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Survey: Stroke Survivor Challenges


Challenges you have faced as a stroke survivor
Do you have any of the stroke-related conditions/challenges listed below? (Check all that apply.)
WEAKNESS OR PARALYSIS on RIGHT SIDE of the body
WEAKNESS OR PARALYSIS on LEFT side of the body
DIFFICULTY WALKING
must use CANE
must use WALKER
must use WHEELCHAIR
must use MOTORIZED SCOOTER
UNABLE TO WALK
DIFFICULTY WITH ACTIVITIES OF DAILY LIVING (such as bathing or dressing or cooking)
DIFFICULTY SPEAKING CLEARLY (dysarthria or apraxia of speech)
DIFFICULTY UNDERSTANDING OR USING SPOKEN OR WRITTEN LANGUAGE (aphasia)
DIFFICULTY WITH MEMORY OR THINKING SKILLS (cognitive challenges)
DIFFICULTY CHEWING OR SWALLOWING (dysphagia)
VISION problems
HEARING problems
ALTERED SENSATION (reduced or excessive)
CHRONIC PAIN
UNABLE TO WORK (unemployed due to disability)
UNABLE TO LEAVE HOME
UNABLE TO DRIVE
UNABLE TO USE A COMPUTER
MOOD SWINGS
DEPRESSION
EMOTIONAL OUTBURSTS
OTHER CONDITIONS OR CHALLENGES NOT LISTED ABOVE
What program, activity or exercise was the most helpful in terms of improving your ability to walk?
What program, activity or exercise was the most helpful in terms of improving your ability to talk?
What or who helped to motivate and encourage you as you worked toward recovery from your stroke?
What kinds of resources did you need most, and how did you locate them?
What advice would you give to new stroke survivors?
How much did membership in a stroke club or stroke support group help you cope with and recover from your stroke? (Do not answer if not applicable.) [1 = no help at all; 5 = very helpful]
1 5
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