Why questionaire? this questionnaire removes the need to ask these questions from the form in the first session. This means you can start your counselling by talking about yourself rather than answering questions about your Epilepsy.

As a specialist service, we ask questions within this questionnaire that are specifically about your epilepsy and how it affects you. It is comprehensive, however, it really helps your counsellor or coach.

All information you put into this questionnaire is private and confidential, it will only be shared with your specialist counsellor

This form should not take more than 4 minutes to complete.

Epilepsy Questionnaire

You are?

Your Doctors?

Your Epilepsy?

Your age when diagnosed
Diagnosed by who?

What Epilepsy?

Start Over