Please Apply for Next Visual Snow Study |
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Please email Prof, Goadsby and Dr. Schankin at
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with the following information. If you already sent a brief "I'm
interested" email, please RESEND with this information. Thank you so
much!
Name
Address
Date of Birth (Day/Month/Year)
Telephone number
Willingness to be contacted for research
Indicating
they are allowing us to keep the contact details solely for
communication for research? it?s a European data protection thing?
Brief description of symptoms ?
Short description of visual symptoms in own words:
Visual snow: what type (chose one):
- black and white (i.e. only black dots on white background, white dots on black background)
- clear (i.e. color of the background)
- flashing (i.e. always white, brighter than background)
- colored
- all of these
Other symptoms (yes or no) I know it is difficult but for an email yes or no to the other symptoms
- After images
- Trailing of images in the vision
- Blue field entoptic phenomenon (i.e. white squiggly lines moving pulsating on the blue sky)
- Floaters in vision
- Colored clouds or waves with eyes closed
- Flashes of light
- Impaired night vision
- Sensitive to light
- Tinnitus
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