Table 3 Administered Parkinson symptom survey on inpatient days 1–7 and week 3

The following applies to my tremor:

The following applies to my dyskinesia:

The following applies to my daily off time:

The following applies to my concentration:

The following applies to my urinary / urinary urge frequency:

The following applies to my pain:

I have had slow movements:

I have felt depressed:

I have felt anxious:

I have felt fatigue:

I have felt unmotivated or lack of desire for my daily activities:

I have had one or more episodes of dystonia (such as toe or finger curling or twisting):

How much (percentage) of the waking day yesterday did you feel off…

Did you feel ‘off’? (wearing off or lack of response to Parkinson medication)

Score

0%

1–10%

11–25%

26–50%

51–75%

76% or greater

1

2

3

4

5

6