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Multiple Sclerosis Checkup: Is Your Treatment Plan Working?

Eye Glasses

Eyesight and Vision

How would you rate the quality of your eyesight?

Walking feet for exercise

Difficulty Walking or Getting Around

How would you rate your level of mobility or ability to perform normal daily tasks?

Hands hold mug

Sensation

How would you rate your sense of touch or ability to detect hot and cold objects?

Hand pain

Numbness and Tingling

How would describe the amount of numbness or tingling you’re experiencing?

Abdominal pain

Stomach Problems

How would your rate your digestive health?

Depressed woman

Mood and Depression

How would you rate your overall mood?

Fatigue and Lack of Energy

Fatigue and Lack of Energy

How would you rate your overall activity and energy levels?

Woman using laptop

Changes In Your Condition

Have you recently experienced a dramatic change in any of your MS symptoms?

Table of Contents
  • MS Checkup

    If you’re interested in learning how well your MS treatment plan is working, try our MS Checkup tool. For each question, rate the severity of your symptoms on a scale of 1 to 5. A score of 5 means you’re experiencing little or no issues with a particular symptom, while a score of 1 indicates that you’re experiencing periods of sustained problems with eyesight, sensitivity, mobility, or another common symptom of MS.

  • Eyesight and Vision

    How would you rate the quality of your eyesight?

  • Difficulty Walking or Getting Around

    How would you rate your level of mobility or ability to perform normal daily tasks?

  • Sensation

    How would you rate your sense of touch or ability to detect hot and cold objects?

  • Numbness and Tingling

    How would describe the amount of numbness or tingling you’re experiencing?

  • Stomach Problems

    How would your rate your digestive health?

  • Mood and Depression

    How would you rate your overall mood?

  • Fatigue and Lack of Energy

    How would you rate your overall activity and energy levels?

  • Changes In Your Condition

    Have you recently experienced a dramatic change in any of your MS symptoms?

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Below are the results from your assessment. Talk to your doctor about next steps in your recovery process.

Your Results: Minimal MS Symptoms
28
Score 28-35: You're likely experiencing very few MS symptoms with some level of disability. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Mild MS Symptoms
20
Score 20-27: You're likely experiencing mild MS symptoms with a minimal level of disability. You're generally able to perform all of your normal daily activities without assistance. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate MS Symptoms
12
Score 12-19: You're likely experiencing moderate MS symptoms with a noticeable level of disability. You may require assistance to perform some of your normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate to Severe MS Symptoms
7
Score 7-11: You're likely experiencing moderate to severe MS symptoms with a moderate level of disability. You likely require assistance to perform most normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate to Severe MS Symptoms
8
Score 7-11: You're likely experiencing moderate to severe MS symptoms with a moderate level of disability. You likely require assistance to perform most normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate to Severe MS Symptoms
9
Score 7-11: You're likely experiencing moderate to severe MS symptoms with a moderate level of disability. You likely require assistance to perform most normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate to Severe MS Symptoms
10
Score 7-11: You're likely experiencing moderate to severe MS symptoms with a moderate level of disability. You likely require assistance to perform most normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate to Severe MS Symptoms
11
Score 7-11: You're likely experiencing moderate to severe MS symptoms with a moderate level of disability. You likely require assistance to perform most normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate MS Symptoms
13
Score 12-19: You're likely experiencing moderate MS symptoms with a noticeable level of disability. You may require assistance to perform some of your normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate MS Symptoms
14
Score 12-19: You're likely experiencing moderate MS symptoms with a noticeable level of disability. You may require assistance to perform some of your normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate MS Symptoms
15
Score 12-19: You're likely experiencing moderate MS symptoms with a noticeable level of disability. You may require assistance to perform some of your normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate MS Symptoms
16
Score 12-19: You're likely experiencing moderate MS symptoms with a noticeable level of disability. You may require assistance to perform some of your normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate MS Symptoms
17
Score 12-19: You're likely experiencing moderate MS symptoms with a noticeable level of disability. You may require assistance to perform some of your normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate MS Symptoms
18
Score 12-19: You're likely experiencing moderate MS symptoms with a noticeable level of disability. You may require assistance to perform some of your normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Moderate MS Symptoms
19
Score 12-19: You're likely experiencing moderate MS symptoms with a noticeable level of disability. You may require assistance to perform some of your normal daily tasks. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Mild MS Symptoms
21
Score 20-27: You're likely experiencing mild MS symptoms with a minimal level of disability. You're generally able to perform all of your normal daily activities without assistance. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Mild MS Symptoms
22
Score 20-27: You're likely experiencing mild MS symptoms with a minimal level of disability. You're generally able to perform all of your normal daily activities without assistance. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Mild MS Symptoms
23
Score 20-27: You're likely experiencing mild MS symptoms with a minimal level of disability. You're generally able to perform all of your normal daily activities without assistance. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Mild MS Symptoms
24
Score 20-27: You're likely experiencing mild MS symptoms with a minimal level of disability. You're generally able to perform all of your normal daily activities without assistance. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Mild MS Symptoms
25
Score 20-27: You're likely experiencing mild MS symptoms with a minimal level of disability. You're generally able to perform all of your normal daily activities without assistance. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Mild MS Symptoms
26
Score 20-27: You're likely experiencing mild MS symptoms with a minimal level of disability. You're generally able to perform all of your normal daily activities without assistance. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Mild MS Symptoms
27
Score 20-27: You're likely experiencing mild MS symptoms with a minimal level of disability. You're generally able to perform all of your normal daily activities without assistance. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Minimal MS Symptoms
29
Score 28-35: You're likely experiencing very few MS symptoms with some level of disability. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Minimal MS Symptoms
30
Score 28-35: You're likely experiencing very few MS symptoms with some level of disability. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Minimal MS Symptoms
31
Score 28-35: You're likely experiencing very few MS symptoms with some level of disability. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Minimal MS Symptoms
32
Score 28-35: You're likely experiencing very few MS symptoms with some level of disability. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Minimal MS Symptoms
33
Score 28-35: You're likely experiencing very few MS symptoms with some level of disability. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Minimal MS Symptoms
34
Score 28-35: You're likely experiencing very few MS symptoms with some level of disability. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.
Your Results: Minimal MS Symptoms
35
Score 28-35: You're likely experiencing very few MS symptoms with some level of disability. Take the results of this checkup with you and discuss your condition with your doctor or an MS specialist.

Next Steps:

Print or email a copy of your results
to discuss with your doctor.


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