Thank you for your time to complete this questionnaire.


                                             
  If you are a person who                  If you are a person with aphasia
   does not have aphasia 
                                                                                    
  Click OK button below                    Click: Aphasia-Friendly Survey
This survey is for persons with stroke who received stroke care in Toronto and their caregivers.  

How long does this survey take to complete?  10-15 min - please note the survey must be done in one sitting.

Why should you complete this survey? We would like to learn about your experiences as a person with stroke or as a caregiver of a person with stroke. What you choose to share will be used to help the Toronto Stroke Networks improve the care and services provided to persons with stroke and their families/ caregivers.

How should you complete the survey? The questionnaire will ask you to choose words that best describe your feelings, or tell us in your own words. We are interested in examples to better understand your experience. We want you to think about how you felt during your overall stroke journey, not just the services you may have received at one or two organizations. 

This questionnaire is voluntary and anonymous, your responses will be confidential. Nothing specific that is said will be shared – however, we will be looking for common themes from all the responses. We may use direct quotes but your name or any other information that could be linked to you will not be used.

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* 1. Please enter today's date:

Date

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* 2. Please describe your overall stroke journey: 

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* 3. Think about the times when you were interacting with staff during your care, how did you feel........

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* 4. Think about the times when things were being communicated to you, did you feel........

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* 5. Think about the times when you needed to know what was going to happen next, being prepared for the next steps, how did you feel.....

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* 6. Think about the times when information and resources were provided to you, did you feel........

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* 7. Think about how you have been able to adjust to life after stroke, do you feel........

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* 8. Think about any other experiences during your stroke journey that stand out, what happened and how did you feel........

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* 9. Please indicate you are

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* 10. Which program or service passed you the questionnaire?

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* 11. How long ago was your stroke?

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* 12. Have you filled out this questionnaire before?

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* 13. How could your stroke experience have been improved?

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* 14. If you would like to share more about your experience with the stroke system, please provide the following information and a member of the Toronto Stroke Networks will contact you.

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