MJJ

Patient discovery questionnaire

Help shape a safer Parkinson game/app before we build the wrong thing.

This full questionnaire asks what patients, caregivers, and clinicians would actually find useful: motivation, routines, symptom tracking, cueing practice, privacy, and follow-up interest.

Start questionnaire Read privacy approach
Privacy note: Please do not include your full name, date of birth, address, medical record numbers, exact medication schedule, clinician names, or anything that could identify you or another person.
Medical safety note: This site is for education and evidence translation. It does not replace a clinician, diagnosis, treatment plan, medication advice, or emergency care.

Launch boundary

The form is online with consented storage enabled.

With your consent, responses are stored in a protected Cloudflare D1 database for MJJ product discovery. Contact details are optional and stored separately from the questionnaire response.

Language options

This questionnaire is available in English, Dutch, and German. Choose your preferred language before answering. Please do not include identifying or very sensitive medical details.

Full questionnaire

Parkinson Game / App Interest Questionnaire

This is not medical care, diagnosis, treatment, triage, or medication advice. Answer generally.

About you
What best describes you? *
Age range
If you have Parkinson’s: how long ago were you diagnosed?
Which Parkinson-related challenges affect daily life most?
Exercise, motivation, and routines
Do you currently do Parkinson’s exercises, physiotherapy, or movement training?
What makes it hard to keep doing exercises or healthy routines?
Technology and games
How comfortable are you using a smartphone or tablet?
Do you play any games on phone, tablet, computer, or console?
Parkinson game/app idea
Would you be interested in a Parkinson-focused game/app where you care for and train a character by doing helpful real-life activities? *
Which features would be useful?
Would rewards, streaks, levels, or a virtual character motivate you?
What should the game/app feel like?
Privacy and follow-up
Would you feel comfortable entering symptom or exercise information into an app?
Would you want a caregiver, doctor, physiotherapist, or Parkinson nurse to see summaries?
If this app existed, would you want to try an early version? *
May we contact you for follow-up questions or prototype testing?

Before submitting

  • This is product discovery and education planning, not medical advice.
  • Do not use this form for urgent symptoms, diagnosis questions, treatment choices, or medication decisions.
  • Please avoid identifying details about yourself, relatives, clinicians, or care teams.
  • Your response will be stored for MJJ product discovery if you submit with consent. Optional email is stored separately and only used for follow-up if you choose yes.

Current status: consented storage enabled. You can request deletion later using the reference ID returned after submission.