It will help your doctor to track all your symptoms.
This tool is meant to cover all the symptoms, some your doctor may forget to ask for. Share the document with your doctor to discuss and track your symptoms over time.
Your responses will never be collected, stored, or shared.
Fill out Your MS questionnaire—it just takes 5-10 minutes
Bring your results to your next doctor’s visit
Discuss your MS symptoms with your doctor
Come back again in 6 months
This questionnaire focuses on the past 6 months, and will ask about any relapses, your symptoms and their impact on your daily life. That’s why we recommend you redo this questionnaire every 6 months. If needed, ask a family member, partner or caregiver for help and input when completing the questionnaire.
It’s 100% Confidential
Your responses will never be stored, collected or shared on our servers. At the end of the questionnaire, you’ll have a printable document to bring to your next appointment.
Track your symptoms over time to stay on top of how your MS is developing
Then, use the questionnaire to help guide your discussions at your doctor’s appointments.
KNOW SOMEBODY WHO CAN USE THIS QUESTIONNAIRE? Send it to them.
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