Re: Online survey

[R Hoover <rhoover@xxxxxxxx>]

-----Original Message-----
From: (Laura Liggett) <LLigg913@xxxxxxx>
To: Multiple recipients of list PARKINSN <PARKINSN@xxxxxxxxxxxxxxxxxxxx>
Date: Tuesday, August 11, 1998 6:11 AM
Subject: Re: Online survey


>In a message dated 98-01-09 07:30:37 EST, you write:
>
><<
> 1. Sex:  1. Male      2. Female
>         _1___2_________________________________
>
> 2. Nationality _x_US_______________________________
>
> 3. Age         1. below 55    _x__  Born 8/5/54, diagnosed 4/1/89
>                         2. 55-65        ___
>                      3. above 65  _x__
>
> 4. How long ago were You diagnosed with PD?
>                      1. 0-5 years ago        _x__
>                      2. 6-10 years ago      __X_
>                      3. 11-15 years ago    ___
>                      4. over 15 years ago  ___
>
> 5. What medications are You taking at the moment?
>                      1. amantadine
> ___________________________________________
>                      2. anticholinergics
> _________________________________________
>                      3.  selegiline
> ________________x (Eldepryl)____________________________
>                      4.  dopamine agonist
> _________________
>                         5.      levodopa
> _x  25/100 3 times daily__________________x (as
Carbidopa/Levadopa)-Sinemet
>                         6.      COMT inhibitor
> __________________x_(arequip)____________________
> )_Mirapex  1/2 mg 3 times Daily                        7.      something
else:
> ___________________x (
>
> 6. In general, are You satisfied with the effectiveness of Your
> medication?
No_______________________________________________________________
>     _______________________________________________________________
>     _______________________________________________________________
>
> 7. How often are You troubled by the following symptoms (on a scale from
> 1 to 5, 1=all the time 5=never):
> tremor __ 2_
> rigidity _1_
> slowness of movement _2__
> postural instability __1
> dyskinesia _4
> hallucinations _3__
> dementia _1
> depression _3__
> dystonia _2_>
>sexual problems _5__
> 8. How disabling are the following symptoms (on a scale from 1 to 5,
> 1=extremely disabling 5=no disability):
> tremor _3__
> rigidity __5_
> slowness of movement _3__
> postural instability _2__
> dyskinesia _4__
> hallucinations 4__
> dementia __5
> depression _4_
> dystonia __
> sexual problems __1_
>
> 9. Have You ever been hospitalized due to PD symptoms? Which symptom(s)?
>  >>
>no
>