Keto Diet Survey

[Guest guest]

Hello.

I hope you do not mind me putting my survey up on here.

I have a son with intractable epilepsy and will be starting the

ketogenic diet in feb 05 at Great Ormond Street Hospital in London.

I am also studying to go to uni next year to do a childrens nursing

course. For my final health project i have decided to do a survey on

the keto diet as it is a subject close to my heart.

There is a a copy of the survey below in the hope that some of you

who i have not emailed personally maybe so kind as to fill it in and

either post it on here or if you would prefer email it to me at:

kazmum2boys@... ......

It would be a big help to me,

Thank you in advance and all the best

Karina Choat/ Survey Below:

Ketogenic Diet Survey:

1:Is your child:

[ ] Male

[ ] Female

2:What form of the ketgenic diet is/was your child on?

[ ] Classical [ ] MCT [ ] Other (specify)…………

[ ] Radcliffe [ ] Not known

3:How long has/was your child on the Ketogenic diet?

[ ] 0 – 3 months [ ] 3 – 6 months

[ ] 6 to 12 months [ ] 1 to 2 years

[ ] 2 – 3 years [ ] 3+ years

4:Is your child still on The Ketogenic Diet?

[ ] Yes [ ] No

5:How many siezures approximatley was your child having a week before

he/she was on the diet?

[ ] 1 – 10 [ ] 10 – 20

[ ] 20 – 30 [ ] 30 – 40

[] 40 – 50 [ ] 50+ [ ] Other

6:Can you please tick how many regular daily medications your child

was on before he started the Ketogenic diet?

[ ] 0 [ ] 1

[ ] 2

[] 3 [ ] 3+

7:Have you ever tried any of the treatments below for your child's

epilepsy, if so could you tell me its effectiveness? (leave blank if

not applicable)

V. Good /Good /No Change /Got worse

Surgery

Vagal Nerve Stimulation

Siezure Alert Dogs

Behaviourhal Therapy/Biofeedback

Aromatherapy

Acupuncture

Other (specify)…

8:Is your child fed oraly or by gastrostomy?

[] Oraly [ ] Gastrostomy

9:Did your child find it easy to adjust to using the diet?

[ ] very easy [ ] easy

[ ] a minor hassle

[ ] hard [ ] very hard

10:Since your child has started the diet, how many siezures is he/she

having in a week?

[ ] 1 – 10 [ ] 10 – 20

[ ] 20 – 30 [ ] 30 – 40

[ ] 40 – 50 [ ] 50+ [ ] Other

11:Can you please tick how many regular daily medications your child

is on after being on the ketogenic diet?

[ ] 0 [ ] 1

[ ] 2

[ ] 3 [ ] 3+

12:Has your child shown a general improvement in his learning

ability, alertness and interest in activities since starting the diet?

[ ]Yes a big improvement! [ ]yes a little

[ ] none at all.

13:Has your child experienced any of the following side effects of

the diet?

[ ] Nausea [ ] Constipation

[ ] weight gain

[ ] kidney stones [ ] increased cholesteral

14:Do you think The Ketogenic diet should be more of a mainline

treatment for epilepsy?

[ ] Yes [ ] No [ ] Not sure

Thank you for your time, please write any further comments you may

wish to add about the survey or your personal experiences with the

diet below: