Patient Education Survery - Angioplasty.org

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We are currently developing new patient education content for Angioplasty.org. We want to offer information that patients need and can use. You can help us by sharing your perspective as someone who has undergone angioplasty or other interventional treatment for coronary artery disease. We hope you will take a moment to complete this brief anonymous questionnaire. (Note: we are using angioplasty in the generic sense to encompass balloon dilatation, stenting, atherectomy, etc.) If you are a support person / relative for someone who has undergone angioplasty, feel free to fill out this questionnaire on their behalf.

1) Who explained the procedure to you before your angioplasty?

2) How well-prepared did you feel before undergoing the angioplasty?

3) Did the procedure go as you had expected?

4) Did the post-procedure period go as you had expected?

5) Before your angioplasty, which of the following were you given or shown? (check all that apply)
      printed material (brochures, booklets, flyers)
      videotape / DVD
      CD-ROM
      web site referral
      other           (if other)

6) Did your doctor or nurse educator adequately explain and answer your questions about:

Why angioplasty was being recommended?	yes	no
What alternative treatments were available?	yes	no
How the procedure works?	yes	no
Sedation / anesthetic choices?	yes	no
Pain?	yes	no
How you will feel and what you can do after the procedure?	yes	no
The goals and expected results of the procedure?	yes	no
Possible complications during and post-procedure?	yes	no

7) Has your doctor, cardiologist or health educator discussed coronary artery disease and disease management with you? yes no

8) Have you made changes in the following? (check all that apply)
      smoking
      diet
      exercise
      stress reduction
      monitoring your heart health
      other           (if other)

9) Is it important to you as a patient to understand and keep up to date on medical research and new treatments for coronary artery disease? yes no

10) Is there information that you wish you had been given before your angioplasty? yes no
please explain:

11) What information and support do you think would be helpful for other people with coronary artery disease who may be recommended for angioplasty?

12) Do you have any additional comments about your experience as a cardiac patient? Any suggestions for this web site?

Optional:

Country:

If you would like to be contacted by us to discuss patient education in more detail, please enter the following:

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