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You do not need all the answers.
Tell us about your day.

Tell us about meals, household products and the places you spend time. We will organize your answers into a practical checklist, explain the next checks in plain language and show where Jimmy can help. No diet names, ingredient knowledge or health approach needed.

For practical support, not urgent symptoms.

Sudden weakness, trouble speaking, sudden vision loss, or swelling with trouble breathing or swallowing needs urgent medical help. Call 911 for a possible emergency. This form is not monitored for emergencies and cannot diagnose MS.

  • About you
  • Daily life
  • Surroundings
  • Source history
  • Checklist
    • Result
    MS — Food, Home & Lifestyle Support
    Step 1 · About you

    Tell us what is happening.

    You do not need to know which approach to try. Answer in everyday terms; we will use the details to organize a practical checklist. Optional health information adds context, not a diagnosis.

    Has MS been diagnosed?
    What gets in your way most?
    This helps us understand the practical help you want; it does not identify the cause.
    Have these symptoms been assessed?
    New or unexplained neurological symptoms need medical assessment; this questionnaire cannot diagnose MS.

    Food, shopping and household support in Harvey and Greater New Orleans, with remote planning by arrangement. See packages and scope. No purchase or treatment plan is started by submitting.