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AGE: ___67____



NUMBER OF MONTHS SINCE YOU WERE DIAGNOSED WITH PD: ____3 ____



DO YOU HAVE PROBLEMS WITH TREMOR? ___yes______



DO YOU HAVE ANY PROBLEMS WITH WALKING? ___yes______



    FREEZING IN DOORWAYS? ___no_____



    SHUFFLING GAIT? ___yes_____



    PROBLEMS STARTING TO WALK? ____no_____



    PROBLEMS SUSTAINING WALKING? ___yes______



DO EVER FEEL AS THOUGH YOUR FEET ARE "GLUED TO THE FLOOR"?
___no_______



DO YOU FIND THAT STEPPING OVER OBJECTS ON THE FLOOR IS HELPFUL FOR
WALKING?

____no_____



DO YOU FIND THAT YOU DON'T FREEZE WHILE WALKING UP OR DOWN STAIRS?
___true______



ARE SOME FLOOR PATTERNS EASIER FOR YOU TO WALK ACROSS (for example, cracks
in

the sidewalk)? _____no______



Thank you for your response.  For your  information I
will publish the

results of this survey on the PD listserver.



Tom Riess

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