Please answer all questions. The Finish button will become active only after all are answered.
Over the past week, have you had trouble going to sleep or staying asleep?
Over the past week, have you had trouble staying awake during the daytime?
Over the past week, have you had trouble with urine control (urgent need, frequent urination, accidents)?
Over the past week, have you had difficulty moving your bowels or needing extra effort?
Over the past week, have you felt fatigued (not just sleepy or sad)?
Over the past week, have you noticed any problems with your speech?
Over the past week, have you had excessive saliva or drooling?
Over the past week, have you had trouble turning over in bed?
Over the past week, have you had trouble getting out of bed, a car seat, or a deep chair?
Over the past week, have you had problems with balance or walking?
Over the past week, do you suddenly stop or freeze while walking?
Disclaimer: These questions are based on the MDS-UPDRS. For any clinical usage, please coordinate with the Movement Disorder Society (MDS). This tool is for informational purposes only and not a substitute for professional medical advice.