Welcome to your Stroke Care
What type of Stroke did you have?
When did you have your Stroke? (mm/yyyy)
How did you get to hospital?
On arrival at hospital, what types of treatment were you or your family offered?
Were you admitted to hospital?
Where were you treated in hospital?
Were you treated in a Stroke unit? And how long was your stay?
Who did you see in the Stroke Unit? (Select all that apply)
Please provide an opinion on the quality of care you received during your initial hospitalisation. 1 = being poor and 10 = excellent
If you received ECR, how long did you stay in the surgical hospital afterwards?
If you received ECR, how long did you stay in the hospital that did the ECR procedure for?
After your procedure, what happened?
Did you receive a home visit after your Stroke?
Did you receive any follow up correspondence with your Stroke Team? If yes, who contacted you?
What information did you receive in the discharge planning phase? (Select all that apply)
What support/ information did your family/ carer receive in regards to your recovery post Stroke?
With 1= very poor and 10= excellent, in your opinion, how would you rate the level of Stroke education that you and your family received after your Stroke? Please leave any additional comments in regards to this in the box below.
For the following categories, please select the areas that you feel you received adequate advice on when being discharged from hospital.
What medications were you prescribed when you were discharged from hospital? (Select all that apply)
Questions about TIA *****
Did you get transferred for further rehabilitation?
Which of the following clinicians were you required to revisit after discharge? (Select all that apply)
Which of the following areas did you require rehabilitation in post Stroke? (Select all that apply)
Please fill in the comment box below.