Abstract
Purpose: To examine differences in spirituality, purpose in life, and attitudes toward organ donation between people who signed and those who did not sign an organ donor card. 

Design: 

A descriptive cross-sectional survey conducted in Israel with a sample of 312 respondents from the general population, of whom 220 (70.5%) signed an organ donor card. Data were collected during April–June 2013. 

Methods: 

Participants completed a paper questionnaire and a Web-based questionnaire consisting of four 

sections:

spiritual health, purpose in life, at- titudes toward organ donation, and social-demographic questions. Descriptive statistics, t test, chi-square test, and a logistic regression analysis were per- formed. 

Findings: 

Differences in mean scores between respondents who signed an organ donor card and those who did not were indicated in transcendental spirituality (p