The formatting doesn't make sense for that interpretation. I would be very curious to know whether Gaddy had anything to do with the document being printed out and formatted as it was.
NOTE ALSO THE WORDING CHANGE IN AN UNCHECKED SECTION!
The formatting increases the liklihood of critical confusion. The punctuation is unambiguous, but the choice of wording and the layout are designed to cause critical confusion (the person chooses a box that results in the OPPOSITE of their wishes).
I bet Gaddy had nothing to do with the formatting. If anything, Gaddy may have encouraged Mae to sign a living will, but the stock/model forms at 100% of the Georgia family law offices is EXACTLY like the one that Mae signed.