Survey questions for "Fix My Face"

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I am a:

Person who has had facial palsy for less than one month

Person who has had facial palsy for one month to a year

Person who has had facial palsy for more than a year

Family member/friend of someone with facial palsy

Medical provider

Physical therapist or other healthcare professional

Other:

Clear selection

How useful did you find the information in “Fix My Face”? Please rate the contents between 0 and 5, where 0 is not at all useful and 5 is extremely useful,

not at all useful

extremely useful

Clear selection

What kind of information did you find most helpful? (Select all that apply)

Background on facial palsy (anatomy, causes of paralysis, etc.)

Suggested medication regimen for onset of symptoms

Self-care advice for dealing with symptoms

Treatment available from specialists (eye care, facial plastic surgery)

Physical therapy exercises

Ancillary treatments (biofeedback, acupuncture, regenerative medicine)

All of the above

None of the above

Other

I plan to try at least one suggestion in the book or seek help from a qualified professional:

Yes

Not applicable

Clear selection

Which statement most closely represents your feelings after reading the book?

I feel more hopeful that my symptoms can or will improve.

I feel less hopeful that my symptoms can or will improve.

I feel neither more nor less hopeful about my symptoms improving.

Not applicable

Clear selection

THANK YOU FOR SHARING YOUR OPINIONS. YOUR RESPONSES WILL HELP SHAPE THE FOUNDATION’S FUTURE EDUCATION AND RESEARCH INITIATIVES.

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