Deep brain stimulation may be a treatment option for you. Take our quiz to find out if you should explore this therapy with your doctor.

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Let’s begin, how old are you*

Have you been diagnosed with any of the following?*

How long have you had this diagnosis?*

Do you have any of the following symptoms?*

What type of doctor are you seeing for your tremors?*

Do you take any of the following medications?*

Which best describes your situation?*

How frustrated are you with your symptoms?*

Have you heard of or talked to a doctor about deep brain stimulation (DBS) therapy?*

Are you taking this survey for yourself or a loved one?*

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By completing and submitting this form, you are granting Medtronic permission to add your personal information, including your contact information and basic healthcare information, to its patient database, and to share that information with Medtronic representatives and health care providers as appropriate. We may conduct analyses on information collected in order to make improvements to and provide training on our operations, products, services, and customer communications. Medtronic may de-identify data collected, combining it with data collected from other sources. Lastly, information provided may be shared with your physician for treatment considerations or other purposes. You also agree to being contacted by Medtronic in the future by mail, telephone or by non-password protected electronic communications, such as emails or text messages. Medtronic may exchange information with you regarding our products or services, inquire about your experience, or determine how Medtronic can support you through your journey.

Medtronic respects the confidentiality of your personal information. If at any time you wish to revoke all or part of this permission, you can email us to or send a request in writing to: Medtronic Patient Support, 7000 Central Ave NE, RCE 230, Minneapolis, MN 55432. This permission will expire 10 years after the date of your signature.*

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