You have been invited to participate in a survey that is part of a research study to determine the clinical threshold for a patient to have a reasonably foreseeable natural death for the purposes of eligibility for medical assistance in dying (MAiD). 

The survey will take approximately 5 minutes to complete.

The purpose of the research is to inform clinicians who will make determinations about eligibility for a patient to receive MAiD, specifically whether or not the patient’s medical situation would make their natural death be reasonably foreseeable. The research study is conducted by Dr Kim Colangelo, Sarah Baillie, and Dr Caleb Zelenietz. 

The only foreseeable risk is of an emotional response, given that MAiD is a controversial subject. There are no anticipated benefits. Participation is voluntary and you are able to stop participating at any time.

You are NOT required to provide any personal information such as your name, address or telephone number, and you are able to skip any questions that you would prefer not to answer.  The survey system will NOT record your e-mail address or IP (internet protocol) address. All data is anonymous.

If you agree to participate in the survey please note that you must complete the survey in one sitting. In other words, the system will not let you save your survey responses and return to complete them later.

Please note that when you submit your response, you will NOT be able to withdraw them as we cannot link the survey responses back to you.

Your participation is important to us. It will help explore patient’s access to MAiD and potentially lead to a standardization of eligibility. If you have any questions or concerns about this study, do not hesitate to contact the Primary Investigator, Dr. Kim Colangelo, at kcolangelo2011@gmail.com.

This study has been approved by the University of Manitoba Health Research Ethics Board.

By continuing on and completing the on-line survey you are consenting to participate in the on-line survey.      
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