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Parkinson’s Disease Survey Form
This is a survey done by Mathematics students of Foundation in Natural & Built
Environment (FNBE) April intake Semester Two to study more about Parkinson’s
Disease.
1. Age
o 21-25
o 26-30
2. Have you ever heard about Parkinson’s Disease before?
o Yes
o No
3. Men are more likely to develop Parkinson’s Disease than women.
o Yes
o No
4. People usually develop the disease around age 50 or older.
o Yes
o No
5. Parkinson’s Disease can be cured.
o Yes
o No
6. Surgery can cure Parkinson’s Disease.
o Yes
o No
7. Parkinson’s Disease signs and symptoms may include:
o Tremor
o Slowed Movement
o Rigid Muscles
o Impaired posture and balance
o Loss of automatic movements
o Speech and writing changes
o Others : _______________
8. Everyone with Parkinson’s Disease has different symptoms.
o Yes
o No
9. Medications can reduce the reduce the symptoms of Parkinson’s Disease.
o Yes
o No
10.Genetics is the main causes of Parkinson’s Disease.
o Yes
o No
11. Environmental factors are the major factor of Parkinson’s Disease.
o Yes
o No
12. Caffeine can reduce the risk of having Parkinson’s Disease.
o Yes
o No
13. Do you think good lifestyle can lower the risk of having Parkinson’s Disease?
o Yes
o No
14.There are many types of Parkinson’s Disease.
o Yes
o No
15.Do you think Parkinson’s Disease will caused death?
o Yes
o No
THANK YOU

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Parkinsonvery new-one

  • 1. Parkinson’s Disease Survey Form This is a survey done by Mathematics students of Foundation in Natural & Built Environment (FNBE) April intake Semester Two to study more about Parkinson’s Disease. 1. Age o 21-25 o 26-30 2. Have you ever heard about Parkinson’s Disease before? o Yes o No 3. Men are more likely to develop Parkinson’s Disease than women. o Yes o No 4. People usually develop the disease around age 50 or older. o Yes o No 5. Parkinson’s Disease can be cured. o Yes o No 6. Surgery can cure Parkinson’s Disease. o Yes o No 7. Parkinson’s Disease signs and symptoms may include: o Tremor o Slowed Movement o Rigid Muscles o Impaired posture and balance o Loss of automatic movements o Speech and writing changes o Others : _______________
  • 2. 8. Everyone with Parkinson’s Disease has different symptoms. o Yes o No 9. Medications can reduce the reduce the symptoms of Parkinson’s Disease. o Yes o No 10.Genetics is the main causes of Parkinson’s Disease. o Yes o No 11. Environmental factors are the major factor of Parkinson’s Disease. o Yes o No 12. Caffeine can reduce the risk of having Parkinson’s Disease. o Yes o No 13. Do you think good lifestyle can lower the risk of having Parkinson’s Disease? o Yes o No 14.There are many types of Parkinson’s Disease. o Yes o No 15.Do you think Parkinson’s Disease will caused death? o Yes o No THANK YOU