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1. Have you been diagnosed with MS?

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2. Approximately how long ago were you diagnosed with MS?

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3. Please indicate your sex

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4. Please indicate your age

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5. What type of MS do you have?

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6. What treatments are you currently using to manage your MS? (Select all that apply) 

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7. Which of the following statements best reflects your level of satisfaction with your current treatment?

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8. Do you feel that you had input into the decision making for your choice of MS treatment?

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9. What ONE thing would you change about your current treatment?

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10. What are your top 4 concerns regarding your MS and treatment (Please select only 4)

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11. Would the following improve your satisfaction with care?

  Yes No Already utilize N/A
Patient-focused education materials
Access to a specialist in my area
More treatment options
Patient advocacy network
Patient web portal to access my healthcare team
Tools to improve medication adherence
Other (please specify)

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12. How did you hear about this survey?

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13. Please provide any additional comments regarding concerns with your MS or its treatment below:

T