Worksheet

MY MSPIVOT

Pivot: Make a changePause: Stop and think about your optionsPersist: Stay the course you are currently on

Today we’re learning about My MS Pivot, and how it empowers you to take meaningful actions to help put relapsing MS in the background.

This worksheet can help you know when it’s the right time to:

TAKING INVENTORY — FIVE QUESTIONS TO ASK YOURSELF (WHICH ONE ARE YOU?)

NEW TO TREATMENT1. How do I want to take my MS treatment? □ iNfusioN □ iNjectioN □ Pill2. Is a long-term safety history important to me? □ Yes □ No3. Do I know how to weigh the effectiveness

of my options? □ Yes □ No4. Am I ready to begin a relapsing MS treatment? □ Yes □ No5. What side effects are deal-breakers for me?

CONSIDERING A TREATMENT CHANGE1. Am I happy with the way I take my current medication? □ Yes □ No2. Is a long-term safety history important to me? □ Yes □ No3. Has a relapse or new lesion caused me to question

my treatment? □ Yes □ No4. Have I/family/friends/Support Partner noticed changes

in my abilities? □ Yes □ No5. Will I experience the same potential side effects? □ Yes □ No

When it comes to relapses, based on your answers, are you inclined to: □ Pivot □ Pause □ Persist

PREVENT RELAPSESHow many relapses have you had over the past 6 years?How many relapses happened while you were on your current treatment?Have you had any relapses since your last HCP visit? □ Yes □ No

3 KEY GOALS OF RELAPSING MS TREATMENT — AND HOW YOU’RE DOING

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PREVENT NEW LESIONSWhen was your last MRI?Did you have any new lesions, and, if so, how many?Have you had a relapse since your last MRI? □ Yes □ NoHave you taken your MS treatment as directed by your HCP? □ Yes □ No

When it comes to lesions, based on your answers, are you inclined to: □ Pivot □ Pause □ Persist

When it comes to disability progression, are you inclined to: □ Pivot □ Pause □ Persist

DELAY DISABILITY PROGRESSIONHave you noticed any changes to your abilities? □ Yes □ NoIf yes, write down what they are and how long they have gone on.

Has your Support Partner noticed any changes? □ Yes □ NoIf yes, write what they are and how long your partner thinks they have been occurring.

Have you noticed any changes to your abilities since your last HCP visit? □ Yes □ NoIf yes, write down what you’ve noticed, and how long they have been occurring.

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DISABILITY PROGRESSION AND LIFE HACKS

Try to think of one or two life hacks you may be doing now and write them down. Could they be a sign of disability progression?

SIDE EFFECTS QUESTIONS TO ASK YOURSELF IF YOU'RE ON TREATMENT

When it comes to side effects from your current medication, are you inclined to: □ Pivot □ Pause □ Persist

Has my experience with side effects changed or gotten worse since I first began my treatment? □ Yes □ NoAre side effects getting in the way of my everyday activities and responsibilities? □ Yes □ NoIf yes, provide some examples.

Do I sometimes wish I could skip my treatment because of side effects? □ Yes □ NoWhich potential side effects are deal-breakers?

©2021 Genzyme Corporation. All rights reserved. MAT-US-2014594-v2.0-07/2021

Please take this worksheet to your next HCP appointment.

Scan to learn more about how to helpput relapsing MS in the background