The National Board of Health and Welfare together with Riks-Stroke (the Swedish National Registry for Quality Assessment of Acute Stroke Care) initiated a follow-up 2 years after a stroke event in 10,303 individuals, registrated in Riks-Stroke during the first 6 months of 2001. The aim was to evaluate the health status of the patients and the burden and needs of the spouses. 6,695 patients (65 percent) were alive. 4,729 patients (71 percent) answered the questionnaire. 2,367 spouses answered a separate questionnaire. This study was compared with an almost identical study performed four years earlier. The results showed that more patients lived at home and were satisfied with help and support. Rehabilitation was still deficient for 30 percent, and more patients were highly dependent on support from next-of-kin. Thirty percent could stay alone less than half a day. These results will be used for improving rehabilitation for the stroke patients and support for their spouses.