Appendix B (part 1):

Responses to Each Survey Question

Demographics

Age of Respondents

Marital Status

Level of Education

Employment Status

Income

Race/Ethnicity

Are you a member of AARP?

What We Value

How much do you agree with the following statements?

How much do you agree with the following statements?

How comfortable are you with:

How We Behave

How likely are you to:

How likely are you to:

How likely are you to:

With whom have you talked about your wishes

for end-of-life care?

Who would you want to initiate a conversation with

you regarding end-of-life issues?

Who would you trust to provide information

on end-of-life issues?

Which of the following Pre-Plans have you

heard of or completed?

Which of the following Advance Directives have you

heard of or completed?

Health Care Power of Attorney :

Living Will :

What We Fear

How afraid are you of:

How afraid are you of:

How afraid are you of dying painfully:

Which of the following health problems would

be worse than death?

How Concerned are you that: