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.

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Your symptoms

Please select the symptoms you have been experiencing

Numbness, tingling, and pain

com.grifols.d3.forms.Tingling in arms, legs or face
com.grifols.d3.forms.Pain in arms, legs, or face
com.grifols.d3.forms.Burning or stabbing pain

Physical functioning

com.grifols.d3.forms.Weakness in arms
com.grifols.d3.forms.Weakness in legs
com.grifols.d3.forms.Difficulty lifting objects over your head
com.grifols.d3.forms.Difficulty climbing stairs
com.grifols.d3.forms.Difficulty walking
com.grifols.d3.forms.Difficulty writing, buttoning shirts, or using utensils
com.grifols.d3.forms.Problems getting up after a fall


com.grifols.d3.forms.Difficulty walking on uneven surfaces
com.grifols.d3.forms.Frequent falls
com.grifols.d3.forms.Losing balance in the shower