NOTE: This Pre-Planning Guide is intended merely as a worksheet which presents items which you will need to consider during the pre-arranging process - no values or preferences indicated on this form will be submitted or recorded in any way.
In the event of my death, who would be responsible for making the arrangements?My spouseMy son or daughterMore than one of my childrenA good friend or neighborOne or both of my parentsI'm not sure
The funeral I want would include:A copper or bronze casketA hardwood casketA steel casketCremation with a memorial serviceVisitation for friends and relativesA traditional service or a personalized remembranceI'm not sure
Have I ever been responsible for making funeral arrangements? Yes No
Today, I would expect my funeral to Cost $
In 5 Years I would expect to pay $ for that same funeral.
In 10 Years I would expect to pay $ for that funeral.
The money needed to pay for my funeral would come from:My life insuranceMy savingsMy family's savingsA bank loan taken out by my spouse or familyI'm not sure
If my death occurred tomorrow, what I would regret most regarding my final arrangements would be:The emotional burden it would place on my survivorsNo one would know what I wanted for myself or for my loved onesThe financial strain it would cause my survivorsThe possibility of emotional overspendingThe potential for disagreements among by survivors over what to doThat I had not taken care of it myself ahead of time