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ATTR-CM Assessment
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About the ATTR-CM Assessment

This guide is not intended to be used as a diagnostic tool and should not replace discussions with a patient’s healthcare provider. Any individual information you enter about yourself will only be viewed in the aggregate with other collected responses.

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Uncovering what you need to talk about

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Finalizing your guide

OptionsGroup chkMedicalCndition

Nerve and neurological symptoms

  • 0
  • 1

Cardiac issues

  • 2
  • 3
  • 4

Pain and mobility issues

  • 5
  • 6

Vision, digestive, and musculoskeletal issues

  • 7
  • 8
  • 9
  • 10
successPage
/attr-cm/discussion-guide/results
secondarySuccessPage
/attr-cm/discussion-guide/results
successRedirect
true
Form-token

form_builder__uat__1995

form_builder__production__1995__wd

mappingLocation
/attr-cm-ddg-mapping.json
passLabelFields
rdoAge, rdoGender
resultsessionkey
attrcmAssessmentResult
resultPageField
rdoHeartHistory:HeartFailure,rdoFamilyHeartHistory:FamilyHistory,chkMedicalCndition:Symptoms
resultPageSessionVar
resultType