Research Questions
Please answer the following questions based on your experiences. Use the attached PDF as the source of truth.
Respondent Information
Respondent Age
*
Gender
*
Please Select
Female
Male
Prefer not to say
Sibling with Epilepsy Age
*
Sibling Age When Diagnosed with Epilepsy
*
Seizure Experience and Emotional Response
Average number of seizures per year experienced by your sibling
*
Please Select
Seizure free
1-4
5-9
9-15
15+
How worried or scared do you feel when your sibling has a seizure?
*
Please Select
Not at all
A little
Moderate
A lot
Has your worriedness changed with age?
*
Please Select
It has become worse
It is the same
It is better
How worried are you that your sibling could get hurt?
*
Not worried at all
1
2
3
4
Very worried
5
1 is Not worried at all, 5 is Very worried
How worried are you about not being able to handle a seizure?
*
Please Select
Yes, I worry about handling a seizure.
No, I feel confident handling a seizure.
Moderate
Not sure
How anxious do you feel being around your sibling when they have epilepsy?
*
Please Select
Not at all
A little
Moderate
A lot
Family Impact and Support
Do you get as much attention from your parents as you need?
*
Please Select
Not at all
A little
Moderate
A lot
Is this related to your sibling's epilepsy?
*
Please Select
Yes
No
Not sure
How often do you feel lonely or unsupported?
*
Please Select
Not at all
A little
Moderate
A lot
How much responsibility do you have for your sibling with epilepsy?
*
Please Select
Not at all
A little
Moderate
A lot
How often have your activities been changed or cancelled because of your sibling's epilepsy?
*
Please Select
Never
Sometimes
Often
All the time
Can you hang out with your sibling with epilepsy the way other siblings hang out with theirs?
*
Please Select
Not at all
A little
Moderate
A lot
Is there anything else you want to share about your experience ?
Submit
Should be Empty: