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

Your Results
Based on your responses to the Quiz, you are not yet a candidate for the incision-free treatment, Focused Ultrasound, as you have not yet been diagnosed with Essential Tremor or Tremor-dominant Parkinson's Disease. Please take an opportunity to view this video and learn how you might become a candidate.

If this information is not correct, please call us (1-800-704-6797).
Your Results
CONGRATULATIONS! Based on your response to the Essential Tremor Quiz, you may be a candidate for the incision-free treatment, Focused Ultrasound, to help address your tremor.

Please continue to the next step with providing your contact information, if you wish for us to contact you and/or schedule a call with us.
Your Results
To help address your tremor, you could be a candidate for the incision-free treatment, Focused Ultrasound. Please take an opportunity to view this video to learn next steps to how you might become a candidate.

Please continue to the next step with providing your contact information, if you wish for us to contact you and/or schedule a call with us.

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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