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AGE: ____51___ NUMBER OF YEARS SINCE YOU WERE DIAGNOSED WITH PD:___12_____ DO YOU HAVE PROBLEMS WITH TREMOR? ___NO______ DO YOU HAVE ANY PROBLEMS WITH WALKING? ____NO_____ FREEZING IN DOORWAYS? ____NO____ SHUFFLING GAIT? ____WHEN I AM OFF____ BUT THEN I CAN HARDLY MOVE ANYTHING PROBLEMS STARTING TO WALK? ____NO_____ PROBLEMS SUSTAINING WALKING? ____NO_____ 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? _____NEVER FREEZE____ ARE SOME FLOOR PATTERNS EASIER FOR YOU TO WALK ACROSS (for example, cracks in the sidewalk)? ______NO DIFFERENCE_____ ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn