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Question 1

Before

Answer 1

When and where did the event happen?
How were you feeling beforehand?
Did you get any symptoms at the time e.g. nausea, vomiting, photophobia, neck
stiffness?
Do you think anything may have brought on or triggered the event? eg. prolonged
standing

Question 2

during

Answer 2

Did you lose consciousness?
Did you hurt yourself during the event
Any tongue biting, urinary, faecal incontinence?
Did you have any jerking movements of arms/legs?
Were there any changes in your colour during the episode?

Question 3

After

Answer 3

How long did you take to recover?
How did you feel after the event? Well/unwell? Confused/drowsy/change in
speech/weakness of arms/legs
Did you experience any symptoms after the event? Nausea/ sweating/ chest pain/ back
pain/ shortness of breath?