JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
COVID-19 Pandemic
As the coronavirus (COVID-19) pandemic spreads the MS Academy would like to know your needs. Can you please complete this survey; it will take approximately 2 minutes of your time.
Sign in to Google
to save your progress.
Learn more
How has COVID-19 impacted your MS service?
Staff off-sick
Staff redeployed
Clinics Cancelled
Treatments delayed
Poor communication
Contradictory advice
Lack of IT support
Other:
Have you implemented any of the following?
Telemedicine clinics
Home infusion service
A cold unit / offsite infusion service
Reduce blood and urine monitoring
Stopped in-person relapse assessments
Telemedicine hotline
Web-based information portal
Suspended MRI monitoring
Postponed new patient referrals
Other:
Do you have any recommendations for MS service developments that could help manage patients with MS during the COVID-19 epidemic?
Your answer
Have you watched or listened to any of the MS Academy webinars?
Yes
No
Clear selection
How do rate the MS Academy webinars?
0 = N/A 1 = poor to 5 = excellent
N/A
0
1
2
3
4
5
Excellent
Clear selection
Any suggestions on what you think the MS Academy should be doing to help?
Your answer
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Gavin Giovannoni.
Report Abuse
Forms