Secure Your Future with Final Expense Solutions

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Age

2. Have you attended a funeral in the past 2 years? If so, do you mind sharing what that experience was like?

3. Have you been financially responsible for funeral arrangements?

4. Who will be in charge of your funeral arrangements someday?*

5. Is _____ in a financial position today to take care of a funeral for you, if you died earlier today?*

6. How do you intend for your funeral arrangements to be paid?

8. Are you currently carrying any final expense, burial or other life coverage?

9. Do you want a Traditional Funeral?

What’s your estimated it would cost for a Traditional Funeral, including casket and vault?

Are your loved ones aware of your preference in funeral arrangements?

10. Which funeral home in the area would your family use?*

11. Do you own cemetery plots?

Where?*

12. Would your remains need to be shipped out of this city or state?

13. How do you pay your monthly bills?

14. Have you used any form of tobacco in the past 12 months?

15. Have you been diagnosed with a terminal illness, AIDS or HIV?

16. Are you currently bedridden, incarcerated, in a care facility, hospitalized, or receiving hospice care?

17. Have you given your family detailed written instructions about your desired arrangements?*

18. Are there any children under 18 whose lives you would like to secure?

19. Do you take any medications?

What for?*

Number*

Final Expense Planning