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* 1. Do your hands tremor (shake) when they are relaxed (at rest)?

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* 2. Have you noticed a back-and-forth rubbing of your thumb and forefinger, known as a pill-rolling tremor?

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* 3. When you walk, do you drag your feet and make shorter steps?

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* 4. Have you noticed any slowing of body movements and accomplishing of simple chores or tasks?

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* 5. Do you have difficulty in getting out of a chair or car?

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* 6. Do you experience muscle stiffness with pain?

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* 7. Do you stoop (bend) when you stand?

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* 8. Do you have difficulty in maintaining your balance when you stand and walk?

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* 9. Have you noticed a decreased ability to perform unconscious movements such as smiling or blinking?

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* 10. Do you have sudden changes in speech such as having a soft and monotone voice?

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* 11. Was there a time when your speech became slurred (unclear)?

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* 12. Do you experience difficulty in writing simple notes?

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* 13. Do you experience muscle stiffness (of any part of your body) that causes difficulty in performing a range of motion movements?

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* 14. Does your face show little or no expression?

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