This survey will help us to show how many people are suffering due to the side effects of Mirapex and other agonists. THIIS CONFIDENTIAL. If you do not want to give your name please put in a fictitious one. We would like to be able to contact you by E-mail but again respect your privacy here as well. If you do not wish to supply a valid e-mail simply type in "firstname.lastname@example.org". Thank-you for your help!
Our sincere thanks for taking the time to complete this survey!