Euthanasia Survey Form.

[kino...@gmail.com]

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Euthanasia Survey Form.

Euthanasia is carried out to the patient who is suffering from any disease such as coma or HIV/AIDS and many more. Euthanasia is the doctors give any injection or any ways to make them die faster. This is to stop them from suffering.

What is your gender? *

• Male
• Female

What is your age? *

• 18-25
• 25-40
• 40-100

What is your race? *

• Malay
• Indian
• Chinese
• Others

1. Do you feel that people should have the right to die when they are ready?

• Yes
• No

2.. From what sources did you hear about euthanasia?

• Television
• Newspapers
• Friends

3.If you were diagnosed with a terminally ill disease would euthanasia be an option?

• Yes
• No

4.Do you think euthanasia should be made legal everywhere?

• Yes
• No

5.Do your religious beliefs affect your view on euthanasia?

• Yes
• No

6.If euthanasia was made legal everywhere would you trust that doctors would give you the best care possible?

• Yes
• No

7. Do you think it is right that people should travel to another country to terminate their own lives?

• Yes
• No

8. Who should have the choice whether someone is euthanized?

• Hospital
• Patient themself
• Family

9.How much would you agree with the following statement: “Euthanasia is a form of murder and should be an offence with imprisonment as a punishment”?

• Agree
• Disagree

10.. If Malaysia legalizes euthanasia, do you think that it will gain public acceptance? Why?

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[kino...@gmail.com]

[Balqis Al Anshari]

done!!