Assisted Suicide Law Survey Form
Please share your perspectives on assisted suicide law. This survey collects only non-sensitive information and is for opinion and policy research purposes.
What is your role or relationship to the topic of assisted suicide?
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Healthcare professional
Legal professional
Patient advocate
Policy maker
General public
Other
Which country or region do you primarily reside in?
*
What is your age range?
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Please Select
Under 18
18-24
25-34
35-44
45-54
55-64
65 or older
How familiar are you with the topic of assisted suicide?
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Very familiar
Somewhat familiar
Heard of it, not familiar
Not familiar
Are you aware of the current legal status of assisted suicide in your country or region?
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Yes, it is legal
Yes, it is illegal
It is regulated with restrictions
I am not sure
Do you believe assisted suicide should be legal and regulated?
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Yes, legal and regulated
Yes, legal without regulation
No, should remain illegal
Unsure
Which conditions do you think should be eligible for assisted suicide? (Select all that apply)
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Terminal illness
Chronic physical suffering
Severe psychological suffering
Other
How important do you think it is to have safeguards (such as mental health evaluation, second opinions, or review panels) in assisted suicide laws?
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Not important
1
2
3
4
Very important
5
1 is Not important, 5 is Very important
What is your view on required waiting periods or review processes before assisted suicide can proceed?
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Mandatory waiting period is essential
Review process is essential
Both are essential
Neither is necessary
Unsure
Please share any additional comments or perspectives on assisted suicide law.
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