• Medical and Behaviour Management Questionnaire

  • Dear Participant,

    You are being asked to take part in a questionnaire conducted by The Smith-Magenis Syndrome Foundation UK. If you choose to participate in this study, you will complete an anonymous survey. This survey will help us learn more about the experiences of health and behaviour of individuals with Smith-Magenis Syndrome.

    Please complete this survey if you are the primary caregiver of an individual with Smith-Magenis Syndrome.

    Most of the questions within the survey will give you the opinion to skip if you do not wish to answer it. You can withdraw at any time without giving a reason and with no adverse consequences. If you do decide to withdraw, any unprocessed data relating to you and your child will be destroyed.

    If you have any questions or concerns about this survey please direct your queries to:

    Natasha Craven
    Research and Administrative Assistant
    The Smith-Magenis Syndrome (SMS) Foundation UK
    natasha@smith-magenis.co.uk
    Mob: 07748 708 788

  • Demographic Information

  • What genetic defect does the SMS individual have?
  • Medical Management

  • Has the SMS individual ever been diagnosed with or seen a clinician for any of the following issues? Please give more information about the specific condition and symptoms.
    Rows
  • Please rank the 5 health concerns you feel have the biggest impact on the wellbeing of the SMSer (please feel free to include conditions other to those mentioned above)
    Rows
  • Behaviour Management

  • How frequently does your family member with SMS exhibit the following behaviours?
    Rows
  • Thank you for completing the survey!

     

    If you have any questions or concerns about this survey please direct your queries to:

    Natasha Craven
    Research and Administrative Assistant
    The Smith-Magenis Syndrome (SMS) Foundation UK
    natasha@smith-magenis.co.uk
    Mob: 07748 708 788

  • If you would be happy for us to contact you for further information, please provide your details below;

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