PRIVATE BROWSER TOOL

Explain daily impact in plain language.

Choose the description that best fits several areas of life, add your priorities, and create a printable summary. The tool does not score severity or interpret what your answers mean.

Mobility and getting around

Work, school, or household roles

Self-care and routine tasks

Sleep and recovery

Social life and meaningful activities

What do you most want your care team to understand? (optional)

What daily-life goal matters most? (optional)

YOUR NEXT STEP

Turn the snapshot into questions.

Use the Appointment Question Builder to add the follow-up topics you do not want to forget.

Build my questions

Explain daily impact in plain language.

A plain-language summary

Turn the snapshot into questions.