Participants had a formal diagnosis of ET and reported moderate-severe tremor impact, even with mild tremor severity. All participants tried medication, with 9% reporting satisfaction. Tremor mainly managed by general neurologists (36%) and primary care (36%), less by movement disorder specialists (18%); 9% see no physician. Tremor treatment information obtained only 9% from a physician, while 73% utilized the internet and 18% word-of-mouth. Notably, the database (ET=63,611) similarly reported trying medication (99%) with low satisfaction (12%), and tremor managed by general neurologists (46%) and primary care (43%), not movement disorder specialists (<4%). Key focus group insights discuss a lack of treatment information/awareness, impact on quality of life, variability in treatment experience/effectiveness, desire for non-invasive treatments, community/support, and need for better physician engagement/education.