Let's Talk Seizure Diaries!
Novela Neurotech: Inspiring Better Cures

Your responses will help improve a new, wearable seizure diary for people with epilepsy.
Are you a ___________________ *
Required
What should we call you? (First name, last initial is fine if you'd like to be anonymous) *
Age range of person with epilepsy? *
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) *
Very easy
Very difficult
Do you or your loved one ever use a seizure diary? *
How often do you log your seizures into the diary?
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