SMART NMO - Patient Version
Systematic Mental Health Assessment and Response Tool for NMOSD
Esiason, Genecov, Nurse, Peppers, Levy & O’Hayer, 2022, revised 2025
Note: No data is saved for the user or for the host on this page. If you would like to keep these answers and scores for your records, please write them down or print out this page.
Are you currently experiencing an NMOSD relapse or "attack?"
-- Select one --
Yes
No
What is your aquaporin-4 (AQP4) status?
-- Select one --
Positive
Negative
In the past 4 weeks, to what extent have you had difficulty with:
Recovering after physical activity?
-- Select one --
Much difficulty
Some difficulty
Little to no difficulty
Missed work (school, professional work, volunteer work, other commitments) due to treatment or illness?
-- Select one --
Much difficulty
Some difficulty
Little to no difficulty
Side effects of NMOSD treatments?
-- Select one --
Much difficulty
Some difficulty
Little to no difficulty
Mobility (climbing stairs, walking, playing sports, carrying laundry, showering keeping up with others)?
-- Select one --
Much difficulty
Some difficulty
Little to no difficulty
How true are the following statements of your experience over the past 4 weeks?
I am concerned with how others understand my disease (friends and family minimizing "invisible illness," strangers staring at the way you walk, etc.).
-- Select one --
Very true
Somewhat true
Neutral or false
NMOSD limits my ability to make short-term plans for the future
-- Select one --
Very true
Somewhat true
Neutral or false
NMOSD limits my ability to make long-term plans for the future
-- Select one --
Very true
Somewhat true
Neutral or false
I am worried about the possibility of a relapse of my symptoms
-- Select one --
Very true
Somewhat true
Neutral or false
In the past 4 weeks, have you felt:
Isolated, alone, and emotionally lonely?
-- Select one --
Much of the time
Some of the time
None of the time
Anxious about:
Social interactions?
-- Select one --
Much of the time
Some of the time
None of the time
Life expectancy?
-- Select one --
Much of the time
Some of the time
None of the time
Relapse of NMOSD symptoms?
-- Select one --
Much of the time
Some of the time
None of the time
Potential future disability (blindness, lack of mobility)?
-- Select one --
Much of the time
Some of the time
None of the time
Finances?
-- Select one --
Much of the time
Some of the time
None of the time
Overwhelmed (by loud noise or chaos, by work or personal responsibilities, by maintaining relationships, etc.)?
-- Select one --
Much of the time
Some of the time
None of the time
In the past 4 weeks, have you experienced any of the following?
Feeling very emotionally upset when reminded of NMOSD and its burden
-- Select one --
Once a week or less
2-3 times a week
4 or more times a week
Physical reactions when reminded of NMOSD and its burden (e.g., heart racing, sweating)
-- Select one --
Once a week or less
2-3 times a week
4 or more times a week
Trying to avoid thoughts and feelings related to NMOSD and its burden
-- Select one --
Once a week or less
2-3 times a week
4 or more times a week
Being overly alert and “on-guard” about physical symptoms (e.g., wondering if a twinge of pain may be related to NMOSD or an impending relapse)
-- Select one --
Once a week or less
2-3 times a week
4 or more times a week
Thinking about your journey to receiving an NMOSD diagnosis
-- Select one --
Once a week or less
2-3 times a week
4 or more times a week
In the past 4 weeks, have you dealt with any of these symptoms?
Numbness?
-- Select one --
Yes
No
Impaired mobility?
-- Select one --
Yes
No
Nausea/vomiting?
-- Select one --
Yes
No
Compared to one year ago, how would you say your health is, in general?
-- Select one --
Better or the same
A bit worse
Much worse
Get my score
If your total score is 10 or higher, you might benefit from a referral to a mental health treatment to help you cope with NMOSD.
If your score is 18 or higher, you are likely to benefit from a referral to a mental health treatment to help you cope with NMOSD.