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Fitness with
Katrina
DVD
MyMS Yoga®
DVD
It's Not All in
Your Head
Book
Meditation MP3
Free comic book
explaining MS
to kids
(English Version)
Comic book
gratis que le explica
el esclerosis
múltiple a los niños
(Spanish Version)
Limit one copy per person. Not for resale. Only available in the U.S.
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Male Female

 

 

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  • Get a free gift and stay active with MS ActiveSource.
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  1. Not Treating Never Treated Treating

    Enter name of medication
    Yes
    No
  2. Excellent
    Very Good
    Good
    Fair
    Poor
    Very Poor
  3. For each of the following statements, please choose a number that best represents your agreement with each statement. (1 representing totally disagreeing, 6 representing totally agreeing.)

  4. 1

    2

    3

    4

    5

    6


  5. 1

    2

    3

    4

    5

    6



 

 

 

**I authorize Biogen Idec, and companies working with Biogen Idec, to provide me with information about, or ask me about my experience with or thoughts about, products, services, and programs that Biogen Idec offers or sponsors. I understand and agree that any information I provide may be used by Biogen Idec to help develop new products, services, and programs. I understand and agree that Biogen Idec, and companies working with Biogen Idec, may contact me by mail, email, and/or telephone.

I understand that I can choose to opt out of any future contacts at any time by giving notice by phone at 1-800-456-2255 or by mailing a letter to: Biogen Idec Patient Services, 5000 Davis Drive, P.O. Box 13919, Research Triangle Park, NC 27709-3919.

Please see full Prescribing Information , including Boxed Warning and Patient Medication Guide

This information is not intended to replace discussions with a healthcare provider. Please see the patient Medication Guide and full Prescribing Information for additional important safety information.

All other trademarks are the property of their respective owners.



 
Already registered? Sign In
Tools for living with MS

Get access to helpful online tools and information when you register with MS ActiveSource.

  • Get a free gift and stay active with MS ActiveSource.
  • Share your favorite recipe — you'll be helping others with MS actively pursue a healthier lifestyle.
  • Exercise your mind with Memory Builder games.
  • Stay organized with your own personal Logbook.
  • Connect with a Peer Mentor who understands your experiences.
  • Receive a monthly e-newsletter with the latest on MS ActiveSource.
Your privacy is important to us.

We value your participation and we will hold your account and personal profile information accordance with our privacy policy.View privacy policy

Caregiver for a person with MS
Health Care Professional
Neither


 

 

 

**I authorize Biogen Idec, and companies working with Biogen Idec, to provide me with information about, or ask me about my experience with or thoughts about, products, services, and programs that Biogen Idec offers or sponsors. I understand and agree that any information I provide may be used by Biogen Idec to help develop new products, services, and programs. I understand and agree that Biogen Idec, and companies working with Biogen Idec, may contact me by mail, email, and/or telephone.

I understand that I can choose to opt out of any future contacts at any time by giving notice by phone at 1-800-456-2255 or by mailing a letter to: Biogen Idec Patient Services, 5000 Davis Drive, P.O. Box 13919, Research Triangle Park, NC 27709-3919.

 

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