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Section A – Awareness of concept of body donation
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| 1 |
Are you aware of body donation? |
yes/no |
| 2 |
If yes, knowledge about the body donation was obtained from |
medical school/family/relatives/friends/celebrities/newspaper/television/journals/social media/others |
| 3 |
If the answer to the above question was others, please specify it |
yes/no |
| 4 |
Can a person of age less than 18 years have the right to donate the body? |
| 5 |
Are you aware of the concept of whole-body donation? |
| 6 |
Willingness to donate to your body later in life? |
| 7 |
Will you educate your family members or relatives for body donation? |
| 8 |
Do you have any members in the family who have pledged to the body for donation? |
| 9 |
Are you interested in conducting body donation awareness programs? |
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Section B – Body donation and cadaveric dissection
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| 10 |
What is the source of cadavers in anatomy dissection hall? |
donated bodies/unclaimed bodies/both/not aware |
| 11 |
Are u aware of cadaver shortage in medical colleges? |
yes/no |
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Section C – Guidelines for the body donation
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| 12 |
Are you aware of guidelines of body donation? |
yes/no |
| 13 |
Are you aware of pledging self-body for donation? |
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| 14 |
Signing a pledge form for voluntary body donation is |
mandatory/non mandatory |
| 15 |
Are you aware of the requirement of documents needed for pledging? |
yes/no |
| 16 |
If yes, what documents are required? |
Aadhar card/birth certificate/voters ID/driving license/passport/employer ID/vaccination card/details of comorbidities |
| 17 |
The time frame to procure the donated body is |
6 hours/12 hours/24 hours/48 hours |
| 18 |
The time frame to procure the unclaimed body is |
| 19 |
Can Autopsied bodies be accepted? |
yes/no |
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Section D – Logistics of body donation
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| 20 |
Do you know about authorities/agencies who could be approached for the body donation? |
yes/no |
| 21 |
Can a body from another state accepted? |
| 22 |
Transport expenses of the body from another district must be borne by the institute |
yes/no/depends on the institutional guidelines |
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Section E – Incentives for body donation
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| 23 |
Is it a good idea to incentivize the donor? |
yes/ no/neutral |
| 24 |
Is it a good idea to issue a ‘donor card’? |
strongly agree/agree/neutral/disagree/strongly agree |
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Section F – Donor with comorbidities
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| 25 |
Can people living with HIV donate body? |
yes/no |
| 26 |
Can Individuals infected with hepatitis-B donate their body? |
| 27 |
Opinion regarding acceptance of a body of a COVID-19 death? |
| 28 |
Can people affected by chronic skin disease donate their body? |
| 29 |
Can a long-standing COVID-19 person donate their body? |
yes/ no/neutral |