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Directions for distributing and editing the Starter Kits

Our Starter Kits are freely available for you to download, print, and distribute to your community, congregants, or patients. You are also permitted, under our Creative Commons license, to edit the Starter Kits before doing so, provided you follow the requirements below.

If you do make edits, please let us know at conversationproject@ihi.org so that we can improve our kits in the future.

How to make small edits

For example:

  • Replacing the word “proxy” with “surrogate” to meet your state’s terminology
  • Adding a new “Where I stand” scale question that is important for your community
  • Changing the pictures on the cover to reflect your population
  1. Download and save the following PDF of the kit which you want to edit
  2. Open the PDF in Adobe Acrobat Pro and make your desired edits
  3. Fill in your organization’s information in the designated fields on the front and back covers

How to make large edits

For example:

  • Adding or removing pages
  • Copying the “How I stand” scale questions from the Conversation Starter Kit into your own guide
  • including your logo, if desired
  1. Download and save the following PDF of the kit which you want to edit
  2. Copy and paste the text you want into your own document
  3. Add the following disclaimer to your document:

This document contains content from [insert kit name]. The original was created by The Conversation Project, an initiative of the Institute for Healthcare Improvement, and can be found at https://theconversationproject.org/. Licensed under the Creative Commons Attribution-ShareAlike 4.0 International License, http://creativecommons.org/licenses/by-sa/4.0/


How to print the kits

You have a few options:
  • Print the PDF on your home printer in 8.5×11″ form
  • Bring the PDF to your local print shop (e.g. FedEx, Staples). We recommend the following specifications:
    • 5.5×8.5″ saddle stitched
    • Full duplex
    • 100 lb card stick covers
    • 24 lb paper inside
  • Order professionally printed copies via our online store


How to translate into a different language

Please email us at conversationproject@ihi.org for further guidance.