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Exit Survey
 
 
If you passed would you provide someone with your organ?
 
Yes
 
No
 
Maybe
 
 
 
if you were sick would you allow an organ transplant?
 
Yes
 
No
 
Maybe

 
 
 
If you were not to be a donor, will it be because of religion preference?
 
Yes
 
No
 
If yes why:
 
 
 
would you like to know how to be an organ donor?
 
Yes
 
No
 
Maybe
 
 
 
Do you believe many lives can be saved by an organ donor?
 
Strongly Disagree
 
Disagree
 
Undecided
 
Agree
 
Strongly Agree
 
 
 
Have you known a family member, friend, neighbor etc. have an organ transplant ?
 
Yes
 
No