dataMSA Survey for Multiple System Atrophy

( to view and respond to this survey in languages other than English, please download: )

Thank you for participating in this dataMSA Survey for Multiple System Atrophy.

The purpose of this survey is to collect data and information from individuals who are currently living with Multiple System Atrophy (MSA), and from caregivers and loved ones of those lost to MSA.

The data collected through this survey will be made available, at no cost, to groups, agencies and medical personnel providing treatment, education and research for MSA.

No funds or revenue will, in any way, be generated or collected by the designer(s) of this survey.

- Please do not respond to this survey if the individual has/had not received a formal diagnosis of MSA.
- Please respond ONLY ONCE per individual living with or lost to MSA.
- All respondents will remain confidential.