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Thank you for taking the time to complete this survey from the MS Trust. We are interested in understanding how MS affects people’s lives in different ways. The following questions will cover all aspects of life from hobbies to relationships to work and money.

The survey consists of 30 questions and should take about 20 minutes to complete. 

This survey is for people with MS but family, friends or carers are welcome to complete it on behalf of those people with MS they care for.

The survey is anonymous and data will be stored in line with our data and privacy policies. You can view these here.

The MS Trust is committed to making the voice of people with MS stronger in everything it does. Knowledge and understanding obtained from this survey will help guide the charity's work and priorities. We will be sharing the survey report to influence the support and services provided to people living with MS.

The survey is being run for the MS Trust by a consultancy, Brighter Together Consulting. If you need any more information about this survey, or help completing it, please contact listeningproject@brightertogetherconsulting.co.uk
About you

The next few questions ask you details that will help us to ensure we are reaching and talking to a diverse and inclusive range of people living with MS. We will not ask you any details that will make this information identifiable (such as your name or address) - in other words, although these questions are personal, your answers are anonymous.

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* 1. What is your age?

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* 2. What is your gender?

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* 3. What is your sexual orientation?

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* 4. In what year were you diagnosed?

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* 5. What is your ethnicity?

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* 6. Is English your main language?

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* 7. What is the highest level of education you have completed?

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* 8. Do you have caring responsibilities? (For example, do you regularly provide care for children or an elderly relative?)

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* 9. What is your religion or belief?

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* 10. Do you have any other health conditions?

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* 11. What is your relationship status?

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* 12. In what country do you live?

About your MS

The next few questions ask about the impact of MS on your day-to-day life. Please note that you may find the subject sensitive or emotional.

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* 13. What type of MS do you have?

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* 14. For how long did you have MS symptoms before you were diagnosed?

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* 15. Has your MS altered your life?

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* 16. How has MS affected the following aspects of your life?

  No impact Minor impact Moderate impact Severe impact
Finances and money
Work and career
Relationship with friends
Relationship with loved ones
Mental health/ emotional well being
Hobbies and pastimes
Daily activities (eating, dressing etc)
Sexual relationships
Ability to live independently
Self esteem

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* 17. Have you experienced any of the following physical MS symptoms?

  No impact Minor impact Moderate impact Severe impact
Mobility issues
Balance issues
Altered skin sensations eg tingling, burning, numbness
Pain
Bladder issues
Bowel issues
Fatigue
Visual issues
Sexual dysfunction
Vertigo/ dizziness
Tremors
Swallowing problems
Speech difficulties
Spasms

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* 18. Have you experienced any of the following mental health or emotional effects as a result of your MS?

  No impact Minor impact Moderate impact Severe impact
Anxiety
Depression
Mood swings
Suicidal thoughts
Frightened
Confused
Loss or change of identity
More positive outlook
Happier
Increased sense of purpose
Greater appreciation of positive aspects of life

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* 19. Have you experienced any of the following cognitive effects as a result of your MS? 

  No impact Minor impact Moderate impact Severe impact
Mental fatigue
Confusion
Inability to concentrate
Memory issues
Brain fog
Word finding
Direction finding
Object finding
Difficulties with planning

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* 20. Have you experienced any of the following impacts on your work or finances and money as a result of your MS? (Tick all that apply)

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* 21. Have you experienced any of the following impacts on your relationships as a result of your MS? (Tick all that apply)

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* 22. Have you experienced any of the following impacts on your hobbies, pastimes or social life as a result of your MS? (Tick all that apply)

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* 23. Overall, do you feel able to cope with your MS?

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* 24. Do you currently rely on a carer (paid or unpaid) to manage the impact of MS on your life?

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* 25. Do you currently require support with any of the following activities? (Tick all that apply)

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* 26. Is there anything you would like more support with? (Tick all that apply)

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* 27. Have you made lifestyle changes with your MS in mind? (Tick all that apply)

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* 28. Have you changed any of your plans for the future as a result of your MS?

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* 29. Thinking about your MS and its impact on your life, what concerns you most about the future?

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* 30. Are you willing to share your story? If so, we may contact you.

Thank you for answering this survey.

You can find more information about the MS Trust and the topics covered in this survey at www.mstrust.org.uk
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