Checkpoint 2

Day 45 — Mid-point Questionnaire

Track your early response and tolerability at the halfway mark of the 3-month program.

Pending HREC approval — this questionnaire is a preview and cannot be submitted yet. You can still explore it and save a draft.

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Current medicine and dosage

How consistently have you taken your medicine?

Any dosage changes since Day 1?

YesNo

Same scales as Day 1 so your prescriber can see the change.

Sleep quality

ExcellentVery poor

Quality of life

Best possibleWorst possible

Daily functioning

Fully functionalUnable to function

Experienced side effects?

YesNo

Compared to Day 1, condition is

Would you continue current treatment?

YesNoUnsure

Additional comments

Submission is disabled — you can still explore and save a draft.