1. Please indicate your relationship to a person with Tourette Syndrome (TS):
    Self     Parent   Other Relative     Not Related/Other
     Not related/Other describe:
   
2. Have you seen Dr. Walkup's Newly Diagnosed presentation before?
     Yes     No     When/Where?

3. How much of this content was new to you?
    Almost all    75%     50%     25%    Almost none

4. Was this presentation an effective teaching tool?
    Not at all     Minimally    Somewhat   Significantly Completely
    Comments:  

5. Are you/your child/relative currently being treated for TS? 
    Yes     No

6. Does your current treatment program include:
    Physician/Medical Practitioner     Psychologist/Counselor/Behav.Consultant/Other
     Neither   Both
    Comments:  

7. Does your current treatment program include Complementary or
    Alternative Medicine?   Yes     No
     Comments:  

8. Do you expect to make any changes in your current treatment program as
    a result of the material presented?   Yes     No
     Comments:  

9. Do you use the TSA website's other resources:   Yes     No
     Comments: 

10. Which TSA website resources are most valuable to you?                             

11. What type of video/online/DVD programs would be of greatest benefit to
      the TS community?   
       Medical/Allied Professional Education/Training   
       Behavioral Therapy Education/Training    
       Teacher/Educator programs   
       Parent/Family Education/Training   
       Children with TS programs
       Adults with TS programs
       Comments:

The information provided in this material was supported by Grant/Cooperative Agreement Number 04211 from the Centers for Disease Control and Prevention (CDC). The contents are solely the responsibility of the authors and do not necessarily represent the official views of CDC.

Tourette Syndrome Association, Inc. (TSA®)
42-40 bell boulevard suite 205 bayside new york 11361
tel: 718-224-2999 fax 718-279-9596  ts@tsa-usa.org