Restless Leg Syndrome (RLS) 

We are a branch of a larger market research company, whose goal is to make contact with as many people diagnosed or involved in the treatment of Restless Leg Syndrome. We will be looking to reach out to those interested in the form of online surveys and telephone discussions to help understand the needs of RLS patients and caregivers. When contacted and qualified we will pay respondents for their time (up to $100).

This project is solely concerned with marketing research and there will be no attempts to sell you anything or influence your pharmaceutical or treatment options in any way.

Our clients range from not-for-profit organizations, advertising agencies, advocacy groups and pharmaceutical companies. We work with them as an independent research company to identify and resource the opinions of individuals closest to various disease groups. We have worked in a number of different disease areas including diabetes, autism, Fragile X, schizophrenia, etc.

All information collected during the surveys or phone discussions will be completely confidential in that we will not show your name or any other identifying information to our clients.


* 1. Please note when diagnosed (enter 4-digit year, for example, 1976)

* 2. Please provide information regarding treatment previously taken and current treatment:

  Previous Currently
levodopa
iron supplement
gabapentin enacarbil (Horizant™)
ropinirole (Requip™)
pramipexole (Mirapex™, Sifrol™)
physical exercise
Thank you for taking the time to fill out this short questionnaire. We are collecting basic information to match individuals with specific survey requirements in order to invite your participation.

* 3. Please provide contact information as noted.

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