Please Complete this Short Survey

Question 1:
Your Age

Select Choice 10 years or younger 11 to 17 years 18 to 25 years 26 to 35 years 36 to 45 years 46+ years

Question 2:
Your sex

Select Choice Male Female Decline

Question 3:
You consider yourself in the category of

Select Choice Pro Life Pro Choice Anti Abortion Moderate Not Sure

Question 4:
In your opinion, abortions can be performed (select all that apply)

In the instance of rape
In the case of incest
If the health of the mother is in danger (physically)
If the health of the mother is in danger (psychologically)
If the mother's life is in danger
If the child will be born with a defect or disability
If the child's sex, hair color, or other non-defective genetic traits, are not desired
If the woman wishes not to have the child
As a "form" of birth-control
In the first or second trimester only
During the third trimester
At any time for any reason
Should not be performed at all

Question 5:
At what point do you believe life begins?

Select Choice Conception During the first trimester During the second trimester During the third trimester At birth

Question 6:
At what point do you believe the zygote/embryo/fetus/baby becomes a person?

Select Choice Conception During the first trimester During the second trimester During the third trimester At birth

Question 7:
If you believe life begins anytime before birth, do you believe that abortion can/should be considered murder?

Select Choice Not Applicable Yes No Maybe Don't Know

Question 8:
If you believe life begins before birth, but do NOT believe abortion is murder, please explain why.

Question 9:
You think abortion laws should be made at the

Select Choice State Government level Federal Government level Both Levels Shouldn't have any laws at all Not Sure

Question 10:
Do you believe "partial birth abortions" should/could be performed?

Yes
No
Not Sure

Question 11:
Feel free to include additional comments here.

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