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Empowering Epilepsy
Patient Education Program Survey

We Value Your Feedback

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At Empowering Epilepsy, we are committed to improving the programs and services we offer. Your input helps us better understand what is working and where we can grow to meet the needs of the epilepsy community.

Please take a few minutes to complete our survey.

 

Your responses will remain confidential and will directly help us create more impactful resources and events.

 

Thank you for helping us make a difference.

How well did you understand your or your family member’s diagnosis before attending the Patient Education Program meeting?
Did you meet
In person at Empowering Epilepsy
Virtually via Zoom
Who was your Epilepsy Educator?
How would you rate the Patient Education Program?
Poor
Fair
Good
Very Good
Excellent
Did your Epilepsy Educator explain the educational inserts in an easy to understand way?
Yes
No
To expand my knowledge of epilepsy and my or my family member’s diagnosis, the Patient Education Program was:
Poor
Fair
Good
Very Good
Excellent

What are 3 things you learned that you feel can personally improve your quality of life while living with epilepsy and seizures?

Empowering Epilepsy offers free Age Based Support Groups. Have you already, or do you plan to attend a virtual support group in the future?
Yes
No
Have you attended any of the Age Based Virtual Support Groups?
Kids and Epilepsy Talk
Teens and Epilepsy Talk
Young Adults and Epilepsy Talk
Adults and Epilepsy Talk
Seniors and Epilepsy Talk
Parents of Children with Epilepsy Talk
No - I have not attended a Support Group

Donate to Help Us
Change the Conversation About Epilepsy!

Here are some ways you can donate:

In Person

Empowering Epilepsy Headquarters

23500 Mercantile Road, Suite D
Beachwood, OH 44122

Online

Make a tax deductible donation‏.

Over the Phone

It's easy to donate offline too.

Tel: 216-342-4167

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