| E-Mail Address |
|
| Gender |
Male
Female No Answer |
| Age Group |
05-15
16-20 21-25 26-30 31-35
36-40
41-45 46-50 51-55 56-60
60+
No Answer |
| Are You |
A
First Time Visitor A
Repeat Visitor No
Answer |
| How many times have
you visited The Basilar Artery Migraine (BAM) Page
(including The BAM Forum)? |
| 1
2-5
6-10 11-15 16-20 More than 20 No Answer |
| If this is your first visit, do you plan to return? |
| Yes
No Not sure No Answer |
| Which of the following best describes your interest in
The Basilar Artery Migraine (BAM) Page? |
I have been diagnosed with BAM
I think I may have BAM, but
have not yet been diagnosed
I am still trying
to find out what I have
I am a friend of
someone who has or may have BAM
I am a family
member of someone who has or may have BAM
I am a neurologist with a
patient who has or may have BAM
I am a physician (other)
with a patient who has or may have BAM
I am a health
care provider (other) with a patient who has or may have BAM
I am a scientific
or medical research professional
I am a PhD student or
Post-Doc
I am currently in
medical school
I am a student (other)
I "just surfed
in" or am just curious
Other
No Answer |
| Did you find The Basilar Artery Migraine (BAM) Page helpful and informative? |
Most helpful resource I've found
Very helpful
Somewhat helpful
Not helpful at all
Haven't visited
No Answer |
| Have you visited The BAM Forum yet? |
| Yes
No No, but I'm planning to
No Answer |
| If you have visted The BAM Forum, did you post or respond to any messages? |
| Yes
No Not sure I haven't visited No Answer |
| Did you find The BAM Forum helpful and informative? |
Most helpful resource I've found
Very helpful
Somewhat helpful
Not helpful at all
Haven't visited
No Answer |
| If you have BAM or a similar disorder, did you feel as
if you were "all alone" and/or "the only one" with this disorder
before you found this site? |
| Yes
No Not sure I haven't visited No Answer |
| Do you feel as if you've found a "sense of
community and belonging" on The BAM
Forum? |
| Yes
No Not sure I haven't visited No Answer |
| Have you made new friends or corresponded with others
you found on The BAM Forum? |
| Yes
No Not sure I haven't visited No Answer |
| How did you find out about The Basilar Artery Migraine (BAM) Page? |
Search Engine
Followed link from
another web site
Read about it on
another health or medical discussion forum
Newspaper or other news
source
Clicked on a banner or graphic
Physician (Family
Practitioner/General Practitioner/Internist)
Physician
(Neurologist)
Physician (Other
Doctor/Physician)
Physician's
Assistant (PA)
Nurse Practitioner
(NP)
Registered Nurse (RN)
Other Nurse
Other
Health Care Provider
Family Member (Parent)
Family Member (Child)
Family Member (Spouse)
Family Member (Other)
Significant Other
(Including Domestic Partners)
Friend
Co-worker
Employer, Supervisor, or Boss
Teacher, Professor, or
Other School Official
Counselor or Therapist
Other
Don't Know/Don't Remember
No Answer |
| Would you be interested in participating in research
studies on Basilar Artery Migraine that may be hosted on this site (all information you
would provide would be kept strictly confidential and would be used solely for research
purposes)? |
Very interested
Somewhat
interested
Not interested
Undecided
No Answer |
| Do you have any comments or suggestions? |
| |
Thank you very much for taking the time to
complete this survey. I'll have more surveys in the future, and will announce them on The
BAM Mailing List. I will use the information you provide to help make this site the most
useful resource possible for those who visit.
|