Could it be CIDP?

Take this 5-minute symptom survey and share it with your doctor

This survey is meant to help you have a discussion with your doctor about the symptoms you’re experiencing.

Be sure to fill out the entire survey so your doctor can determine if your symptoms are related to CIDP.

Information entered into this survey will not be saved or sent to Grifols. It is for your use only.

Symptom Survey

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Your symptoms

Please select the symptoms you have been experiencing

Numbness, tingling, and pain

Tingling in arms, legs or face
Pain in arms, legs, or face
Burning or stabbing pain

Physical functioning

Weakness in arms
Weakness in legs
Difficulty lifting objects over your head
Difficulty climbing stairs
Difficulty walking
Difficulty writing, buttoning shirts, or using utensils
Problems getting up after a fall


Difficulty walking on uneven surfaces
Frequent falls
Losing balance in the shower