>Nancy:
>
>Here you go.
>
>
>>Hello to all:
>>
>>Back on 8/10 I posted a brief questionnaire at the suggestion
>>of Sayward. I have completed tallying the data from the 43
>>folks that responded. If you misplaced the original questionnaire,
>>are new or just didn't have time at that time I'm posting it again
>>below. Thanks for your help from all fellow TMers.
>>
>>__________________________________________________
>>
>>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, visitors,
>>just readers, helpers etc., to complete the questionnaire if it
>>applies to you, family members or friends with a Dx of
>>Transverse Myelitis. Hopefully we can make a difference.
>>
>>1. NAME: (optional) GENDER:
>>
>>2. DATE OF Dx: LOCATION: (City,State)
>>
>>3. AGE AT dx: LOCATION: (City, State)
>>
>>4. CURRENT AGE: LOCATION: (City, State)
>>
>>5. BIRTH LOCATION: (City, State)
>>
>>6. UNUSUAL CIRCUMSTANCES: (Lived in one place, Dx'd in
>> another location. There were a few subscribers who were on
>> vacation or business).
>>
>>7. CURRENT MEDICATIONS: (Please List)
>>
>>8. MEDICATIONS TRIED BUT DID NOT WORK FOR YOU (Please list)
>>
>>9. 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 OTHERS:
>>
>> NAME:
>> SPECIALTY:
>> HOSPITAL AFFILIATION:
>> CITY, STATE:
>> TELEPHONE:
>>
>>10. 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:
>> TELEPHONE:
>>
>>I hope this information will aide many.
>>
>>
>>Doc
>>
>