FM SURVEY #1 USE THIS
SURVEY TO GATHER INFO FROM ANY GROUP TO SHARE WITH THE GROUP THE NEXT TIME THEY MEET - OR
USE IT AS A GUIDE FOR YOUR MEETING.
Please take a minute to share your experience & acquired knowledge with others
through our survey - you need not sign it - but if you would like to , there is a space at
the bottom. Results will be tabulated by Lora Lehmann (215-885-0504 if you have questions
) and shared at the next meeting.
FM SURVEY #1
Do you know what triggered your FM?
____________________________________________________
Once you were diagnosed and learned about FM - did you feel that you had had some form of
it all your life or that it just started from the time of the triggering event?
____________________________________________________
List 2 main things you do to help your .......
sleep __________________________________________________
______________________________________________
pain ___________________________________________________
______________________________________________
stiffness ______________________________________________
_____________________________________________
mood/attitude __________________________________________
_____________________________________________
Since people with FM have trouble keeping regular hours, name 2 things that they CAN do to
earn money
_____________________________________________________
____________________________________________________
Please reccommend 2 books that you think everyone with FM should read
____________________________________________________
_____________________________________________________
What medications have you found helpful?
________________________ _____________________________
________________________ _____________________________
_______________________ ______________________________
_______________________ ______________________________
PLEASE LIST ON THE BACK OF THIS SHEET SOME QUESTIONS OR ISSUES YOU WOULD LIKE TO SEE
ADDRESSED AT ANOTHER MEETINGS OR IN ANOTHER SURVEY (AND SPECIFY WHICH ARE FOR MEETING
& WHICH FOR SURVEY)
________________________
YOUR NAME (OPTIONAL)
Click here for Survey #1 on a plain page
Click here for Survey results
| VIRTUALLY ALL OF THIS INFO WAS SENT TO THE
EDITOR BY OTHER FMS'ers. (Thank you everybody)
NEEDLESS TO SAY IT HAS NOT ALL BEEN CHECKED OUT - PLEASE FEEL FREE TO SEND
FEEDBACK TO US ON SITES YOU THINK ARE VERY RELEVANT (OR NOT-SO). ALSO - IF
WE HAVE INCLUDED ANY SITES THAT DO NOT WANT TO BE LISTED HERE WE WILL
CORRECT THAT AS SOON AS YOU LET US KNOW. THANKS) |
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