ParkinSense Volunteer Questionnaire

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We at ParkinSense are developing a monitoring system that will assist patients with Parkinson’s Disease to monitor their tremors and medication intake. This will involve downloading a mobile application as well as wearing a small band with an accelerometer on your wrist.

We would greatly appreciate it if you can answer a short survey about the potential usage of our product.

Email *

Are you a patient or family member of a patient with Parkinson's disease? *

Patient

Family Member

Other:

Does the person with Parkinson's disease experience tremors? *

Yes

Do the tremors respond to medications? *

Yes

How are the medications and tremors currently tracked? *

I track only medications.

I track only tremors.

I track both medications and tremors.

I do not track medication or tremors.

Other:

Do you think having a system that will continuously monitor tremors and medication intake would be useful? *

Only tremors

Only medication intake

Both

None

Which type(s) of phone do you use? *

Android phone

iPhone

I do not have a phone.

Other:

Required

Do you regularly use your phone?

Yes

Clear selection

Better tracking of medications

Do you want to volunteer to test our first iteration of ParkinSense? Volunteers who are selected for testing receive a $50 gift cards as a token of our appreciation. *

Yes please!

No thank you.

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