India MS Map

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India MS Map

Are you part of the India MS Map yet?

When policies for MS are made - are you counted?
Do you benefit from them?
Do you get to know of the latest information to treat MS?

With no comprehensive national data on MS, many get left behind in accessing schemes or resources designed for them. Therefore, the Multiple Sclerosis Society of India has launched this initiative to crowd-source a MS prevalence map. Our endeavor is to ensure that no one gets left behind!

Answer the short questions below to fill in your information and be a part of India MS map now!

Disclaimer: Your participation is voluntary. You may choose not to participate. If you decide to participate, you may withdraw at any time. We will do our best to keep your information confidential. All data is stored in a password protected electronic format. MSSI will not share personal details with any third party or put in public. Get in touch if you have any questions at all at email: contactus.mssi@gmail.com

Email *

Name

City *

State / Union Territory *

Age *

Below 18

19-45

46-60

Above 60

Gender *

Male

Female

Other

Diagnosed with Multiple Sclerosis since *

Less than 3 year

Last 4-10 years

Last 11-20 years

More than 20 years

For your MS Treatment do you refer to a government or private health facility? *

Government

Private

Both

Specify your employment Status *

Public sector

Private sector

Self employed

Others

Not Employed

A copy of your responses will be emailed to the address you provided.

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