The workbook "Exit Interview" is
available for sale on Lulu. Click here. (March 2024)
Questions: Starting out
Sometimes it's easier to start with the less emotional questions, so here are some factual and fun questions, just to get to know you. Get comfortable, get some tea and cookies and get started with the easy stuff!
What is your full name:
Date of birth:
Do you have a nickname?
Where have you lived?
What have you done for work?
What are your passions?
Where did you go to college?
What are your college degrees?
Where did you go to high school?
What are you the most proud of?
Do you have children?
Did you win any awards?
What are your parents' names?
What are your children's names?
What clubs or organizations are you in or have you been in?
What activities do you do in your extra time?
What church or religious organization are you affiliated with?
What charity groups do you support?
What obstacles have you overcome?
What are some of your successes?
What are your volunteer activities?
What do you love to do?
Open ended questions: Remember, the answers to all of these questions may change over time. These are worth coming back to again and again.
When you are stressed, what brings you the greatest sense of comfort?
Is there one thing that you want to pass along to those left behind?
What do you want others to know about you?
Would you prefer to die at home or in the hospital?
Are you worried about anything right now?
Are you worried about anything for the future?
Do you worry about becoming a burden to anyone in particular?
What do you think will happen to your loved ones after your death?
What would you like for your loved ones after you die?
What is your role in the family?
Do you feel as though you are being including in your health care decisions?
Do you have tasks you want to complete before you die?
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All drawings on this website © Marcie Vallette, 2023
Marcie Vallette