Inclusion Criteria:  Adult patients with 18 years or more Patients referenced to the palliative care service with a chronic, progressive, and incurable disease Patients with the ability to comprehend, write and speak the Portuguese language Patients with an absence of major cognitive disorders (Portuguese validated Mini-Mental State Test score superior to 22, 25, or 27, according to patients' scholarly) Patients that accepted to participate in the trial Patients who were capable of nominate a caregiver as their surrogate in decision making Adult caregivers with 18 years or more Caregivers who were nominated by patients as their surrogate decision-maker Caregivers with the ability to comprehend, write and speak the Portuguese language Caregivers that accepted to participate in the trial  Exclusion Criteria:  Patients or caregivers that refused to participate Patients with cognitive impairment Patients with incapacity to dialogue Patients who were too sick to cooperate Patients without a caregiver