Email
Text Size A A

HOME ›   Trial Participation ›   PPMI

PPMI Smell Survey

The majority of people with Parkinson's experience smell loss, a little-noticed symptom that can occur years before the onset of motor symptoms or a PD diagnosis. Though most people with reduced sense of smell will not develop Parkinson's, PPMI is investigating the connection between this symptom and progression of the disease.

By completing this form, you agree to allow the PPMI Study Team at the Institute of Neurodegenerative Disorders, an official collaborator of The Michael J. Fox Foundation, to collect your information and contact you regarding this study or other related studies.

If you qualify, you will receive a study packet within the next several weeks delivered by mail. Please contact us by calling 1-877-525-PPMI (7764) or by emailing info@smellsurvey.org should you have any questions regarding this survey.

* Required


Do you currently have a diagnosis of Parkinson's disease or Parkinsonian syndrome?*


Do you think you have a decreased sense of smell?*


Have you ever had trauma to your nose or sinuses? *


Do you have any sinus conditions? *


Do you currently have a diagnosis of Alzheimer's disease or other form of dementia?*


Do you have any neurological conditions?*


How did you hear about this study?*


With this simple decision to take the survey or share it, you commit to help us speed scientific progress toward cures for diseases that touch countless lives.

Michael J. Fox

Prefer to Submit Your Survey by Mail?

Print Survey Form MORE

 

Our Promise | Our Impact | Fox Trial Finder | Shop Fox | FAQs | Careers | Leadership & Staff | Contact Us

Facebook Twitter YouTube Instagram Pinterest LinkedIn Google+ RSS


 

EXISTING MEMBER?

SIGN IN

Close

New to MJFF?  Register Now

 

 

 

  REMEMBER ME

 

Forgot username/password?

 

  Applying for a grant? Sign in here.

EMAIL TO A FRIEND

Close