Get Involved | QuestionPro

Please provide your contact information so that we can send you a copy of the book. Note: No contact details will be published and you can opt to hide your name from publication.

* First Name :
* Last Name :
* Email Address :

What best describes the way you have been effected by Multiple Sclerosis?

I suffer from MS

I care for someone with MS

I have a family member effected by MS

I work within the MS community

Other

If you suffer from MS, when were you first diagnosed? (Approximately)

How long were you (or the person you know) showing symptoms of MS prior to being diagnosed? (Approximate time in weeks, months or years)

Who is the main support person?

Outside of professional medical advice, what have you found to help provide relief from symptoms, pain etc? Example: Alternative therapy, hypnosis, reading, activities etc. Remember you can opt to remain anonymous and this is simply your own personal findings, not medical evidence.

What tips, advice, support or information would you like to share with anyone who has been recently diagnosed with MS, or indeed is a long term sufferer? (There is no right or wrong answer, please write what ever you believe would help others)

What was your initial reaction when you (or the person you know) was diagnosed with MS?

We want to tell your story about living with MS. What additional information would you like to share about your experience? What would help others? What information would have helped you? Tell us about your life with MS. There is no limit on text (however be aware your computer may time out if you remain on this screen for too long so keep a copy of what you write just in case).

Your contact details will remain strictly confidential. Please indicate if you are happy for us to publish your name and city in our book.

Yes - I am happy to share my name, city

No - Please change my name / city to keep me anonymous