We at the Center for Devices and Radiological Health (CDRH) at FDA are pleased to collaborate with several patient advocacy organizations such as The Michael J. Fox Foundation, as a way for patients and caregivers to share their experiences with disease conditions and the use of medical devices for their diagnosis and treatment.  Our ability to evaluate medical devices and monitor their safety is optimized by the valuable feedback and information that patients and caregivers like you can provide, and we appreciate any information that you are willing to share with us.

This pilot survey is being distributed to the community of The Michael J. Fox Foundation such as yourself so that you can share your perceptions living with or caring for those with a specific disease, your experience with medical devices, and any related issues that are important to you.  This information will help us gain a better understanding of the patient and caregiver experience and identify areas of concern.

We thank you for your time in answering our questions. Your responses to this survey will remain anonymous. Once complete, the survey results will be shared with The Michael J. Fox Foundation. 

Please know that this survey and its individual questions are voluntary and you may leave any questions blank that you don’t wish to answer.

Question Title

* 1. As a member of this community, what category best describes you?

Question Title

* 2. What is your age?

Question Title

* 3. What is your gender?

Question Title

* 4. What is the disease condition that you live with or provide care for that leads you to be a community member of The Michael J. Fox Foundation?  Please list that all apply.

Question Title

* 5. As a patient or caregiver, do you currently or have you had previous experience with medical devices (been implanted with, use(d) at home, or use(d) in a clinical setting) to treat or manage the disease condition(s) listed?

Question Title

* 6. Have you had any difficulties with the use or the functioning of your device(s)?

Question Title

* 7. Medical Device Reporting (MDR) is one of the post-market surveillance tools that FDA uses to monitor device performance, detect potential device-related safety issues, and contribute to benefit-risk assessments of products that are currently in use by patients and caregivers like you.  FDA encourages health care professionals, patients, caregivers and consumers to submit reports about serious adverse events that may be associated with a medical device, as well as use errors, product quality issues, and therapeutic failures.  Were you aware that you could report problems with medical devices at the FDA's MedWatch website (https://www.fda.gov/safety/medwatch-fda-safety-information-and-adverse-event-reporting-program)? 

Question Title

* 8. Are you interested in knowing more about any of the following FDA-related topics?
Please check all that apply:

Question Title

* 9. In thinking about the condition(s) you’ve referred to in this survey, what aspect(s) would be the most important to fix to improve your and your family member's quality of life?

T