Question Card | Wearing Off

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Symptom	Experience symptoms	Usually improves after my next dose
Tremor		Yes No
Difficulty in speech		Yes No
Anxiety		Yes No
Experience sweating		Yes No
Mood changes		Yes No
Weakness		Yes No
Problem with balance		Yes No
Slowness of movement		Yes No
Reduced dexterity		Yes No
Numbness		Yes No
General stiffness		Yes No
Experience panic attacks		Yes No
Cloudy mind/dullness thinking		Yes No
Abdominal discomfort		Yes No
Muscle cramping		Yes No
Difficulty getting out of the chair		Yes No
Experience hot and cold		Yes No
Pain		Yes No
Aching		Yes No

19-Symptom Questionnaire