Public Disability Benefits Questionnaire
Peripheral Nerves
The Peripheral Nerves questionnaire can document CIDP-related peripheral findings when its scope fits the examination. It records the diagnosis, symptoms, affected nerve and side.
On the original questionnaire: Page 1: title exclusion and fields 1A–1B; page 2: 2A and 3A; pages 3–5: examination findings; pages 6 and 8: nerve assessment introductions; page 13: diagnostic testing; page 14: functional impact.