I am a Level 3 Health and Social Care Extended Diploma Student at Canterbury College. As one of my units I have to conduct a research project into two physiological disorders. I have chosen Stroke and Motor Neurone Disease. This questionnaire will help me to provide relevant and current data to the way in which the health care system currently acts with the help and care it provides for individuals at home and what needs to be improved. If you wish to withdraw your information this can be done by the 24th April. Any names provided will be changed for confidentiality reasons. If you wish to get in contact with me with any queries regarding this questionnaire or help with providing extra information you can by emailing me at pollyhutchinson@hotmail.com.
Thank You.

* 1. Please state your name and the date

* 2. How old are you?

* 3. Have you..

* 4. How quickly were you released from hospital after receiving a diagnosis?

* 5. Which care professionals have you had help from since receiving your diagnosis? (Tick all that apply)

* 6. What symptoms did you have?

* 7. Are you happy with the amount of care you received to enable you to live as independently as possible at home after receiving your diagnosis?

* 8. Are you happy with the quality of care you have received at home after your diagnosis?

* 9. Have you been offered counselling to help you with your emotions after your diagnosis?

* 10. If you answered 'No' to the above question, do you wish you had been offered it?