Please be advised that by completing and submitting this survey, you consent to be a participant in this study and permit use of the information you have provided for study purposes.


Please answer the following questions to the best of your ability. You may chose not to answer any question.

You may provide ranges for questions that require numbers or quantities.

For multiple-choice questions, you may elaborate on your answers in the comment section provided after each question.

* 1. Please choose the option that best indicates the nature of your practice.

* 2. How many years have you been in practice?

* 3. Please indicate the first three characters of the postal code where your practice is located.

* 4. Approximately how many patients do you manage that suffer from epilepsy?

* 5. How many of your epilepsy patients do you manage without assistance from a neurologist?

* 6. On average, how often do you follow up with one of your epilepsy patients?

* 7. Approximately how many of your patients have gained effective control over seizures with anti-seizure medication?

* 8. Approximately what percentage of your patients that take anti-seizure medication, suffer from mild to severe side effects?