Skip to content
Survey: Medical Assistance in Dying (MAID)
General
1.
Profession
Speech-language pathologist
Audiologist
Support personnel - Communication Health Assistant
2.
Province or Territory
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)
4.
Place of work
Hospital
Rehab Centre
Community Centre
Community - patient's home
Long-Term Care
Other (please specify)
5.
I have sufficient knowledge about the legislation governing Medical Assistance in Dying (MAID)
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
6.
The information/education I have received about MAID is sufficient to guide my practice
Strongly agree
Agree
Neither
Disagree
Strongly disagree
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
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:
9.
I am knowledgeable about my right of conscience not to participate in MAID
Strongly Agree
Agree
Neither
Disagree
Strongly Disagree
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
8 / 3
267%