Hello all:
As you can see this copy of the questionnaire
is going to Hong Kong by request. I hope that
a bunch of folks more locally, the US, will respond
to the questionnaire. Have had a few responses
from England and I want to thank them for
taking the few minutes it takes to complete.
Thanks again,
Doc
--------------98030DB1311D254A51E0EA9A
Content-Type: message/rfc822
Content-Transfer-Encoding: 7bit
Content-Disposition: inline
Received: from mx1.eskimo.com (smartlst(AT)mx1.eskimo.com [204.122.16.48])
by magpie.prod.itd.earthlink.net (8.8.7/8.8.5) with ESMTP id WAA06097
for <doc09(AT)sprintmail.com>; Sun, 16 Aug 1998 22:23:23 -0700 (PDT)
Received: (from smartlst(AT)localhost)
by mx1.eskimo.com (8.8.8/8.8.8) id WAA28028;
Sun, 16 Aug 1998 22:22:05 -0700
Resent-Date: Sun, 16 Aug 1998 22:22:05 -0700
Message-ID: <35D7BE1A.473B2E6C(AT)sprintmail.com>
Date: Mon, 17 Aug 1998 01:22:34 -0400
From: Doc <doc09(AT)sprintmail.com>
X-Mailer: Mozilla 4.04 [en] (Win95; U)
MIME-Version: 1.0
To: tmic-list(AT)eskimo.com
Subject: [Fwd: QUESTIONNAIRE]
Content-Type: multipart/mixed; boundary="------------994F5FEF9F3B80A2420DA113"
Resent-Message-ID: <"kSSsW2.0.qr6.ttxrr"(AT)mx1>
Resent-From: tmic-list(AT)eskimo.com
X-Mailing-List: <tmic-list(AT)eskimo.com> archive/latest/6330
X-Loop: tmic-list(AT)eskimo.com
Precedence: list
Resent-Sender: tmic-list-request(AT)eskimo.com
This is a multi-part message in MIME format.
--------------994F5FEF9F3B80A2420DA113
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
Hello all:
I have only received about a dozen
reponses to the Questionnaire. Please
take a minute and respond.
Thanks
Doc
--------------994F5FEF9F3B80A2420DA113
Content-Type: message/rfc822
Content-Transfer-Encoding: 7bit
Content-Disposition: inline
Message-ID: <35D205E7.5C4DC45C(AT)sprintmail.com>
Date: Wed, 12 Aug 1998 17:15:19 -0400
From: Doc <doc09(AT)sprintmail.com>
X-Mozilla-Draft-Info: internal/draft; vcard=0; receipt=0; uuencode=0; html=0; linewidth=0
X-Mailer: Mozilla 4.04 [en] (Win95; U)
MIME-Version: 1.0
To: TMIC <tmic-list(AT)eskimo.com>
Subject: QUESTIONNAIRE
Content-Type: text/plain; charset=us-ascii
Content-Transfer-Encoding: 7bit
As I promised in my previous note, I will collate this data and
I will not release any of it on any individual unless given
permission. The geography questions are related to MS
research. I would ask that everyone, including lurkers, just
readers and visitors, to complete the questionnaire if it applies to
you, a family member or friend with a Dx of Transverse
Myelitis (TM). Hopefully we can make a difference.
1. GENDER:
2. DATE OF Dx: LOCATION: (City,State)
AGE AT Dx: LOCATION: (City, State)
CURRENT AGE: LOCATION: (City, State)
BIRTH LOCATION:(City,State)
UNUSUAL CIRCUMSTANCES: (Lived one place Dx'd in another location..
(There were a couple of you who were on vacation or business).
3. CURRENT MEDICATIONS: (Please List)
4. MEDICATIONS TRIED BUT DID NOT WORK FOR YOU.(Please List)
5. IF YOU FEEL THAT YOUR PHYSICIAN/NEUROLOGIST IS
EXPERIENCED WITH TM (or atleast willing to learn) PLEASE
LIST HIM AS SOMEONE YOU WOULD RECOMMEND TO OTHER:
NAME:
SPECIALTY:
HOSPITAL AFFILIATION:
CITY, STATE
TELEPHONE:
6. IF YOU HAVE BEEN TREATED BY A PHYSICIAN/NEUROLOGIST
THAT SHOULD BE AVOIDED AT ALL COSTS BY THOSE WITH
TM:
NAME:
SPECIALTY:
HOSPITAL AFFILIATION:
CITY, STATE
I hope this information will aide many.
Doc
--------------994F5FEF9F3B80A2420DA113--
--------------98030DB1311D254A51E0EA9A--