Table 1.
Daily seizure questionnaire and admission questionnaire items.
A: Daily seizure questionnaire | ||
---|---|---|
Item | Question | Options |
1. | Do you think you had a seizure since the last time I asked you these questions? | Yes/No |
1a. | If yes, how many? | N/A |
1b. | What time do you think the seizure(s) occurred? | N/A |
For each seizure patient recalls, ask the following: | ||
2. | Were you able to respond to other people during your seizure? | Yes/No |
3. | Could you speak during your seizure? | Yes/No |
4. | Do you remember what happened during the actual seizure? | Yes/No |
5. | Do you remember someone (me, nurse, other student) asking you questions during your seizure? | Yes/No |
6. | Were you aware of what was going on around you during your seizure? | Yes/No |
7. | Did you lose consciousness or black out? | Yes/No |
B: Admission questionnaire | ||
---|---|---|
Item | Question | Options |
1. | Are you able to respond to other people during your seizures? | Always/Sometimes/Never |
2. | Are you able to speak during your seizures? | Always/Sometimes/Never |
3. | Are you aware of what is going on around you during your seizures? | Always/Sometimes/Never |