Please answer all the questions below.
Questions with an asterisk (*) are required.
1.) Do you think abortion should be...
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Illegal in all cases
Illegal except when the life of the mother is at risk
Illegal except for rape, incest, and life of the mother
Legal in all cases in the first trimester (up to 12 weeks)
Legal in all cases until the baby can feel pain (about 20 weeks)
Legal in all cases even up to the moment of birth
2.) Does Planned Parenthood commit abortions?
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Yes
No
3.) Should Planned Parenthood receive federal taxpayer dollars?
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Yes
No
4.) When does life begin?
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At the moment of conception
When the heart begins to beat (18-21 days after conception)
When the baby can survive outside the womb (about 22 weeks)
At the moment of birth
5.) How are you involved with the pro-life movement?
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I'm not currently but am interested in learning more
I'm a member of a Students for Life or another pro-life group at my school
I lead a Students for Life or another pro-life group at my school
I'm an advisor for a Students for Life or another pro-life group
I'm not a student but am an active member of the pro-life grassroots
6.) How do you describe yourself to others?
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100% Pro-Life
Mostly Pro-Life
Mostly Pro-Choice
100% Pro-Choice
7.) Which set of terms do you prefer when describing those who are in favor of and against abortion?
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Pro-Abortion and Anti-Abortion
Pro-Choice and Pro-Life
8.) Are you currently involved with your local Students for Life group?
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Yes
No
9.) What do you think the pro-life/anti-abortion movement should most focus on?
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Passing legislation to reduce/restrict abortion
Electing pro-life politicians to pass and enforce pro-life laws
Starting and growing services on campuses and in communities to support mothers facing unplanned pregnancies
Educating Americans about the truth behind abortion and the abortion industry
Praying
Engaging in direct action on campuses and in communities to stop abortions (sidewalk counseling, protests, rallies)
First Name
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Last Name
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Email
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Mobile Phone
Highest or Current Education Level
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Middle School
High School
College Undergraduate
College Graduate
Medical School
Law School
Other
When will you or when did you graduate?
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2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
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2001
2000
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1981
Prior to 1980