Memorial Preferences Worksheet
A one-page form to print and fill out by hand: the music, prayers, readings, and people someone would want at their memorial or celebration of life. Made for planning ahead — and for the people we love who would rather hold a pen than a device.
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Print it
One page, one copy per person. Use the button below — no account, nothing to install.
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Hand it over, or mail it
The questions are answered with a pen, at whatever pace feels right. No computer needed on their end.
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Keep it somewhere safe
When the time comes, type the answers into the planning tools on this site to print a finished order of service.
Prints on a single page, Letter or A4. Only the worksheet prints — none of this webpage around it.
Preview — this is the page that prints
My Wishes for My Memorial Service
Take your time — there are no wrong answers, and it is fine to leave anything blank.
1. The kind of gathering I would like
2. Music
Hymns or songs you love — and who you’d like to sing or play them, if you have someone in mind.
3. Prayers
Prayers you would like said aloud — the Lord’s Prayer, a table grace, a blessing you love.
4. Scripture or sacred readings
Passages that have meant something to you — from anywhere in the Bible, not only the familiar Psalms.
5. Other readings
A poem, a letter, a passage from a favorite book — anything you would like read aloud.
6. People I would like to take part
Who might speak, share a memory, read, or serve as a pallbearer. Being asked is a kindness.
7. Special touches
Flowers or a donation in your name? A favorite photograph? Anything that feels like you.
8. In my own words
Anything else you want the people planning this to know.
When you have finished, keep this page somewhere safe — and tell someone you trust where to find it.
For the family: when the time comes, type these answers into the free planning tools at bensiverly.com to print an order of service.
When the time comes
The answers on this sheet drop straight into two free tools on this site, both of which print clean, dignified pages:
The Service of Life Builder turns the music, prayers, and readings into a printed order of service. The Memorial Pamphlet Creator lays out a simple bi-fold pamphlet to hand out at the gathering.