Assisted Suicide Survey

by: SCF1

This survey consists of twenty questions, and will ask for demographic information and your opinions on the issue of Assisted Suicide and other moral issues. There is no obligation to take this survey, and you can choose not to answer any of the questions. Your individual results will be anonymous, but the final data will be available to any one who is interested.

  1. 1

    What is your Gender?

  2. 2

    How old are you?

  3. 3

    On a scale of 1-5 (1 being not religous and 5 being very religious) how religious are you?

  4. 4

    Do you know or have you known anyone with a terminal illness?

  5. 5

    Physician-Assisted suicide should be completely legal for patients with terminal illnesses.

  6. 6

    Every person has the right to die.

  7. 7

    Suicide of any sort is immoral.

  8. 8

    The mental state of a patient should be tested and considered before Physician-Assisted Suicide is allowed.

  9. 9

    Some form of family consent should be required before Physician-Assisted Suicide is administered

  10. 10

    Assisted suicide should NOT be allowed for a patient with young children.

  11. 11

    Someone with a terminal illness is NOT the best judge of what is right for them.

  12. 12

    Assisted-suicide legislation should fall exclusively under the jurisdiction of the States

  13. 13

    Assisted-Suicide legislation should fall exclusively under the jurisdiction of the Federal Government.

  14. 14

    Suicide is a personal issue, and therefore should not be regulated by the government

  15. 15

    Assisted-Suicide should only be legal for individuals with terminal illnesses.

  16. 16

    Preventing a mentally stable, terminally ill patient from committing suicide is unethical.

  17. 17

    Abortion should be Legal.

  18. 18

    The death penalty should be illegal.

  19. 19

    The federal governement should govern on moral issues such as abortion, the death penalty, and assisted-suicide.

  20. 20

    How do you identify yourself politically?

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