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2017 Dec DRG Survey: Dupuytren and life events
This survey is for people who have ever had
visible signs of Dupuytren disease
: palm nodules or cords.
This survey is anonymous: No personal identifying information will be collected.
OK
*
1.
Which
blood relatives
have ever had Dupuytren disease? (Choose all that match)
(Required.)
My Mother
My Father
My brother(s) / sister(s)
My Mother's relative(s) (aunt, uncle, cousin. niece, nephew on mother's side)
My Father's relative(s) (aunt, uncle, cousin. niece, nephew on father's side)
My child(ren)
None
I don't know
*
2.
How
old were you
when your
first
Dupuytren nodule or cord appeared? (best guess)
(Required.)
Younger than 35
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85-89
90 or older
I really don't know
*
3.
Has Dupuytren affected
one or both hands
?
(Required.)
Only one hand has ever been involved
Both hands have been involved
*
4.
Aside from the palm, how many
digits
in total have
ever
had Dupuytren
nodules
? (Thumbs count as digits)
(Required.)
None
1
2
3
4
5
6
7
8
9
10
I really don't know
5.
How many digits in total have
ever
been
bent or pulled by Dupuytren contracture
? (Thumbs count as digits)
None
1
2
3
4
5
6
7
8
9
10
I really don't know
*
6.
What is your biologic gender?
(Required.)
Male
Female
Other
Current Progress,
0 of 10 answered
