Anyone that would like to help me with my year 12 assignment; the effect of multiple sclerosis on an individual and their family could you please copy and paste these questionnaires to a reply and fill them out for me! I would really appreciate it. There are 3. The first one is for the person with ms. The 2nd is for the family of the person with ms. And the third one is for a friend of the person with ms. Your time and effort is greatly apprieciated. Names do not have to be provided.
Questionnaire 1 for the person with multiple sclerosis
1. Sex?
2. Age?
3. In what year were you diagnosed with ms?
4. Did you think you had ms before you were diagnosed?
5. What did you know about ms before you were diagnosed? (nothing/a little bit/everything)
6. How did you feel before you were diagnosed with multiple sclerosis?
7. How did you feel when your doctor first diagnosed you with multiple sclerosis?
8. What was your age when you were diagnosed?
9. How many years have you had ms?
10. How do you feel now about ms?
11. What symptoms do you have?
12. How has ms affected you physically? (mobility)
13. How has ms affected you mentally? (emotions)
14. How has ms affected you socially? (going out)
15. How has ms affected you economically? (not being able to work to earn money/expenses to help your everyday living)
16. How has ms affected you emotionally? (feelings)
17. Has ms affected your everyday living?
18. What treatment have you tried for ms?
19. Have these treatments helped in any ways?
20. Are you joined to any support groups for ms? ( if yes please specify)
21. Has any one in your family had multiple sclerosis before?
22. How has ms affected your family?
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Questionnaire 2 for the family member
1. What is your relation to the person with ms? (eg mum, dad, daughter)
2. How long have you known they have had ms? (years or months)
3. How did it make you feel when you found out?
4. How much did you know about the disease? (nothing/some/a large amount)
5. How were you told about it?
6. Who told you they had ms?
7. How much do you know about ms now? (still nothing/some/a large amount)
8. Have you noticed a change in the person with ms? (if yes please specify)
9. Do you notice any of their symptoms that the person with ms has? (if yes please specify)
10. Has it had an effect on your life since that person has been diagnosed with ms?(if yes please specify)
11. Have you changed your house in any way to suit mobility problems? (if yes please specify)
12. Have you helped the person with ms in the following ways:
physically
emotionally
financially
fund raising
researching information
receiving help
other please specify
13. Do you think ms has affected them:
emotionally
physically
psyhologically
economically
14. Personally how do you think this has affected you?
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Questionnaire 3 for a friend of the family
1. Sex?
2. Age?
3. How long have you known the person with ms for?
4. Did you know this person before they were diagnosed with ms?
If yes how many years
if no go straight to question 9
5. What were they like before being diagnosed with ms? ( eg happy, out going, sad, depressed)
6. When and how did you find out they had ms?
7. Did you help them after being diagnosed with ms?
8. If yes how did you help them?
9. How has ms affected them in your opinion?
10. Whats are they like now after being diagnosed with ms? (happy, cheerful, outgoing, sad, deppresed)
11. Do you find it awkward when they talk about ms?
12. Have you modified your house to help your friend with ms? (if yes please specify)
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Thank you, your time is extremely appreciated it is very hard for me to find people to help me with my assignment. So again your time is really appriciated.
Thankyou all *amanda*