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Heartburn With Headache
Can you help me answer this survey question? re: stroke?
i need help with my baby thesis. pls help me. i need at least 10 people to answer the questionaire. here's the questions:
Name/ email add:
Address:
Gender:
Age:
Occupation:
Instructions: choose and answer the questions correspondingly.
Part I: for non-stroke victim/patients
1. What are your vices/addictions? (present, regular or occasional)
smoking
drinking
work
food
others:_______
2. What illness/es do you have?
diabetes
heart disease
hypertension/ high blood
others:________
3. What are the common illnesses in your family?
__________
4. WHich among the following do you experience frequently?
dizziness
chest pain
heartburn
headache
5. do you know anything about stroke?
yes
no
6. what do you think are the causes of stroke?
_________________
7. Is there a family member who had stroke?
yes
no
end of part one questionaire.
thanks to all.
part two: for stroke victims/patients...
Name/ email add: Liz- galinca77@yahoo.com
Address:
Gender: female
Age: 48
Occupation: Cemetery salesperson
Instructions: choose and answer the questions correspondingly.
Part I: for non-stroke victim/patients
1. What are your vices/addictions? (present, regular or occasional)
overeat and don't exercise.
2. What illness/es do you have?
hypertension/ high blood
3. What are the common illnesses in your family?
__________
adult onset diabetes, high blood pressure, heart disease
4. WHich among the following do you experience frequently?
none
5. do you know anything about stroke?
yes
6. what do you think are the causes of stroke?
2 causes of stroke: blockage in brain or rupture of artery. Basically lack of blood to the brain causes stroke.
_________________
7. Is there a family member who had stroke?
No
end of part one questionaire.
thanks to all.
part two: for stroke victims/patients...
