hATTR amyloidosis

1) Select all that apply to you.
I am of Portuguese descentI am of Irish descentI am of Swedish descentI am of African American descentI am of Japanese descentNone of the above apply to me

2) Have you been experiencing symptoms of polyneuropathy (i.e., weakness, numbness, pain, or nerve damage in the feet and/or hands), not including symptoms of diabetes (i.e., excessive thirst and excessive urination)?
YesNoI am not sure

3) Select all the symptoms that you have experienced.
Carpal tunnel syndrome (numbness/tingling in the wrists and hands)Autonomic neuropathy, such as sexual dysfunction or dizziness upon standingKidney problems, such as protein in urineTingling, numbness or pain in feet, hands and/or lower extremitiesGastrointestinal issues, such as nausea and vomiting or constipation and/or diarrheaHeart problems, such as irregular heartbeatSpinal stenosis resulting in pain, tingling or numbness of lower extremities caused by nerve compression in the spine due to narrowing of the spinal canalVisual changes, such as dark floatersI have not experienced any of the above symptoms

4) Have you ever been referred to a neurologist because of symptoms of polyneuropathy (i.e., weakness, numbness, pain, or nerve damage in the feet and/or hands), not including symptoms of diabetes (i.e., excessive thirst and excessive urination) you may have been experiencing?
YesNoI am not sure

5) How many times have your symptoms noted in question #3 prompted you to visit a doctor in the last 2 years?
0x2xI can’t remember1xMore than 2x

6) Do you have any relatives who have been diagnosed with hATTR amyloidosis?
YesNoI am not sure