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Exit Survey
 
 

I could talk with a person and help him/her become more comfortable wiht the fact he/she is dying?

True
False
 
 
 
1. I have a fear of dying?
 
True
 
False
 
 
 
2. Death consumes my daily thoughts?
 
True
 
False
 
 
 
3. It makes me worry about dying when I hear a friend has died.
 
True
 
False
 
 
 
4. It makes me nervous when someone talks about the subject of death?
 
True
 
False
 
 
 
5. Watching or hearing about traumatic events about death makes me fear my own death?

 
True
 
False
 
 
 
6. I am afraid of dying in a plane crash.
 
True
 
False
 
 
 
7. I am afraid of dying in a car accident.
 
True
 
False
 
 
 
8. I have a fear of drowning.
 
True
 
False
 
 
 
9. I accept death.
 
True
 
False
 
Thank you for taking the time to fill this survey for my research project.