1. Research study into birth factors and multiple sclerosis

9% of survey complete.
The aim of this survey is to see if early life events in your ancestors contributes to the risk of MS.

To complete this survey we need as much of the following information as possible:

1. Mother's date and place of birth
2. Fathers's date and place of birth
3. If possible, your grandparent's date and place of birth.

Question Title

* 1. Disclaimer

Although care has been taken in preparing the following survey, The University of Oxford and Barts and The London School of Medicine and Dentistry, Queen Mary University of London, cannot be held responsible for any errors or omissions in the survey and accept no liability whatsoever for any consequences arising from completing this survey. The Universities reserve the right to make changes to or take down this survey, or remove or alter any content at any time without notice. The information collected in relation to this survey will be used for research into multiple sclerosis. No third party will be given access to the data, nor the personal information, collected as part of this survey.

Professor Ebers or Professor Giovannoni welcome comments and suggestions about this survey and the proposed study, which can be sent using the "additional comments" field at the end of this survey. Anyone wishing to contact them directly can do so using the contact details below.

Professor George Ebers, The Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, OX3 7BN

Professor Gavin Giovannoni, Neuroscience & Trauma Centre, Blizard Institute of Cell and Molecular Science, 4 Newark Street, Whitechapel, LONDON, E1 2AT

Email: dominica.luscombe@clneuro.ox.ac.uk OR g.giovannoni@qmul.ac.uk

I have read and understand the disclaimer and wish to proceed with this survey.