Your contact information will ONLY be used by administrator for follow-up reminder, in 3 months. 1. * Date of Survey (mm/dd/yyyy) 2. * Your Name 3. * Your Email 4. * What is your gender? Female Male 5. * How many years ago were you diagnosed? 6. * What date did you start LDN, approximately? (mm/dd/yyyy) 7. * What mg dose are you taking? Less than 2.0 mg 2.0 - 2.9 mg 3.0 - 4.4 mg 4.5 mg More than 4.5 mg Variable dose pattern 8. * Disease progression since starting LDN? Too soon to tell Better than before LDN Progression has stopped Progression has worsened 9. * How many relapses since starting LDN? 0 1 2 3 4 or more Click Here to review the EDSS ratings. 10. * EDSS rating when you started LDN? (You can rate yourself) 0.0 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 9.5 Don't Remember 11. * EDSS rating today? (You can rate yourself) 0.0 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0 6.5 7.0 7.5 8.0 8.5 9.0 9.5 Can't determine 12. * MS diagnosis when you started LDN? Relapsing Remitting Secondary Progressive Progressive Don't know 13. * MS diagnosis as of today? Relapsing Remitting Secondary Progressive Progressive Don't know 14. What country do you live in? STOP! Please review to make sure you have answered all questions before clicking Submit.
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