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Epilepsy Anonymous Survey
1.
Do you know what epilepsy is?
Yes
No
Sort Of
2.
When you think of epilepsy, what words come to mind?
3.
Epilepsy is:
A mental illness
A family-related condition
Caused by a head trauma
Caused by evil spirts or witchcraft
A contagious disease
Caused by unknown factors
I'm not sure
Other (please specify)
4.
How would you describe epilepsy? Choose the closest options.
A disruption of the electrical activity in the brain
Uncontrollable convulsions
A seizure disorder
A blank out of the brain that causes someone to stare into space
Other (please specify)
5.
Do you know anyone who has epilepsy?
I have epilepsy
1 person
2 or more people
No
6.
What would you do if you had a seizure or blank out regularly?
See if it happens again
Go to the clinic, doctor or nurse
Ignore it and not tell my family
Look for information online
Record it so I can show a medical professional
Ask a friend or family member what I should do
Other (please specify)
Current Progress,
0 of 17 answered