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MS One to One® Discussion Guide


Use this tool to help you and your doctor know how you're doing and whether you're reaching your personal goals. Multiple sclerosis (MS) symptoms change or come and go, so it's important to be as open and accurate as you can—then share it with your doctor.

  1. How have you been feeling since your last visit?

    (1=much worse, 5=much better)
  2. What are the 3 most common symptoms you've experienced since your last visit?
    (Check up to 3)
  3. Of the three symptoms you checked, how severe were they? (1=not severe, 5=very severe)
    (Skip if you have not experienced symptoms since your last visit)

    Symptom:
    Symptom:
    Symptom:
  4. What is one MS-related issue or concern you would like to focus on today?
  5. What areas of your life are most affected by MS? (Check all that apply)
  6. Which aspects of relapsing MS treatment are most significant to you?
    (Check 2)
  7. How satisfied are you with the management of your relapsing MS?
    (1=very unsatisfied, 5=very satisfied)
  8. Do you think it's time to consider a different treatment for your relapsing MS?


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