TSC Clinic Patient and Family Experience of Care Survey (VERSION 10.29.2020)

1.First please tell us which TSC Clinic you will be telling us about in this survey.
Note: Some locations have more than one TSC Clinic so please be careful to choose the clinic that you visit.(Required.)

2.Which of the following best describes you? (Mark all that apply.)(Required.)

I am an adult with TSC.

I am a parent or legal guardian of a child or adult with TSC.

I am a relative or caregiver but not a parent or legal guardian of a child or adult with TSC.

Other, please specify below.

Please describe yourself here if none of the above apply.

3.How many family members are seen at this clinic?(Required.)

One

Two

3 or more

TSC Clinic Patient and Family Experience of Care Survey (VERSION 10.29.2020)

3.BACKGROUND INFORMATION