Thank you for signing up for the IETF's first educational webinar. Please take a few moments to complete this brief survey, so we know how it went so we can make changes to maximize the program. Thank you for your time and consideration.

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* 1. Please note the level to which you agree or disagree with the following statements:

  Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree
As a result of this webinar, I now understand what it takes to be diagnosed with ET, as opposed to other movement disorders.
I now understand the treatment options available for my essential tremor.
I now feel confident I can advocate for myself when I see my doctor.
The speaker spoke at a level I could easily understand.

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* 2. Please complete this sentence: Other than this webinar, I _____ access to information on the diagnosis process and treatment options for ET.

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* 3. How likely are you to participate in a future IETF webinar?

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* 4. What topics are you most interested in learning more about in future webinars? (Check all that apply)

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* 5. Please check one.

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* 6. Date of birth.

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* 7. Do you have ET?

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* 8. At what age did you first notice signs of ET?

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* 9. At what age were you diagnosed with ET?

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* 10. If diagnosed, who diagnosed you?

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* 11. Are you receiving treatments for ET?

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* 12. If yes, what treatments are you taking or have tried? (List all that apply)

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* 13. How many family members have ET (living and deceased)?

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* 14. Which race/ethnicity best describes you? (Please choose only one.)

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* 15. Additional Comments or Suggestions:

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