James- thanks for your comment! My mom is actually filling out her Advanced Care Directive in early June. Perhaps I'll interview her about how it felt to fill out the form. I have noticed that she's been putting it off, so you are likely onto something with how awkward that process might be. Currently, the form is necessary from a legal standpoint, but I agree, perhaps there are more creative ways of gathering that information that is more welcoming for the individual and their family.