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The purpose of the "Fibromyalgia: Resources for Families" website is to educate patients, well spouses, partners, family, and friends about fibromyalgia syndrome. Your feedback will help ensure I provide appropriate, meaningful information to you. The more accurate and complete your answers, the more I can personalize information in this website to meet your needs and interests.

No information will be disclosed to any third party without consent.


1. What is the nature of your interest in fibromyalgia syndrome (FMS)?
    I am interested in FMS on behalf of a family member or friend.

    I have been diagnosed with FMS.

    I have not been diagnosed with FMS but I believe that I may have the condition.

    None of the above. I am interested because:


2. When were you diagnosed with FMS?
    Year:

    Don't know

    Not applicable


3. Which topics related to FMS interest you?
(check all that apply)

    Lifestyle management strategies (relationships, emotional support)

    Clinical trials in medications and therapies

    New research and developments

    Diagnostic criteria

    Complementary and/or alternative treatments (e.g., massage, acupuncture, naturopathy)

    Work and disability

    Health insurance

    Other (specify):


4. Did you find the information you were looking for in this website?
    Yes

    No


5. What additional information do you suggest be included in this website?

6. What is your age?
    Year born:

    Don't know


7. What is your gender?
    Female

    Male


8. Do you have additional comments you would like to make?




This feedback form is adapted from the WebMD Health and Wellness Center website.




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