Clinical Trial Search Form Multiple Sclerosis : Page 1

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Clinical Trial Search Form

Multiple Sclerosis : Page 1

How to complete your search: Your answers to the following questions will be compared against the enrollment criteria of all Multiple Sclerosis trials in our database. Answer as many questions as you can for the most accurate results.

All data will be treated confidentially. (Read our privacy policy.)

Should you decide to register with our site, your answers will be saved under the profile name you establish below.

If you've registered with our site, please LOG IN to use your saved answers >>

1.

Please enter a name for this profile:

Note: If you want to update an existing patient profile, please LOG IN >>

2.

Please enter patient's date of birth:

Note: Please use the MM/DD/YYYY format. (i.e. January 2, 1946 should read 01/02/1946)

3.

Please enter a U.S. ZIP code from which to search: (click here to search Canadian Provinces)

Enter a U.S. ZIP code:

Select how far, in miles, you would be willing to travel from this ZIP code to participate in a trial: 10 30 50 100 250 500 Unlimited

4.

Would you like to be notified by e-mail when future trials match your answers?

Yes, I would like free Personalized Trial Notification for Multiple Sclerosis.

5.

What kind of MS do you have?

Relapsing-Remitting

Primary-Progressive

Secondary-Progressive

Relapsing-Progressive

None - I have had a single attack

Do not know

6.

Do any of the following apply to you?

I have had an attack/flare/relapse within the past 2 years.

I have had a worsening of my MRI in the last year.

I have NOT had an MRI in the last 2 years.

I have gotten progressively worse, without attacks.

None of the above.

Do not know.

>>

Read more about MRIs

7.

How many attacks/flares/relapses have you ever had?

Zero

One

Two

Greater than two

Do not know

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