Please feel free to share this questionnaire with other nurses involved with aid in dying patients. The more information we have, the better.
Please check the yes/no boxes. Feel free to add details in the field below them.
All information is anonymized, no names or organizations will be publicly identified.
When you click the SUBMIT button, if you don’t see an acknowledgment page, it means you haven’t filled in all the required yes/no boxes. Please fill them in and hit SUBMIT again.