1. |
Age |
2. |
Religion (Buddhist/Christian/Catholic/Jewish/Taoist/Muslim/Hindu/Others/None) |
3. |
Gender |
4. |
Educational qualifications (primary/secondary school/tertiary level/university/postgraduate) |
5. |
Have you ever had surgery? (Yes/No) |
6. |
Do you carry an organ donor card? (Yes/No) |
7. |
Have you or a family member ever received an organ transplant? (Yes/No) |
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If no; and if you required an organ transplant, for example, kidney that comes with life-long medication with many side effects, would you still accept it? (Yes/No) |
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If No; because of (a) cost, (b) I will never want a transplanted organ, (c) I do not want the side effects of medication. |
8. |
Would you consider plastic surgery for: (a) Cosmetic reasons? (Yes/No) |
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(b) If you were disfigured? (Yes/No) |
9. |
Recently a woman in France received a face transplant, are you aware of this event? (Yes/No) |
10. |
Would you consider a face transplant if you were severely disfigured after an accident? (Yes/No/Not sure) |
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If no; because of (a) religious beliefs, (b) personal feelings, (c) I feel it is unsafe, (d) cost. |
11. |
Would you consider donating your face afterlife to someone who needs a face transplant? (Yes/No/Not sure) |
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If no; because of (a) religious beliefs, (b) personal feelings, (c) I feel It is unsafe. |