Stroke Patients Presents Can You Help Me Answer This Survey Question? Re: Stroke?

Can you help me answer this survey question? re: stroke? - stroke patients presents

Need help with my baby's thesis. pls help me. I need at least 10 people replied to the questionnaire. Here are the questions:

Name / e-mail add:
Address:
Gender:
Age:
Occupation:

Instructions: Select and answer questions accordingly.

Part I: The time of the victim / patient

1. What are your vices / addiction? (Well, regular or occasional)

Smoking
Drink
Work
Food
Other :_______

2. What disease / s are you?

Diabetes
Heart disease
Hypertension / blood
Other :________

3. What are the diseases in your family?
__________

4. Which of the following statements which you do often?

Dizziness
Chest pain
Acid
Headaches

5. Talk about a stroke?

yes
no

6. What do you think are the causes of stroke?

_________________

7. Is there a family member who suffered a stroke?

yes
no


End of Part OneQuestionnaire.
Thank you all.

A part of the victim or stroke patients ...