SURVEY - SPMS Management Question Title * 1. What proportion of your MS patients have been diagnosed with SPMS? < 10% 11-25% 26-50% >50% Question Title * 2. What proportion of your MS patients have suspected SPMS? < 10% 11-25% 26-50% >50% Question Title * 3. What is the estimated time from suspected to diagnosed SPMS? < 1 month 2-6 months 7-12 months 1-2 years > 2 years Question Title * 4. What proportion of your newly-diagnosed SPMS patients have active disease (relapses and/or new MRI lesions)? < 10% 11-20% 21-30% 31-40% 51-50% >50% Question Title * 5. What is your #1 criterion for an SPMS diagnosis? No relapses in previous 2 years and 1-point change in EDSS No new MRI lesions in previous 2 years and 1-point change in EDSS No relapses or MRI lesions in previous 1 year and 1-point change in EDSS 1-point change in EDSS Sustained clinical worsening (e.g. fatigue, walking speed, cognition, QoL) over the past 1-2 years Other Question Title * 6. How do you determine progressive accumulation of disability in practice? 1-point EDSS change confirmed at 3 months 1-point EDSS change confirmed at 6 months 1-point EDSS change confirmed at 12 months >20% worsening on T25FW and/or 9HPT Other measures (e.g. new unemployment, symptoms, number of FS involved, etc.) Other Done