Let's Talk Seizure Diaries!
Novela Neurotech: Inspiring Better Cures
Your responses will help improve a new, wearable seizure diary for people with epilepsy.
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Are you a ___________________
Person with epilepsy
Caregiver for a loved one with epilepsy
What should we call you? (First name, last initial is fine if you'd like to be anonymous)
Age range of person with epilepsy?
18 or younger
19 - 29
30 - 64
65 or older
I'd rather not say
How many years ago were you or your loved one diagnosed with epilepsy? (Please round to the nearest number.)
What type of epilepsy are you or your loved one diagnosed with (if known)?
Are you or your loved one currently on medication to manage seizures?
If seizure medication is used, rate the experience of remembering to take the medication on time (1 -very easy; 5 - very difficult)
Do you or your loved one ever use a seizure diary?
I don't know what a seizure diary is
How often do you log your seizures into the diary?
About twice a month
It's hard to remember
I don't use a seizure diary
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