Share Your Experience

Your experience can help others with RLS. By sharing your journey, you contribute to our understanding of RLS and help build a supportive community.

About You

Age

Gender

Symptom Details

How long have you experienced RLS symptoms?

How often do you experience symptoms?

On a scale of 1-10, how severe are your symptoms typically?

Mild (1)Severe (10)

Triggers and Relief

What triggers (or worsens) your symptoms? (Select all that apply)

Sitting still

Tight clothes

Stress

Lack of sleep

Bed sharing

Caffeine

Alcohol

Exercise

Medications

Temperature

Other

What (if anything) has helped relieve your symptoms?

Additional Information

What do you wish you knew sooner about RLS?

Is there anything else you'd like to share about your RLS experience?

I consent to my survey responses being used anonymously to help understand RLS and improve support for others. No personally identifiable information will be shared.

Email Address (Optional)

RLS-Support.com

Support and Guidance for Restless Legs Syndrome.

contact

martin@rls-support.com

Stay updated with the latest RLS research and insights.

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