Comment Deadline:  February 5, 2010

Your opinion counts! Public comments on proposed policies are vital to the policy development process. Voice your support for, opposition against, or neutral stance on the proposed policies listed below.

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Please indicate whether the opinions expressed below are your individual position on the proposal(s) or that of your organization. Required
       
Required This information is required to process your response.

Disclaimer: The OPTN/UNOS is requesting the following demographic information on people who respond to public comment. Your responses will help us determine if we are reaching different types of people who may have an interest in transplantation policy or who may be affected by decisions made in this area. Submission of this information is voluntary and responses will remain anonymous and confidential. Information gathered will be reported collectively and responses will not be associated with any individual person.

Race/Ethnicity (Optional)
WhiteBlack or African-AmericanHispanic or Latino
AsianPacific IslanderAmerican Indian or Alaskan Native
Other  

Sex (Optional)
Male Female

Age (Optional) (At the time of completion of this survey)
Under 1818-3030-40
40-5050-6060-70
Over 70  

Education - Highest Level Completed (Optional)
Did not complete High SchoolHigh school graduate or GED
Some collegeAssociate's degree or equivalent
College degreePost-college studies (no degree)
Graduate or professional degree 

General Public Status (Check all that Apply) (Optional)
Dialysis Patient (I am receiving dialysis treatment but not awaiting a transplant.)Transplant Candidate (I am awaiting a transplant.)
Transplant Recipient (I have received a transplant.)Living Donor (I have previously donated an organ.)
Family Member (I am related to someone who is a candidate, recipient, or an organ donor.)Interested public member (I am someone who is interested in donation and transplantation, and would like to provide an input on proposed changes to relevant policies and bylaws.)
Transplant professional (I am a physician, surgeon, clinician or related professional who treats and/or cares for the well being of transplant candidates, recipients, or donors.)Organ procurement professional (I work in the area of organ procurement.)
I am responding on behalf of an organization.Other

In which state in the US do you reside? (Optional)

I support, oppose, or have no opinion of the proposal(s) below:
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