Please circle the corresponding item and fill in the contents in (　)

1. Please tell me the years of nursing experience. (　) Year

2. will ask you about the clinical department experienced so far. Please fill in the years of experience in the following (　).

Department of Rehabilitation Medicine (　) Department of Rehabilitation (　) Psychiatry Department of Neurology and Neurosurgery Department of Pediatrics (　) Department of Obstetrics and Gynecology (　) Kidney Internal Medicine and Surgery Urology Department of Orthopedic and Orthopedic Surgery (　) ICU.CCU.SCU (　)

3. Please tell me your age. → (　) year old

4. Which is your gender? → 1. Male 2. Female

5. Have you ever lost your close relatives (including friends and lovers)? → 1. Yes 2. No

6. Are you experienced nursing with close relatives who are near death? → 1. Yes 2. No

7. Have you taken charge of the terminal (terminal) patient in the ward? → 1. Yes 2. No

I will ask you who answered “Yes” in 6. Have you experienced death of the patient you served?

→1. Yes 2. No. 3. I do not know.

8. Is there a religion of religion? → 1. Yes 2. No. 3. Neither

9. As a nurse do you think that there is a necessity for patients in the late stage to believe in religion? → 1. Yes 2. No 3. Neither

10. Do you think patients receive their own death acceptance by religious beliefs?

→ 1. Yes 2. No. 3. Neither

11. Do you think that a patient believes religion will be a patient’s own spiritual support?

→1. Yes 2. No. 3. Neither

12. Have you ever thought about thinking about death? → 1. Yes 2. No 3. do not know

13. I will ask you who answered yes. What is the trigger?

Please circle all that apply.

1. Death of an important person or a familiar person (pet) 2. Media such as television 3. Book 4. University Lecture 5. Practical training6. Movie 7. I do not remember 8. Other (　)

14. Is there an opportunity to talk about death with friends and parents? → 1. Yes 2. No. 3. I do not know.

15. About the image of death

→ 1. Good ones 2. Anything better to say 3. Neither 4. Somewhat bad 5. Bad ones

16. Were there classes (practical training) about treatment after death during nursing student days? → 1. Yes 2. No 3. do not know

III If you have any opinions or comments about nurse’s view on death or life, or if you have any comments or suggestions on this research, please fill in freely