Fill out this survey before your next appointment

Download this survey and track your overall health and MS
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Your healthcare team plays a vital role in your multiple sclerosis (MS) care. Creating strong relationships with each member of your team may help you feel more comfortable about discussing new symptoms, asking questions, or voicing concerns.

One way to guide conversations with your healthcare team is the 36-Item Short-Form Health Survey (which is also known as the SF-36). This is a list of 36 questions about your overall health and well-being. It asks you to rate:

  • How active you are
  • How much pain you have
  • How social you are
  • How much energy you have

When you finish filling out this survey, you can take it to your next appointment. Your healthcare team can help you interpret the survey results, which can then guide the conversation to address concerns and potential updates to your treatment plan.  

While some questions may be hard, it’s important to try to answer each one honestly so you can track how you’re feeling, both physically and emotionally. This tool may help you have meaningful conversations and strengthen your partnership with your healthcare team.

Download this survey to take to your upcoming appointments.

The SF-36 survey was developed by RAND Corporation as part of the Medical Outcomes Study. Biogen altered the order of the questions, regrouped them, and added icons.

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