longer, or perhaps live for a shorter time but have a higher quality of life.
A pet. You may wish to make a statement of how you hope your pet will be looked after. Please write in the statement below. You may want to name a particular person to take care of your pet..
If you wish to leave your organs for donation, please visit the Organ donation website
Or you may wish to make a statement.
Who supports you
You might want to mention those people who you would turn to for support.
Faith and belief
Write down what you would want.
Other preferences and wishes
You have completed this section. However, if you have additional wishes relating to your future, please select 'Add Statement' under 'Document Builder'.