Arrhythmia Patient Survey

Question Title

Arrhythmia Alliance (A-A) is launching a new Arrhythmia Patient Survey. We want to gather more information about the patient experience from symptoms, diagnosis, treatment and management of heart rhythm disorders.

Please be assured that this is an anonymous survey.

We plan to use the results of this survey to inform, educate and raise awareness of cardiac arrhythmias globally.

Please take a few minutes to complete all the questions below.

Question Title

1. Are you a

Patient

Carer

If you are a carer and completing this survey on behalf of the patient please remember to answer the questions as the patient (e.g. for Question 2 ‘Age category of patient') please enter the age of the patient and NOT the carer.

Question Title

2. Age category of patient:

0-11

12-18

19-24

25-30

31-40

41-50

51-60

61-70

71-80

81+

Question Title

3. Gender

Female

Male

Question Title

4. Do you live in the United Kingdom?

Yes