Exit this survey Survey: Medical Assistance in Dying (MAID) General Question Title * 1. Profession Speech-language pathologist Audiologist Support personnel - Communication Health Assistant Question Title * 2. Province or Territory Question Title * 3. Do you provide service to adults and seniors where MAID may be part of your clinical practice? Yes No Maybe in the future Other (please specify) Question Title * 4. Place of work Hospital Rehab Centre Community Centre Community - patient's home Long-Term Care Other (please specify) Question Title * 5. I have sufficient knowledge about the legislation governing Medical Assistance in Dying (MAID) Strongly Agree Agree Neither Disagree Strongly Disagree Question Title * 6. The information/education I have received about MAID is sufficient to guide my practice Strongly agree Agree Neither Disagree Strongly disagree Question Title * 7. I know where SLPs' and Audiologists' roles and responsibilities begin and end when providing support to patients, families, physicians and or nurse practitioners (NP) Strongly Agree Agree Neither Disagree Strongly Disagree Question Title * 8. I am, or have been, on a hospital/facility/organization committee/group to develop policies for the provision of MAID Yes No I was consulted by a committee Comments: Question Title * 9. I am knowledgeable about my right of conscience not to participate in MAID Strongly Agree Agree Neither Disagree Strongly Disagree Question Title * 10. I am knowledgeable about my right of conscience and know about my obligation to refer a patient Strongly Agree Agree Neither Disagree Strongly Disagree Page1 / 3 33% of survey complete. Done