Essential Tremor Quiz (incisionless neurovive treatment)

Find out if you could be a candidate for Focused Ultrasound treatment.
Complete the form to be contacted by an educator and receive our “Connection” newsletter.
Educators at InSightec provide education services on incisionless focused ultrasound treatment for essential tremor. Fill in the quiz below for yourself or a loved one and a response will be sent to your email.
The candidate must be 22 years or older. When considering any medical procedure, discuss treatment options with a physician.
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*All form fields are required.

Describe the impact your hand shaking has on your daily life?(Required)
- Mild
- Moderate
- Severe

Please select the statement that applies to you or your family member.(Required)
- I have been diagnosed with essential tremor
- I have been diagnosed with Parkinson’s Disease
- I have not been diagnosed with essential tremor or Parkinson's Disease

Are you satisfied with the medication prescribed by your doctor to control your tremor?(Required)
- Yes
- No
- Yes, but I have significant side effects
- My doctor has not prescribed me medication for my tremor

Which physician manages the care of your Essential Tremor?(Required)
- Primary care physician (PCP)
- Neurologist
- Movement disorder specialist
- Other

How soon are you seeking treatment?(Required)
- As soon as possible
- Within 3 months
- Sometime in the future

Enter your details to receive an email with a personalized assessment if you could be a candidate. Join the community of over 100,000 people that have inquired about Focused Ultrasound treatment.
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Contact information entered to get your quiz results will also be used for further communication if you are indeed a candidate, so please ensure the information is accurate.
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