DATA ENTRY FORMS

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MND information

Use this section to add more details about your illness to help us with our research.

Body parts affected

Does anyone in your family have motor neuron disease?

Please enter the number of relatives with motor neuron disease and fronto-temporal dementia in your family:

Does anyone in your family have motor neuron disease with fronto-temporal dementia?

Please enter the number of relatives who have motor neuron disease with fronto-temporal dementia in your family: