An abortion questionnaire is a form that has to be provided by a hospital or a abortion center which will ensure to operate an abortion only after the detailed information is filled by the patient. Abortion in most of the countries is illegal by the county laws, but in most of the places its legal. I place where its illegal or has restriction its always the duty of the doctors to get the abortion questionnaire filled and signed by the patient.

An abortion questionnaire should have complete list of questions, that can help the doctors go ahead with abortion process without any trouble. As in most of the cases hospitals have to inform the parent of the female child. So its good to have a questionnaire in front. Start the questionnaire with questions on personal information about the girl and boy, and then the family information. Check out the sample questionnaire below and help design a best questionnaire form for abortion.

Sample Questionnaire About Abortion:


Your name along with surname.
What your age?
Male or female?
What is your religion?
Is this the first time your are getting abortion?
Do you have any issues with abortion?
What is your boy friends name?
Where do you come from (location)?
Where do your parents live? How old are they?
Have you informed your parents about abortion?
Write down your complete present and permanent address?
Does your religion object getting abortion?
Do you have any other health related issues?
Do you agree to sign the form?
Who will take care of you after abortion?