Delayed Diagnosis
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 Barts-MS
Do you believe your diagnosis of MS was delayed?
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Date of symptom onset?
If you can't remember the exact date please enter an estimate
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Date of diagnosis?
If you can't remember the exact date please enter an estimate
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DD
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YYYY
What were you diagnosed with initially?
What was the cause(s) of the delay in your diagnosis of MS?
How old are you (years)?
What country do you live in?
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Disclaimer
No personal identifiers will be collected as part of this audit. By completing this survey you are consenting to the data you provide being analysed by Professor Giovannoni and the MS Team at Barts Health NHS Trust. Results of this survey will be analysed, written-up, presented to the Barts-MS team and may be submitted for publication.
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This form was created inside of Gavin Giovannoni.