Parkinson’s IQ + You Columbus

First Name

Last Name

Birth Month

Birth Day

Birth Year

ZIP code

What is your primary connection to Parkinson's disease (PD)?

What Year Were You Diagnosed with PD?

Do you provide care for someone with PD?

How did you hear about this event?

Will this be your first in-person Parkinson’s educational event?

YesNo

Would you like to receive email communications from The Michael J. Fox Foundation?

YesNo

There will be multiple Q&A sessions throughout the program. Do you have a question you would like to submit in advance?

Animations