| Questions |
Yes |
No |
| Do you have any Family History of Stroke: |
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| Do you have any History of Stroke in Neighbour: |
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| Do you have any Personally know someone with stroke |
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| Have you ever read/heard about a disease called stroke? |
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| Is stroke a disease of the brain? |
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| Do you think homeopathic treatment is beneficial for stroke? |
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| Is stroke contagious? |
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| Is stroke a hereditary disease? |
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| Do you think stroke is caused by ancestor’s sin? |
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| Do you think stroke can be prevented? |
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| Is stroke an old person disease? |
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| Which of the following are warning signs of stroke: |
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| Sudden onset of dizziness |
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| Sudden onset of loss of vision |
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| Sudden onset of headache |
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| Sudden onset of memory loss |
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| Sudden onset of weakness/numbness of arm/leg |
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| Sudden onset of fainting |
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| Sudden onset of double vision |
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| Which of the following are risk factors of stroke? |
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| High blood pressure |
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| Smoking |
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| Diabetes |
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| High Cholesterol |
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| Obesity |
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| Do you: |
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| Exercise: |
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| Consume fruits and vegetables |
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| Avoid fatty foods |
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| Take medicines regularly |
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| Check your blood pressure regularly |
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| Smoke |
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| What will you do if you happen to witness a person with stroke? |
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| Take him/her to the hospital |
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| Sprinkle water on face |
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| Wait for spontaneous recovery |
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