Survey Form

Let us know what do you think about organ donation

1. Do you know the regulations in your country for the donation and transplantation of human organs?

2. Would you be willing to donate one of your organs to an organ donation service immediately after your death?

3. If you were asked in a hospital to donate an organ from a deceased close family member, would you agree?

4. Are there any particular reasons that make you less likely to donate your organs or family member’s organs upon death? You can choose more than one answer:

I cannot donate my organs because of medical reasons
This is against my religion
I am afraid to donate because it is possible for a brain-dead person to recover from his/her injuries
I do not want my body cut up or disfigured
I don’t trust medical system. Knowing I am a donor, doctors will be less likely to try to save my life
I don’t like the thought of it. Such thoughts increase the chance I will die
Transplants often go to undeserving people
Other (please specify)

5. If you are willing to be an organ donor, what are your reasons? You can choose more than one answer:

I think after I die, I do not need my organs anymore
I like the idea that after I die, I could save someone’s live
I have a close friend/family member who needs organ transplantation. So I realize the importance of it
I think if I died, my family would find solace in the idea the part of me is still alive and helps someone else live
Other (please specify)

6. Some countries presume that people wish to donate their organs at death. This is called presumed consent. Do you agree with the idea that everyone should be automatically included on the Organ Donor Register with the ability to opt out if they wish?

7. If you do not support presumed consent system, what are your reasons. (You can choose more than one answer). If you support this system, skip to next question

It is unethical
It is a violation of my rights
I distrust the government and system
I do not believe a system of presumed consent would increase a number of available organs for transplantation
Other (please specify)

8. Some organs such as kidney or part of livers can be donated while you are alive. How likely are you to donate an organ while you are living to? You can choose more than one answer:

I could only do this for a loved one (family member or close friend)
I could not do it in any case
I could donate my kidney (or other organ) to someone I do not know. If they are in a great need
Perhaps, I would have donated my organ, if I got paid for it
Other (please specify)

9. Do you think the sale of human organs should be legalized?

10. If you or your loved one needs a transplant and you have the opportunity to buy an organ from a living donor, will you buy it?

Please let us know any other thoughts you have on organ donation that were not covered above: