People with multimorbidity, their caregivers and care providers are dealing with the management of multiple conditions, medicines and treatment plans and have to make decisions about how to prioritize among these competing factors. Understanding patient’s goals of care can potentially aid in the successful management of their diseases at home and improve their quality of life when integrated into care plans. Despite the importance of goal setting in chronic disease management, it is not necessarily a formal part of primary care practice. Failure to share goals raises a risk that physicians may focus on aspects of care and treatments that are not desired by the patient and/or family member. Conversely, the patient and family may focus on things that the physician does not deem feasible. Alignment in goals between patients, their caregivers and family physicians is required but has rarely been studied.