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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 3)
  3. How severe were these 3 symptoms?
    (1=not severe, 5=very severe)
    List your 3 most common symptoms and indicate how severe they were.

    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 affected most by MS? (Check 3)
  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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