I, _____ _____________________, being of sound mind and body, do not wish to be kept alive indefinitely by artificial means.



Under no circumstances should my fate be put in the hands of pinhead politicians who couldn't pass ninth-grade biology if their lives depended on it, or lawyers/doctors interested in simply running up the bills.

If a reasonable amount of time passes and I fail to ask for at least one of the following:

______ Bloody Mary
______
Margarita
______ Scotch
______ glass of Bordeaux
______ Vodka
______ Steak
______
Lobster or crab  legs
______
The remote control
______
Chocolate
______
Sex

it should be presumed that I won't ever get better.

When such a determination is reached, I hereby instruct my appointed person and attending physicians to pull the plug, reel in the tubes and call it a day.