Brain Injury Association of PEI Survey

The Brain Injury Association of Prince Edward Island (BIAPEI) is a non-profit organization dedicated to promoting and contributing to an environment supportive to the brain injury community, and to providing awareness & prevention of brain injury in PEI.

We are conducting a survey of people living on PEI who have experienced concussions, or who have a brain injury, whether as a result of a stroke, illness or accident. All answers and information will be held in confidence and are anonymous. They will be used to provide statistical data, which will be beneficial to improving access to services, long term care, and will be useful to health care policy makers.

Your assistance helps us in identifying the needs of people living in PEI. We thank you for your time.

We ask that only one survey be filled out per person.

If you would prefer to fill out a hard copy, have any questions, or would like assistance in filling out the survey, please contact us at info@biapei.com, (902) 314-4228 or (902) 367-3216.

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    Short Term Memory
    Long Term Memory
    Ability to learn new things
    Vision
    Hearing
    Dizziness
    Making decisions
    Solving problems
    Pain
    Walking
    Focus/Paying Attention
    Balance
    Sleep
    Anxiety
    Depression
    Mood Swings
    Lack of energy
    Feeling emotionally exhausted
    Feeling physically exhausted
    Interacting with other people
    Bowel or Urinary problems
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    Alcohol
    Non-Prescription Marijuana
    Non-Prescription painkillers or muscle relaxants
    Prescription painkillers
    Prescription relaxation medication
    Other prescription medication
    Other non-prescription medication
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