Survey for Government Class

Exit Survey »

Hello!
Could you please help me by filling out this survey for my government class?
None of the information will be published in any way and will only be used for my project. You are in no way obligated to do this, but if you do that would be great!

Thanks so much!
SamJoy

Name (First Name & Last Name Initial)

Do you support stem cell research?

Yes

No

I don't know what it is.

Would you support stem cell research if other sources of stem cells were used (i.e. stem cells collected from placenta rather than a human embryo)?

Yes

No

Gender

Male

Female

What age group do you fall under?

What's your religious affiliation? (List taken fom http://religions.pewforum.org/affiliations)

Political Party

Republican

Democrat

Independent

Undecided

Comments: