Childhood Onset Survey 2022 Report - Flipbook - Page 22
2022 Childhood Onset HSP Survey
Source Questions
Questions:
Has your child been diagnosed with Herediatry Spastic Paraplegia (HSP)?
Section 2 of 6
Demographics
● Is your child male or female?
● What year was your child born?
● How old is your child now?
● At what age did you child begin to show symptoms?
● How old was your child when he/she was diagnosed with HSP?
● Where do you live (Country, State, Province, etc)?
Section 3 of 6
Diagnosis
● Has you child had a genetic test to confirm their HSP diagnosis?
● Was the test positive for an HSP diagnosis?
● If you answered "yes" to the previous question, what type of HSP does your child
have (SPG3, SPG4, etc)?
● What is your child's gene variant (for example: c.1168A>G MetVal 390 on exon
8)? This may be found on the genetic test report.
● Is your child's gene variant hereditary or de novo?
● If you answered yes to Hereditary, is the gene Recessive or Dominant?
Section 4 of 6
Symptoms
● Does your child exhibit pure or complex symptoms?
● What are your child's symptoms? Please select all that apply.
● Are there other symptoms you would like to mention or describe?
21
