Epilepsy/febrile seizures (diagnosed)

Has a doctor ever told you that you have epilepsy or febrile seizures (mostly as a child)?

x0ne01

Epilepsy/febrile seizures (age at diagnosis)

In which year was epilepsy or febrile seizures diagnosed for the first time? (age at diagnosis)

x0ne01b

Epilepsy/febrile seizures (last 12 months)

Have you had epilepsy or febrile seizures within the last 12 months?

x0ne01c

Epilepsy/febrile seizures (treated last 12 months)

Were you treated for epilepsy or febrile seizures within the last 12 months?

x0ne01d

Uncontrollable tremor

Do you have uncontrollable tremor?

x0ne02

Uncontrollable tremor (diagnosed)

Was it diagnosed by a doctor?

x0ne02a

Uncontrollable tremor (age at diagnosis)

When? (age at diagnosis)

x0ne02c

Uncontrollable tremor (treated)

Were you or are you still treated by a doctor for this?

x0ne02d

Uncontrollable tremor (localisation): arms

Uncontrollable tremor(localisation): arms

x0ne03a1

Uncontrollable tremor (localisation): hands

Uncontrollable tremor(localisation): hands

x0ne03a2

Uncontrollable tremor (localisation): finger

Uncontrollable tremor(localisation): finger

x0ne03a3

Uncontrollable tremor (localisation): legs

Uncontrollable tremor(localisation): legs

x0ne03a4

Uncontrollable tremor (localisation): head

Uncontrollable tremor(localisation): head

x0ne03a5

Uncontrollable tremor (localisation): trunk

Uncontrollable tremor(localisation): trunk

x0ne03a6

Uncontrollable tremor: At rest

Do you tremble at rest?

x0ne03b

Uncontrollable tremor: In movement/certain postures

Do you tremble in movement/ certain postures?

x0ne03c

Huntington disease (diagnosed)

Has a doctor ever told you that you have Huntington’s disease?

x0ne04

Huntington disease (age at diagnosis)

In which year was Huntington’s disease diagnosed for the first time? (age at diagnosis)

x0ne04b

Huntington disease (treated last 12 months)

Were you treated for Huntington’s disease within the last 12 months?

x0ne04c

Myoclonus/tic/dystonia (diagnosed)

Has a doctor ever told you that you have a myoclonus, a tic, or dystonia?

x0ne05

Myoclonus/tic/dystonia (age at diagnosis)

In which year was a myoclonus, a tic, or dystonia diagnosed for the first time? (age at diagnosis)

x0ne05b

Myoclonus/tic/dystonia (last 12 months)

Have you had a myoclonus, a tic, or dystonia within the last 12 months?

x0ne05c

Myoclonus/tic/dystonia (treated last 12 months)

Were you treated for a myoclonus, a tic, or dystonia within the last 12 months?

x0ne05d

Myoclonus/tic/dystonia (type of movement)

Which type of movement occurs?

x0ne05e

Forgetfulness

Did you notice forgetfulness (also orientation problems)?

x0ne06

Forgetfulness (diagnosed)

Was it diagnosed by a doctor?

x0ne06a

Forgetfulness (age at diagnosis)

Since when? (age at diagnosis)

x0ne06c

Forgetfulness (treated)

Were you or are you still treated by a doctor for this?

x0ne06d

Multiple sclerosis (diagnosed)

Has a doctor ever told you that you have multiple sclerosis?

x0ne07

Multiple sclerosis (age at diagnosis)

In which year was multiple sclerosis diagnosed for the first time? (age at diagnosis)

x0ne07b

Multiple sclerosis (last 12 months)

Have you had multiple sclerosis within the last 12 months?

x0ne07c

Multiple sclerosis (treated last 12 months)

Were you treated multiple sclerosis within the last 12 months?

x0ne07d

Multiple sclerosis (disease progress)

How is the course of the disease?

x0ne07e

Paresthesia/pain in the hand

Do you suffer from paresthesia or (burning) pain in the hand?

x0ne08

Paresthesia/pain in the hand (since)

Since when? (age)

x0ne08b

Epilepsy (diagnosed)

Has a doctor ever told you that you have epilepsy?

x0ne09

Epilepsy (age at diagnosis)

