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Heart to Heart™ Summary Sheet

Instructions: Circle the suit and identify the cards that contain the issues most important to you, so those who make decisions will know what you want. You can add an explanation on the line provided for any of the 12 cards you picked. In the following example, the 3 of Clubs (I want my family to respect my wishes) was chosen and an explanation was added.

EXAMPLE: CIRCLE CLUBS. (3) Explanation: When I say I want to be cremated, I mean it!

ISSUES MOST IMPORTANT TO ME


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1. ( ___ ) ____________________________________________________________________________________

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Heart to Heart™ “To Do” List

Instructions: Circle the suit and identify the cards that contain items that need to be completed. List what needs to be done to satisfy each wish. The example gives possible tasks to be completed for the 3 of Clubs (I want my family to respect my wishes) .

EXAMPLE: CIRCLE CLUBS. (3) Tasks to be completed: Arrange for cremation. Pay for it. Don’t buy an expensive vase. Spread
my ashes into Trinity Lake.


TASKS TO BE COMPLETED



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1. ( ___ ) ____________________________________________________________________________________

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