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2024 Heart to Heart Cafe 安心茶話屋 (in-Person)
一副卡，一杯茶，一次生死議題的聚會!
透過玩安心卡的遊戲，大家一起談生論死，
瞭解自己喜歡什麼、想要什麼和選擇什麼。
本
活動僅限成年人（18歲及以上）參加。
以
普通話進行，名額有限。我們將在活動前3天發送確認通知。
The Chinese American Coalition for Compassionate Care - CACCC 美華慈心關懷聯盟
Contact us at
info@caccc-usa.org
/ (866) 661-5687
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Email
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Your email
First Name 名
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Your answer
Last Name 姓
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Your answer
Phone 電話
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State/Province
Your answer
City 居住地
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Your answer
Zip Code 郵遞區號
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Your answer
Date 日期
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Northern California 4/27/2024 1:30 pm – 3:30 pm Stanford Health Neuroscience Wellness Center 213 Quarry Rd. Palo Alto, CA 94304
Southern California 5/4/2024 2:00 pm – 4:00 pm St. Thomas Aquinas Catholic Church, Parish Hall: 1501 S. Atlantic Blvd. Monterey Park, CA 91754
Is this your first time participating in a Heart to Heart Cafe? 這是您第一次參加安心茶話屋嗎？
Yes
No
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您曾經和親人討論過您生命末期的願望嗎？
曾經談過; Yes, I have.
不曾談過，不知該如何開始; Never talked about it, don't know how to start.
不確定; I am not sure.
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您填好醫療照護事前指示了嗎？ have you completed your Advance Health Care Directive?
是，填好了; Yes, I have.
不，還沒有; No. I have not.
不知道; I don't know.
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您有醫療代理人嗎？ Do you have a Healthcare Agent?
有。Yes.
没有。No.
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Number of participants 參加人數
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1
2
3
4
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