Stroke Impact Scale

Please fill out this questionnaire before attending the stroke rehab classes.  It will give me an idea of you and your current condition.  

If you have any questions, please don't hesitate to get in touch with me through my Contact page here.

If you are having trouble with the form below, try the mobile friendly version here: https://goo.gl/forms/Cfgt4MeEQwuvmPKq1