Another survey

I got the following as a submission on the form. Cut and paste to your email if you wish to participate.

ADULTS WITH CEREBRAL PALSY SURVEY FORM

Some adults with cerebral palsy experience difficulties speaking and swallowing. For some adults, the difficulties began in childhood. For others, these problems began when they became adults.

Leslie Will is a graduate student at the University of Colorado and has been helping adults cope with these problems for several years. She is attempting to find out how widespread the problems of speaking and swallowing are among adults. Leslie has drawn up a short list of survey questions that help her and researchers design programs and strategies to assist adults.

Please take a few minutes to answer the survey questions below. If you wish, you can download the questions and e-mail the questions and answers to the address below. Or just e-mail your answers.

As you answer the questions, please feel free to provide details about any difficulties you may have with speaking or swallowing. How do these difficulties affect you personally and what affect do they have on your relationship with other people? Did you see a doctor or a therapist? Were they helpful? Do you have any advice for other adults with these problems?

Please send your answer and comments to GUIOCO@AOL.COM

1. Do you have trouble being understood when you speak? ___Yes ___No
2. Do you have trouble swallowing? ___Yes ___No
3. Have speaking and swallowing become more difficult as you have grown older? ___Yes ___No
4. Do you participate in speech therapy to improve your communication ability, or do you plan to do so in the future? ___Yes ___No

Please feel free add any comments about your own experience with problems speaking and swallowing.

The following section is optional--- you may choose not to supply the information asked for below, and answer only the survey questions above. The information below will supply demographic information about people who reply to the survey questions, and will enable information about adults with cerebral palsy to be sent to respondents.

NAME

ADDRESS street
City, state and zip

E-MAIL

AGE

SEX ___MALE ___FEMALE

TYPE OF CP (CHECK ONE)

• ATHETOID
• SPASTIC
• MIXED
• DON’T KNOW

Questions? E-mail GUIOCO@AOL.COM

Do you know other adults who would participate in this survey? Send their e-mail or street address to GUIOCO@AOL.COM and thanks for your help.

___CHECK HERE IF YOU WANT TO RECEIVE INFORMATION IN THE FUTURE ABOUT ADULTS WITH CP.

Copyright © Pierre Malraison All rights reserved.
Opinions are those of the writers.