Visual Snow Syndrome (VSS) Research Intake Form

> Visual Snow Syndrome Research Form

Visual Snow Syndrome (VSS) Research Intake Form
Contribute to Research

Visual Snow Syndrome Intake Form

Thank you for contributing to research on Visual Snow Syndrome (VSS). This intake form collects demographic, medical, and symptom-related information to support scientific and medical research into this condition. Your participation can help researchers advance our understanding of VSS and guide their studies.

Information you provide in this form will be shared directly with qualified researchers studying VSS. The Visual Snow Initiative (VSI) does not store or maintain your personal responses. VSI’s role is only to host and distribute this form so researchers can access the data to aid their studies.

Confidentiality: All information is confidential and will only be accessed by medical researchers for scientific purposes. 

Note: This form is not intended for diagnosis or treatment.