This online questionnaire will make it easy to get ready for your Parkinson’s checkup. At home, you answer 20 simple questions and then print a report to bring to your doctor appointment. The report will tell your doctor how Parkinson’s is affecting you and how your current treatment plan is working.

Get more out of your next checkup

  • Bring symptoms, side effects, and everyday challenges to your doctor’s attention.
  • Organize and remember what you want to bring up.
  • Make the most of your appointment time.
  • Feel comfortable and confident when talking with your doctor.

What do I have to do?

  • Answer a series of “yes” or “no” questions.
  • Submit your answers and get a report right away.
  • Print the report and bring it with you to your next Parkinson’s checkup.

This questionnaire is brought to you by Medtronic

We developed this tool to help people with Parkinson’s share information with their doctors during a checkup. Medtronic wishes to thank the neurologists specializing in movement disorders, nurses, and patients who helped develop the questions based on their experience with Parkinson's disease, including symptoms and medication side effects. The report is intended to be a starting point for your doctor's further questions and evaluation.

Please note that Medtronic respects the confidentiality of personal information. This questionnaire does ask for personal information and does not save your answers to the questionnaire. Read Medtronic's privacy policy for more information.