Essential Tremor Experience Survey 
Feel free to keep responses concise. Thanks for your participation!
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Please state your age, race, and gender. *
How long have you been experiencing your tremors? *
What age were you when you were initially diagnosed with Essential Tremors? *
Where is your tremor location and how frequently do you experience it? *
Based on your tremor location how would you rate your tremor? (Measurements refer to deviation from rest.) *
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Does anything make your symptoms better or worse, and if so what are they? *
What treatment options have you explored for your ET,  and/or prescribed medication? *
Has the prescribed medication proven to be beneficial? *
Were there any side effects to your prescribed medication? *
If yes to the previous question, what were the side effects that you experienced?  *
Have you been taking any anti-inflammatory drugs since noticing your tremors, and if so what are they? *
Do you suffer from any mood disorders, and if so what are they? *
Do you have any family history of essential tremors?  *
Required
Do you take any other medication for any other unrelated diseases? *
If yes to the previous question, what medication do you take and for what disease? *
Do you consume alcohol, and if so about how much would you say? *
Would you mind sharing your contact information for further questions regarding your tremors? This is NOT required.
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