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1. Have you ever cared for a terminally ill patient in their last days and hours of life?
   
 
 
 
2.Have you ever been the primary care giver for a family member in hospice?
   
 
 
 
3. Do you feel that loved one died with dignity?
   
 
 
 
4.Have you ever heard of the Dying with Dignity Acts passed in Washington,Oregon or Vermont?
   
 
 
 
5.Do you have a living will?
   
 
 
 
6.If your state legislature was to propose a Dying with Dignity Act would you agree or oppose such an important decision?
   
 
 
 
7.What would you consider a good death ?
   
 
 
 
8.If you had a terminal illness and was dying in 6 months how would you picture the care that you will need ?
   
 
 
 
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