Express or Enhanced Power of Attorney Questions

Your Title (the person granting the Power of Attorney known as the Donor)Your Full Legal Name (the person granting the Power of Attorney known as the Donor)Your Date of Birth (the person granting the Power of Attorney known as the Donor)Your Address (the person granting the Power of Attorney known as the Donor)Your Telephone number (the person granting the Power of Attorney known as the Donor)The Name, Address and Telephone number of your GP or DoctorTitle, Full Legal Name, Date of Birth and Address of your Attorney(s)Title, Full Legal Name, Date of Birth and Address of your Reserve Attorney (OPTIONAL)Title, Full Legal Name and Address of your Certificate Provider (a person who has known you for over 2 years and will confirm you have mental capacity)Title, Full Legal Name and Address of your Secondary Witness (a person who will only be asked to confirm they have witnessed you and your Attorney sign documents)Should your Attorneys Act Jointly and Severally, so that if one Attorney is not available the other Attorney can still make decisions ?When should your Attorney be able to represent you ?Should your Attorney to be able to make decisions about life sustaining treatment ?What things do you enjoy and where do they enjoy doing these activities ?What things are important to your identity ?Do you have religious beliefs, what are these beliefs and how strongly are these beliefs held ?What are the things do you dislike or that frighten you ?What should the people who care for you know about your routine, preferences and any existing care needs ?What are your food & drink preferences ?If you begin to experience difficulty caring for yourself, where do you want to live and how do you want to be cared for ?Important people who should be involved in decisions about your care ?What medical conditions affect you and what medication do you take ?What things are important to your health and what type of treatment would you prefer if you become extremely ill ?Are there any other things about your future care or anything else you want to express (OPTIONAL) ?Do you, your Attorney(s) and the Certificate Provider agree to our Terms & Conditions ?

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