Quick Question: Tester Page Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.We appreciate perspetives from all those impacted by FTD and understand that some people identify with more than one role. If you identify with more than one role, you are welcome to complete the Quick Question once from one perspective and then return to answer again from your other role. (For example, a caregiver might choose to answer first for themselves and then return to answer from the perspective of the person diagnosed with FTD.)How long did it take to receive a formal FTD diagnosis after first symptoms? Less than 6 months6–12 months1–3 yearsMore than 3 yearsHow many different doctors or specialists did you see before receiving a diagnosis?12-34-5More than 5How supported did you feel by healthcare providers during the diagnostic process?Very supportedSomewhat supportedSlightly supportedNot supported at allHow clear and understandable was the information you received at diagnosis? Very clearSomewhat clearSomewhat unclearVery unclearPlease Identify yourself: A person diagnosed with FTD, answering for myselfA biological family member, answering on behalf of an FTD-diagnosed personA spouse, answering on behalf of an FTD-diagnosed personA caregiver, answering on behalf of an FTD-diagnosed personA friend, answering on behalf of an FTD-diagnosed personA biological family member, answering for myselfA spouse, answering for myselfA caregiver, answering for myselfA friend, answering for myselfOther...Identify yourself - Please specifyWhat part of the FTD journey are you and your loved one currently on?Select OneNewly diagnosed or mild cognitive declineMid-stage or moderate cognitive declineLate stage or severe cognitive declineMy FTD diagnosed loved one has passed onYour Gender:Select OneFemaleMaleNon-BinaryPrefer not to answerSubmit
