“IF DEATH IS A CHOICE CARD”

FULL NAME:

DESIRED DATE OF DEATH:

AGE DURING DEATH:

CAUSE OF DEATH:

5 THINGS I WILL DO BEFORE I REASONS

DIE (BUCKET LIST)
1.

2.

3.

4.

5.

HOW DO I WANT TO BE REMEMBERED BY LOVED ONES, CO WORKERS AND

FRIENDS?

What if death can be a choice, at what age will you choose to

die? In what way will
you want to die?What are the 5 important things that you will do
before you die and
why? How do you want to be remembered by your loved
ones? Write down your
answers using the matrix below:
What if death can be a choice, at what age will you choose to
die? In what way will you want to die? What are the 5 important
things that you will do before you die and why? How do you want
to be remembered by your loved ones? Write down your answers
using the matrix below:
 CRITERIA RATING
COMPLETENESS OF ANSWER 20 18 15 10 5
BASED ON THE REQUIRED
DATA
THE ANSWER CONVEYS A 18 12 10 8 5
GENUINE PERSONAL VIEW
REGARDING THE TOPIC OR
ISSUE.
THE WORK IS ORIGINAL. 15 12 10 8 5