Dear Friends and Family,

Remembering others as they really were to us and not so much as we imagined them to be is helpful. It is my hope in planning my funeral that it will be helpful for my family and friends. My answers to the following questions will enable you to organize a personalized funeral that will help you remember me as I was and in so doing will assist you in your grieving. Remember the struggles, emphasis the love we shared and celebrate our good times together and I will be with you always.

I would like to leave the following spiritual message and have the following personal religious convictions expressed at my funeral.

Some of the accomplishments I feel good about are:

Some of my fondest memories are:

The people that have had the greatest effect on my life, are:

My Favorite Scripture is:

My favorite quote is:

My Favorite Music is:

My Hobbies are or have been:

The people I would like to say goodbye to are:

If I could live life over again I would:

A. I would spend less time:

B. I would spend more time:

If I could do anything before I die, I would:

The things I always wanted to do yet did not are:

The behaviors and attitudes that held me back and kept me from getting what I wanted are:

The behaviors and attitudes I admired in others and that I would like to be remembered by are:

The things that gave me enjoyment in life were:

The causes and beliefs I was passionate about are:

The most fun I ever had was:

I was the most proud of:

I would describe myself as:

I would like to say the following to the following People:
1.
At my funeral please do the following:

2.
At my funeral please do the following:

3.
At my funeral please do the following:

4.
At my funeral please do the following:

5.
At my funeral please do the following:

My funeral should be held at:

Display the following items at my funeral:
To Symbolize
To Symbolize
To Symbolize
To Symbolize

My Body should be:
Buried
Cremated
Entombed

And laid to rest at:

Based upon the above information my request for the funeral is:

Congratulations! If you have completed this exercise to this point you have faced and felt a gamut of emotions. It may have been an emotional roller coaster ride, difficult at best. By this time you have already discovered that dying is not the point, living is. You may already be experiencing a greater joy in your aliveness and hopefully this exercise will support you in continuing to live more fully and assist you in realizing the fulfillment of the life you want.

In addition, you have actually completed the instructions for your own funeral, congratulations again. If you would like your instructions placed in a confidential, locked file for future reference and a copy mailed to you by the funeral home of your choice, enter the name of the funeral home, city and state at the bottom and click Submit. This is a free and confidential service and in no way constitutes any binding agreement; it is not a contact nor is this service for sale. You may recall your instructions at any time.

Date
Name
Address
Address2
City State Zip

Your Telephone Number (for verification purposes only)
Day Evening

FUNERAL HOME:
Name
City State

Email