Your MS questionnaire

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.

3 easy steps

1

Fill out Your MS questionnaire—it just takes 5-10 minutes

2

Bring your results to your next doctor’s visit

3

Discuss your MS symptoms with your doctor

Not the right time?

Create a reminder to do it later. America/New_York Your MS Questionnaire Reminder Ready to track your symptoms? 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. www.myrules.ca/en/your-ms-questionnaire/
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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.

Create a recurring reminder America/New_York Your MS Questionnaire Reminder Ready to track your symptoms? 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. www.myrules.ca/en/your-ms-questionnaire/ FREQ=MONTHLY;INTERVAL=6;BYMONTHDAY=1
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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.

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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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