Mortality Themes Assessment
This assessment explores your attitudes, thoughts, and feelings related to mortality. Your responses will help us better understand individual perspectives on mortality themes. Please answer honestly and thoughtfully.
Participant Full Name
*
First Name
Last Name
Age
*
Gender
*
Male
Female
Non-binary
Prefer not to say
Other
Please indicate how strongly you agree or disagree with the following statements related to mortality.
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I often think about the meaning of life and death.
1
2
3
4
5
I am afraid of my own mortality.
6
7
8
9
10
I find comfort in spiritual or religious beliefs about the afterlife.
11
12
13
14
15
I feel anxious when contemplating death.
16
17
18
19
20
I believe it is important to leave a legacy behind.
21
22
23
24
25
I avoid discussing topics related to mortality.
26
27
28
29
30
I have accepted the inevitability of death.
31
32
33
34
35
Thoughts of mortality motivate me to live more fully.
36
37
38
39
40
How would you rate your current level of comfort when thinking about mortality?
*
Not at all comfortable
1
2
3
4
5
6
7
8
9
Extremely comfortable
10
1 is Not at all comfortable, 10 is Extremely comfortable
Which of the following best describes your primary feelings about mortality?
*
Acceptance
Fear/Anxiety
Curiosity
Avoidance
Hopefulness
Other
How often do you engage in conversations about mortality with others?
*
Please Select
Never
Rarely
Sometimes
Often
Very Often
Please share any personal reflections or thoughts you have regarding mortality.
Would you like to receive a summary of the assessment findings?
Yes, please email me
No, thank you
Email Address (if you would like to receive a summary)
example@example.com
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