Abortion Survey

Please answer the following questions about your personal stance on abortion. Thank you.


         

       

Name: 


  1. Religiously, I identify myself as: (please choose only one)
    a Catholic Christian.
    a Protestant Christian.
    a Muslim.
    a Jew.
    religious but none of the above beliefs.
    non-religious.
    an agnostic.
    an atheist.


  1. Politically, I identify myself as: (please choose only one)
    a Democrat.
    a Republican.
    an Independent.
    not affiliated with any political party.


  1. I am:
    female
    male


  1. My age is: 


  1. The highest level of education I've achieved is: (please choose only one)
    Some high school work but did not receive a diploma.
    High school graduate or GED.
    Some college work but did not receive a degree.
    A two-year college degree.
    A four-year college degree.
    Some graduate work but did not receive a degree.
    A masters degree.
    A doctorate degree.
    More than one masters or doctorate degree.


  1. I believe women should have access to an abortion for any reason without any restrictions on the age of the fetus.
    Yes
    No


  1. I believe women should have access to an abortion for any reason but only as long as the fetus is under 6 months of age.
    Yes
    No


  1. I believe women should have access to an abortion for any reason but only as long as the fetus is under 20 weeks.
    Yes
    No


  1. I believe women should have access to an abortion for any reason but only as long as the fetus is under 12 weeks.
    Yes
    No


  1. I believe women who have been raped should have access to an abortion if they want to.
    Yes
    No


  1. I believe girls who have been impregnated by a family member (incest) should have access to an abortion if they want.
    Yes
    No


  1. I believe a woman whose life is in danger from carrying the child should have access to an abortion if they want.
    Yes
    No


  1. I believe a woman should have access to an abortion only in cases of rape or incest.
    Yes
    No


  1. I believe a woman should have access to an abortion only in cases where the mother's life is in danger if she continues to carry the baby.
    Yes
    No


  1. I do not believe abortion is ever an option, not even in cases of rape, incest or where the mother's life is in danger.
    Yes
    No





Mlle/Srta. Read
Author, Educator, Presenter
Chalkboard Productions
IN