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You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.


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Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.


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Should it be possible for a womon to obtain a legal abortion if the pregnancy interferes with pursuit of her future goals
 
Yes
 
No
 
Don't know
 
 

 
 

* Shoud it be possible for a woman to obtain a legal abortion if she wants for any reason
 
Yes
 
No
 
Don't know
 
 

 
 

* Should it be possible for a woman to obtain a legal abortion if there is a strong chance of a serious defect in the baby
 
Yes
 
No
 
Don't know
 
 

 
 

Should it be possible for a woman to obtain a legal abortion if her own healthis endagered by pregnancy
 
yes
 
no
 
don't know
 
 

 
 

Should it be possible for a woman to obtain a legal abortion if she is married as does not want anymore children
 
Yes
 
No
 
Don't know
 
 

 
 

Shoud it be possible for a woman to obtain a legal abortion if the family has a very low income and cannot afford anymore children
 
Yes
 
No
 
Don't Know
 
 

 
 

Should it be pssible for women to obtain a legal abortion if the pregnacy is a result of rape
 
Yes
 
No
 
Don't Know
 

 
 
 
Additional Comments/Suggestions for improvement
   
 
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