Filling Out Your 5 Wishes Document PDF: A Guide to Expressing Your Final Wishes

Filling Out Your 5 Wishes Document PDF: A Guide to Expressing Your Final Wishes

### Keyword Analysis:

  • Keyword: "5 wishes document pdf"
  • Occasion: This is not a celebratory occasion. It is the serious, profound, and deeply personal act of end-of-life planning. The "5 Wishes" document is a legally recognized advance directive that outlines a person's wishes for their medical, personal, emotional, and spiritual care.
  • Tone: The tone must be heartfelt, sincere, dignified, and clear. It can also be loving, reflective, and even gentle, but it is fundamentally serious and purposeful.
  • Recipient: The "wishes" are written by an individual for themselves, to be read by family, loved ones, and medical professionals. The audience for this *article* is the person filling out the document, who is looking for guidance and inspiration on how to phrase their most important desires.

### Invented Categories:

Based on the analysis, the categories need to reflect the different facets of a person's final chapter, moving from the physical to the emotional and spiritual legacy.

1. Wishes for My Physical Comfort and Dignity

2. Wishes for My Emotional and Spiritual Well-Being

3. Messages of Love and Farewell for My Loved Ones

4. Guidance for My Final Moments and After

5. How I Wish to Be Remembered


Your Final Wishes, In Your Own Words

Your Final Wishes, In Your Own Words

Completing a 5 Wishes document is one of the most profound and loving acts you can undertake. It is a gift to yourself, ensuring your final chapter is written on your own terms. It is also a gift to your family, lifting the heavy burden of decision-making during an emotional time and giving them the clarity and peace of mind to honor your specific desires.

This task can feel daunting, but it is an opportunity to reflect on what truly matters to you. The words you choose can articulate your values, your love, and your hopes. This guide offers inspiration for phrasing your wishes across different aspects of your life, helping you fill out your 5 Wishes document PDF with confidence, clarity, and heart.

Wishes for My Physical Comfort and Dignity

Wishes for My Physical Comfort and Dignity

This section is about the physical environment and care you wish to receive. Think about your five senses and what would make you feel most at peace and respected.

1. I wish to be kept clean and comfortable at all times, with soft blankets and my favorite pillow.

2. Please hold my hand. The simple comfort of human touch is important to me.

3. I wish to be in a room with natural light if possible, perhaps near a window where I can see the sky or trees.

4. Please manage my pain to the best of your ability, even if it means I am less alert. My comfort is my priority.

5. I would like photos of my family—my spouse, my children, my grandchildren—placed where I can see them.

6. Please keep my lips moisturized and offer me sips of water if I can take them.

7. I wish for my room to be a place of calm. Please limit loud noises and chaotic conversations.

8. If I am unable to speak, please still talk to me. Tell me about your day; I will find comfort in the sound of your voice.

9. I do not wish to be physically restrained unless absolutely necessary for my safety.

10. Dress me in my own soft pajamas or gowns, not hospital garments, if possible.

Wishes for My Emotional and Spiritual Well-Being

Wishes for My Emotional and Spiritual Well-Being

Your spirit needs care just as much as your body. These wishes address the emotional and spiritual atmosphere you desire.

1. I wish to listen to my favorite music. Please play [e.g., classical music, '60s folk, hymns, Frank Sinatra].

2. If I am able, I would like to speak with a spiritual advisor from my faith.

3. Please read to me from my favorite books, poems, or scriptures. The familiar words will bring me peace.

4. I wish for my room to be a place of love, not conflict. Please set aside disagreements before you enter.

5. Please do not hide your emotions from me. Your laughter and your tears are a part of our shared life, and I want to be present for them.

6. If you can, share happy memories with me. Remind me of our adventures and the good times we had.

7. I wish to have moments of quiet solitude each day for reflection or prayer.

8. I would find comfort in the scent of [e.g., lavender, fresh flowers, my favorite lotion].

9. Please tell me that you love me. I will never tire of hearing it.

10. Grant me the grace of forgiveness. I wish to die with a clear conscience and peace in my heart.

Messages of Love and Farewell for My Loved Ones

Messages of Love and Farewell for My Loved Ones

The 5 Wishes document is a final, powerful communication. This is your chance to say what’s in your heart directly to the people who matter most.

1. To my beloved family: You are my greatest legacy. Live your lives with courage, joy, and kindness. I am so proud of each of you.

2. I forgive anyone who may have wronged me, and I ask for forgiveness from anyone I may have hurt. Let us leave this life with only love between us.

3. Please do not let my passing be a source of endless sorrow. Grieve, but then remember to live fully. Celebrate the beautiful life we created and shared.

4. To my children: I gave you roots, but I always wanted you to have wings. Fly high, support one another, and know that my love is with you always.

5. To my partner/spouse: Thank you for the incredible journey. You were my rock and my joy. Find happiness again.

6. Know that I am not afraid. I am at peace with the life I have lived and the love I have known.

7. Look after each other when I am gone. The strength of our family has always been its unity.

8. I want you to know that I felt your love every single day, and it was the greatest gift of my life.

9. There is no need for unspoken words or regrets between us. I know your heart, and you know mine. That is all that matters.

10. My love for you does not end here. It is a light that will continue to shine.

Guidance for My Final Moments and After

Guidance for My Final Moments and After

This section provides practical, gentle instructions for your care team and family regarding your transition and what comes immediately after.

1. I do not wish for heroic measures to be taken when my body is naturally shutting down. I wish for a peaceful, natural passing.

2. When the time is near, I would like [Name of Person(s)] to be with me, if possible.

3. I wish for a simple memorial service that is a celebration of life—full of stories, music, and laughter—rather than a somber funeral.

4. In lieu of flowers, I would appreciate donations to [Name of Charity or Cause].

5. Please do not make my memorial about my illness. Make it about the 99% of my life that was vibrant and full.

6. After I have passed, please take a moment together as a family to share a favorite memory of me.

7. I have written down important information regarding my accounts and personal affairs to make things easier for you. It can be found [Location].

8. Please distribute my personal belongings, like my books and jewelry, with love and good memories, not with obligation.

9. I wish to be cremated/buried at [Location], next to [Person's Name], if applicable.

10. Play my favorite song, [Song Title], at my service.

How I Wish to Be Remembered

How I Wish to Be Remembered

This is about your legacy. Beyond the events of your life, how do you want your character, spirit, and essence to be remembered?

1. Remember me when you see a beautiful garden or a bird at the feeder.

2. Tell my grandchildren and great-grandchildren stories about me—especially the funny ones where I messed up. Laughter is the best legacy.

3. Remember me for my love of [e.g., learning, adventure, family, a specific hobby], not for my final days.

4. I hope to be remembered as someone who tried their best to be kind, generous, and fair.

5. Remember my resilience. I faced challenges but always found a way to carry on with hope.

6. When you cook my famous [Dish Name], remember the love that I put into every meal for our family.

7. Let my legacy be the love that you continue to show one another.

8. Remember me as someone who wasn't afraid to speak their mind and stand up for what was right.

9. I want to be remembered for the lives I touched and the friendships I cherished.

10. Remember that I loved a good debate, a strong cup of coffee, and a heartfelt laugh. Remember me with a smile.


### Make It Truly Yours

These examples are a starting point to help you articulate your own unique wishes. The most powerful 5 Wishes document is one that sounds like you. Read these for inspiration, then close your eyes and think about what truly matters. Use your own words, mention specific people and memories, and write from the heart. Your voice is the most important part of this final, loving gift.