* 1. Please fill out the demographic information below, so we can have a better idea of who received the LIFE toolkit. If you would like to be added to the LIFE quarterly e-newsletter, then make sure you add your e-mail address below.

* 2. Was the toolkit written at a level that was easy to understand?

* 3. Was the toolkit useful for patients with newly diagnosed epilepsy?

* 4. Was the toolkit useful for caregivers of individuals with newly diagnosed epilepsy?

* 5. Did your physician actively utilize your toolkit for your epilepsy care?

* 6. Was the toolkit applicable to an individual with epilepsy and other special needs?

* 9. Did you find the forms helpful?

* 10. What other information would you like to have included in the toolkit?

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