Aspectos Críticos: 1 La Seguridad

Please take a few minutes to complete and return this evaluation. Based on your feedback, the Heart and Stroke Foundation is able to improve this resource to help people who have experienced a stroke manage their condition and improve their quality of life. We appreciate your honest responses. All responses are strictly confidential.

1. Where did you receive this copy of Let’s Talk About Stroke?

o In the Hospital o Rehabilitation Clinic o Family Physician Office

o From the Heart and Stroke Foundation o Other, please specify

2. Who gave you this copy of Let’s Talk About Stroke?

o Local Heart and Stroke Foundation Office o Physician in Hospital (Cardiologist, Internist)

o Family Physician o Nurse o Social Worker o Ordered Yourself

o Other, please specify

3. Did you receive this Patient Education Kit at a time when it was most helpful to you?

o Yes o No If No, when would it have been more useful to receive Let’s Talk About Stroke?

4. On the following scale, please indicate how you found the information in Let’s Talk About Stroke to be over all.

Very

Good Good Fair Poor

Very poor a. How well did the specific concerns discussed in this resource

match the concerns that you or your loved one had after the

stroke? o o o o o

b. Overall, how would you rate the information provided in this

resource? o o o o o

c. Please rate how each of the following aspects of this Stroke Patient Education Kit met your needs.

The resource over all o o o o o

Organization of the information o o o o o

Diagrams o o o o o

Ease of use o o o o o

Language (how easy it was to read and understand) o o o o o

Mix between words and pictures o o o o o

Front cover design o o o o o

Let’s Talk About Stroke Evaluation

5. Listed below are the names of the sections contained in Let’s Talk About Stroke. Please indicate if you found the information to be “very good”, “good”, “fair” or “poor”. If you did not read a particular section, please mark the “Didn’t Read” box.

Very

Good Good Fair Poor

Didn’t Read

1. What is a Stroke? o o o o o

2. Effects of a Stroke o o o o o

3. Stroke Treatment in the Hospital o o o o o

4. Stroke Rehabilitation o o o o o

6. Medications o o o o o

7. Preventing Another Stroke o o o o o

8. Aphasia o o o o o

9. Swallowing and Eating o o o o o

10. Helpful Devices and Home Modifications o o o o o

11. Incontinence o o o o o

12. Pain and Mobility o o o o o

13. Hand, Foot and Skin Care o o o o o

14. Fatigue o o o o o

15. Memory Loss and Problem Solving o o o o o

16. Emotional Issues for You and Your Family o o o o o

17. The Stroke Caregiver o o o o o

18. Sexual Intimacy o o o o o

19. Stroke in Younger Adults o o o o o

20. Driving o o o o o

21. Hobbies and Recreational Activities o o o o o

22. Returning to Work o o o o o

My Stroke Diary o o o o o

Resources o o o o o

Glossary of Terms o o o o o

6. Would you recommend Let’s Talk About Stroke to other people that have experienced a stroke?

o Yes o No If NO, why not?

7. What topics would you like covered in Let’s Talk About Stroke in more detail? 1.

2. 3.

8. If you could change something about this Patient Education Kit, what would it be?

9. What other languages would you prefer this Patient Education Kit to be in, if any?

10. Demographic Information (for statistical purposes only)

Gender: o Male o Female

To which of the following age groups do you belong?

o under the age of 35 o 35–44 years of age o 45–54 years of age

o 55–64 years of age o 65–74 years of age o 75 and over

Thank you very much for taking the time to fill out this evaluation. Please send your completed form to:

The Heart and Stroke Foundation is a leading funder of heart and stroke

research in Canada. The knowledge garnered from Foundation-funded research has resulted in earlier diagnoses, better treatments and new insights into how to prevent and manage these diseases. To protect your health and the health of those you love, the Foundation also provides millions of Canadians with the most up-to-date healthy living information, based on the most current, evidence-based research. To find out more about Heart and Stroke Foundation lifestyle or stroke and heart disease information, and to learn how you can offer much-needed support in your community, visit heartandstroke.ca or call 1-888-HSF-INFO (473-4636).

Learn more at

heartandstroke.ca

or call

1-888-HSF-INFO (473-4636)

This publication Let’s Talk About Stroke: An information guide for survivors and their families is for informational purposes only and is not intended to be considered or relied upon as medical advice or a substitute for medical advice, a medical diagnosis or treatment from a physician or qualified healthcare professional. You are responsible for obtaining appropriate medical advice from a physician or other qualified healthcare professional prior to acting upon any information available through this publication.

HP6304E V2.2