Living with Epilepsy
This questionnaire consists of both multiple choice and short answer questions which should take around 5-10 minutes to complete.

If you are interested in participating further or have any further questions, please contact me via email at:
j3.nicholas@connect.qut.edu.au

This study has been approved by the QUT Human Research Ethics Committee (approval number 1800000355).

By completing this questionnaire, you give your consent to this research.

How old are you? *
Your answer
Gender *
How long has epilepsy been a part of your life? *
What type of epilepsy have you been diagnosed with? *
Your answer
What type of seizures do you experience? *
Your answer
Have you had any injuries due to your seizures? If yes please explain. *
Your answer
Seizure frequency *
How long do the seizures last for approximately? *
Can you tell if a seizure is about to happen?
What are the physical symptoms following a seizure?
Your answer
Can you please explain in detail what emotions you feel after a seizure? (10 minutes - a day etc)
Your answer
How dependent are you? *
If known, what triggers your seizures? *
Your answer
Do you take any precautions to avoid seizures? What and why? *
Your answer
What is the most challenging part of your day living with epilepsy? *
Your answer
What are the positive parts of your day living with epilepsy? *
Your answer
Do you take any medication? *
If yes, what? Are there any side effects?
Your answer
Have you thought about alternative treatments? (surgery, nerve stimulation, medical cannabis oil etc) *
How do you feel about alternative treatments? *
Your answer
Do you currently use any technology to help you monitor/track your epilepsy? *
If yes, what technology do you use and why?
Your answer
What aspects of your life have changed since being diagnosed with epilepsy? (If relevant)
Your answer
Do people in your life know the correct first aid for your epilepsy? *
Do you have any other medical conditions? (ADHD, anxiety, depression etc) *
Your answer
Do you think there is a stigma around epilepsy? *
Finally, what words do you associate with epilepsy? *
Your answer
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