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hemiplegia

hemiplegia

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Published by Shaahid Kashmiri
Hemiplegia patients questionnaire..
Hemiplegia patients questionnaire..

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Categories:Types, Research, Science
Published by: Shaahid Kashmiri on Jul 25, 2011
Copyright:Attribution Non-commercial

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07/25/2011

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In the following questionnaire, I am going to ask you a variety of questions.Some are concerned with you and some are general. There are two options for every single question, µYes´ and µNo¶. Please tick ( ) mark only to the answer towhich you feel to. Tick ( ) mark to only one answer of each question.I am simply interested in knowing your interest and perception of your life.Please complete all the questions carefully as possible.All your answers in the questionnaire will be treated in strict confidence.May I thank you very much for your co-operation.
GulRukhsaar  PGDRP Student 
Name: ««««««««««««Age ««««. Sex: «««.Family Status:
(Nuclear/Joint)
««««««««««««Occupation: «««««««««««««««««««««...Education:
(Literate/Illiterate)
«««««««««««««.Monthly Income: ««««««««««««««««««««Address: «««««««««««««««««««««««.Rural/Urban: «««««««««««««««««««««.
 
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. Are you always in stress?2.Are you facing economic problems?3.Are you tense about your family?4.Do you suddenly feel unilateral extreme weakness?5. Do you feel loss of function one side of the body?6. Do you ever have a pain in neck?7. Do you ever feel pain in bones?8. Are you trembling, while facing a panic situation?9.Does your heart beats more fast in fearful situations?
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. Do you ever feel weakness in one side of the body?
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. Do you walk with any support?Yes NOYes NOYes NOYes NOYes NOYes NOYes NOYes NOYes NOYes NOYes NO
 
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2. Is your blood pressure always high?
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3. Are you suffering from diabetes?
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4. Do you have a problem of insomnia?
1
5.Do you have you a problem of motor speech impairment?
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6.Do you have a problem in writing?
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7.Do you feel loss of perception?
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8. Does your perception loss due to sudden brain stroke?
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9. Do you ever feel loss of memory?2
0
. Have aggression often become a problem in your day to day life?2
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. Do you ever feel headache?22. Do you have a problem of vertigo, nausea and vomiting?23. Were you ever in coma?Yes NOYes NOYes NOYes NOYes NOYes NOYes NOYes NOYes NOYes NOYes NOYes NO

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