Questions


1. Have you been diagnosed with myasthenia gravis (MG)?

Yes   No   I'm not sure

2. It’s common for people with MG to experience eye-related symptoms (e.g., double vision, drooping eyelids).

Do you experience MG symptoms that affect other parts of your body (e.g., arms, legs, back, neck; problems chewing, speaking, standing, breathing, or swallowing)?

Yes   No   I'm not sure

3. First name

4. Email

5. Location

Please select a location closest to you.

6. Phone number

Thank you for completing the questionnaire for the VIVACITY-MG Study.

Your Study Location Contact Information

Please call the study location at your earliest convenience to speak with a member of the study staff and to schedule an appointment. When contacting the study location, we encourage you to ask any questions you may have before deciding whether study participation may be right for you. If the site staff does not hear from you, a member of the study team will attempt to contact you within the next few days.

Additional Information

  • Please save this information for your records.
  • Your responses and contact information have been sent to the study location you have selected. They will be used only for study-related purposes and will not be shared with anyone outside of the VIVACITY-MG Study.
  • If you have any questions about the VIVACITY-MG Study, please contact your selected study location directly.

Thank you for your interest in the VIVACITY-MG Study.

You’re all set!

Thank you for taking a moment to learn about the VIVACITY-MG Study.

A member of our study team will contact you soon.