Help Us Get to Know You

To help us understand where you are in your treatment journey, please answer the following questions. Please read the questions carefully before selecting the option that best describes your situation.

All fields are required.

Which of the following statements best applies to your type of narcolepsy?

Please select one response.

I have been diagnosed with Type 1 Narcolepsy, which includes the presence of cataplexy (sudden loss of muscle tone, often triggered by an emotional reaction)

I have been diagnosed with Type 2 Narcolepsy, or narcolepsy without cataplexy

I'm not sure if I was diagnosed with Type 1 or Type 2 Narcolepsy

Not diagnosed

Since diagnosis, which best reflects your treatment journey?

Please select one response.

I am just starting out on my treatment journey

I have tried only one or two treatments

I have tried multiple treatments

I have tried everything I know

Would you be interested in exploring another type of prescription medication to treat your narcolepsy?

Please select one response.

Not at all interested

Not very interested

Somewhat interested

Very interested

Extremely interested

Now, shifting away from narcolepsy, we'd like you to tell us a little more about yourself. When selecting your response, please be completely honest describing your level of responsibility for someone else.

Please read the question carefully before selecting the option that best describes how you feel.

Do you have people in your life that you are responsible for?

Please rate your response using the following scale.

1 - I am only responsible for myself

2 - I have people in my life who depend a little on me

3 - I have people in my life who depend a lot on me

4 - I have people in my life who depend entirely on me