ASK ‘PRINCIPALS’ When organising your FEPOA, which of the following (if any) did you consider? Please select all that apply. MULTIPLE RESPONSE, RANDOMISE Who to appoint as a decision-maker........................................................................1 Whether to appoint one or multiple decision-maker(s)..................................2 Whether to set limits or conditions..........................................................................3 When the FEPOA starts............................................................................................... 4 When the FEPOA ends..................................................................................................5 Expectations from others.............................................................................................6 Exclusive None of these....................................................................................................................7 ASK ‘PRINCIPALS’ When deciding who to appoint as a decision-maker, did any of the following influence your decision on whom to appoint? That the person… SINGLE RESPONSE PER ROW Randomise rows Yes No Unsure 1 Was trustworthy 1 2 3 2 Had knowledge about what you wanted and valued 1 2 3 3 Would listen to, respect and act on your wishes 1 2 3 4 Had the skill and time required to perform the role 1 2 3 5 Could manage property and / or money well 1 2 3 6 Could stay calm in a crisis 1 2 3 7 Had the confidence to speak up on your behalf (e.g. to lawyers and government agencies) 1 2 3 8 Could communicate effectively with others and resolve potential disagreements 1 2 3 9 Lived in proximity to you, or could manage from afar 1 2 3 10 Understood and respected your culture and connections to your community 1 2 3 11 Was willing to take on the role with all its responsibilities 1 2 3 12 Was experiencing personal difficulties 1 2 3 13 Was your eldest child 1 2 3 14 Would inherit something when you pass away 1 2 3 15 Could handle the emotional toll of the role 1 2 3 16 Could manage difficult family dynamics related to the role 1 2 3 Chapter : 9 Appendices 77

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