We would appreciate your willingness to complete a brief survey titled:
Physician Views and Response to Patients' Near-Death Experience
(NDE).
This confidential survey should take less than five minutes to complete. For those completing the survey who are interested, we will send you a summary of the results of this
survey when complete.
While no definition of NDE is uniformly accepted, NDE is generally recognized as
“a lucid experience associated with perceived consciousness apart from the
body occurring at the time of actual or threatened death.”
NDEs have been well documented since 19751.
A 1993 Gallup Poll estimated that 12 to 15
million, or 5%, of adult Americans have personally experienced an NDE. Of
adults facing a
life-threatening event, 10% to 33% will experience an NDE. NDE may occur in adults or
children.2
Consistent components of the NDE have been well documented.3
These components include, but are not limited to, an out of body experience, travel through a tunnel, meeting beings (known or unknown),
encountering a white light, experiences in a non-worldly realm, a life review and a return to
the body.
Most NDEs are pleasant, but approximately 15% are frightening.4
The purpose of this investigation is to study physician attitudes and beliefs
regarding near-death experience.
The
information from this survey will be unique, as there has been no prior survey
of American
physician attitudes and beliefs regarding NDEs.
It is hoped that the information from this survey will benefit both patients and
physicians by improving communication and understanding between healthcare
professionals and patients who have had an NDE.
Participation in this survey is voluntary.
There is no compensation for participation in this study. Survey respondents will
not be identifiable by name. All survey information shared, including
e-mail addresses, will be maintained in strict confidence and will not be released to
any third party without explicit prior authorization of the respondent.
No respondent will be contacted without
authorization. Analysis of the
results of this survey may be published without identifying any respondent
individually. Publication of the results will not identify any
respondent.
If you are
unable to send the form results electronically, please print the form, write
your responses on the form as appropriate, and mail or fax the form to either co-investigator.
Submission of your responses will constitute informed consent
to participate in this study. Please
submit your responses only once.
1. Please fill out the form below
as completely and accurately as you can. Your
contribution, including your e-mail address, will remain confidential.
2. Please
do not forget to press the "Submit" button at the end, or the
information will be lost!
3. After you press the Submit button, a review of your
responses will be shown, and the information will have been
sent. A button will allow you to
return to this page. The form may or may not have your responses in the
boxes, but all information will have
been sent. If you have any questions or
concerns please E-mail us. Below you
will find further information regarding this study's co-investigators.
Thank you so much for your participation in our study.
References:
1Moody, Raymond, M.D., Life After Life, Mockingbird Books, 1975.
2Morse, Melvin, M.D.; Near Death Experiences and Death-Related Visions in
Children: Implications for the Clinician. Curr Probl Pediatr 1994
Feb;24(2):55-83.
3Atwater,
P.M.H., Lh.D., Beyond the Light, Carol Publishing Group, 1994.
4Greyson, Bruce, M.D.; Bush, Nancy; Distressing Near-Death Experiences.
Psychiatry 1992 Feb;55(1):95-110.
Last revised: November 15, 2007
Study
Co-Investigators:
Judith A. Boss, Ph.D.
Box G-B232
Brown Medical School
Providence, RI 02912
Phone: (401) 863-3992
E-mail: Judith_Boss@brown.edu
Jeffrey Long, M.D.
Radiation Oncology
Tacoma General Hospital
1003 South 5th Street
Tacoma, WA 98422
E-mail: mail@rooj.com
Radiation Oncology web site: www.rooj.com
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