In which year was epilepsy diagnosed for the first time? (age)

x0ne09b

Febrile seizures (diagnosed)

Has a doctor ever told you that you have febrile seizures (mostly as a child)?

x0ne10

Febrile seizures (age at diagnosis)

In which year was febrile seizures diagnosed for the first time? (age)

x0ne10b

Sleep disorders

Do you suffer from sleep disorders?

x0ne11

Sleep disorders (since)

Since when? (age)

x0ne11b

Sleep disorders: Sleeping pills (days/week)

How many days per week do you take sleeping pills?

x0ne11c

Sleep disorders: Type of sleep disorder (list)

Describe the sleep disorder

x0ne11d

Circulatory disorder of head and neck vessels

Do you suffer from circulatory disorder at the level of the vessels of the head and the neck vessels?

x0ne12

Circulatory disorder of head and neck vessels (diagnosed)

Was it diagnosed by a doctor?

x0ne12a

Circulatory disorder of head and neck vessels (age at diagnosis)

When? (age at diagnosis)

x0ne12c

Circulatory disorder of head and neck vessels (treated)

Were you or are you still treated by a doctor for this?

x0ne12d

Vertigo (repeatedly)

Did you have once (repeatedly) vertigo?

x0ne13

Vertigo (repeatedly) (diagnosed)

Was it diagnosed by a doctor?

x0ne13a

Vertigo (repeatedly) (age at diagnosis)

When? (age at diagnosis)

x0ne13c

Vertigo (repeatedly) (treated)

Were you or are you still treated by a doctor for this?

x0ne13d

Vertigo (repeatedly): Rotatory vertigo

What was the vertigo like? Rotatory vertigo

x0ne14a

Vertigo (repeatedly): Staggering vertigo

What was the vertigo like? Staggering vertigo

x0ne14b

Vertigo (repeatedly): Dizziness

What was the vertigo like? Dizziness

x0ne14c

Vertigo (repeatedly): Orthostatic vertigo

What was the vertigo like? Orthostatic vertigo

x0ne14d

Other neurologic symptom/disease

Have you any other symptoms or neurologic diseases?

x0ne20

Other neurologic symptom/disease (diagnosed)

Was it diagnosed by a doctor?

x0ne20a

Other neurologic symptom/disease (age at diagnosis)

Since when? (age at diagnosis)

x0ne20c

Other neurologic symptom/disease (treated)

Were you or are you still treated by a doctor for this?

x0ne20d

Other neurologic symptom/disease #1

Have you any other symptoms or neurologic diseases we did not mention yet?

x0ne21

Other neurologic symptom/disease #1 (diagnosed)

Was it diagnosed by a doctor?

x0ne21a

Other neurologic symptom/disease #1 (age at diagnosis)

When?

x0ne21c

Other neurologic symptom/disease #1 (treated)

Were you or are you still treated by a doctor for this?

x0ne21d

Other neurologic symptom/disease #1 (description/free text)

Describe the neurologic disease as accurately as possible

x0ne21e

Other neurologic symptom/disease #2

Have you any other neurologic diseases we did not mention yet?

x0ne22

Other neurologic symptom/disease #2 (diagnosed)

Was it diagnosed by a doctor?

x0ne22a

Other neurologic symptom/disease #2 (age at diagnosis)

When?

x0ne22c

Other neurologic symptom/disease #2 (treated)

Were you or are you still treated by a doctor for this?

x0ne22d

Other neurologic symptom/disease #2 (description/free text)

Describe the neurologic disease as accurately as possible

x0ne22e

Neurology notes (epilepsy)

Neurology notes (epilepsy)

x0nen1

Neurology notes (tremor)

Neurology notes (tremor)

x0nen2

Neurology notes (forgetfulness)

Neurology notes (forgetfulness)

x0nen4

Neurology notes (multiple sclerosis)

Neurology notes (multiple sclerosis)

x0nen5

Neurology notes (carpal tunnel syndrome)

Neurology notes (carpal tunnel syndrome)

x0nen6

Neurology notes (other neurological disorders)

Neurology notes (other neurological disorders)

x0nen7

Neurology notes

Neurology notes

x0nenote

Neurology version

Neurology version

x0never