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Stroke Survivors in North Ayrshire - Feedback
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We are reviewing our services which we provide in Neuro Outpatient Physiotherapy and would be interested to have your feedback.

Question 1.

Where did you receive your physiotherapy following your stroke? Please tick all that apply.

Question 2.

In what year did you have your stroke?

Question 3.

Where are you receiving your physiotherapy at present?

Question 4.

Prior to your stroke were you participating in regular exercise/physical activities? Please tick all that apply.

This is required
Question 5.

We are keen to know how well you are returning to activities after stroke. If you previously engaged in any of the following activities, how well have you been able to return to these after your stroke?:

Work
Social life activities (going out to meet friends/family, re-engaging with hobbies/groups)
Essential daily activities (i.e. washing, dressing, cooking, housework)
Previous exercises or active lifestyle (such as gardening/walking)
Question 6.

Following your stroke have you been referred elsewhere to continue exercises?

This is required
Question 7.

Exercises can be those done at home, or in the community. What are the barriers, if any, to you being able to partake with exercise?

This is required