Experiences of care from your GP

For Action for Brain Injury Week 2013, Headway is launching a positive campaign to help GPs manage patients with a brain injury.

To help our campaign, we would like to find out more about the support and information you receive from your GP in relation to brain injury. Please complete this short survey to tell us more.

Thank you for your support.

*1.Do you feel your GP understands the effects of your brain injury?(Required.)

Yes, very much

Yes, a little

Not very much

Not at all

*2.Has your GP ever provided you with printed or online information about your brain injury?(Required.)

Yes

*3.Has your GP ever told you about brain injury support services such as Headway?(Required.)

Yes

*4.Has your GP ever referred you to a specialist in relation to the effects of your brain injury?(Required.)

Yes

5.Do you have any further comments about your experiences with your GP?

*6.In what part of the country do you live?(Required.)

*7.What is your connection with brain injury (tick all that apply)(Required.)

I have a brain injury

I am the partner of someone with a brain injury

I am the family member of someone with a brain injury

I have a friend with a brain injury

I provide care for someone with a brain injury

Other (please specify)

8.What type of brain injury did you or the person concerned sustain? (please tick all that apply)

Minor traumatic brain injury (mTBI)/concussion

Moderate or severe traumatic brain injury (TBI)

Stroke

Aneurysm

Haemorrhage

Infection (eg Encephalitis, Meningitis)

Hydrocephalus

Brain tumour

Hypoxic/anoxic brain injury (lack of oxygen to the brain)

Other (please specify)

*9.Would you be prepared to share your experiences – whether positive or negative – of the support you have received from GPs in order to publicly support our campaign?(Required.)

Yes

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