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"Help us to Help Others"
Survey

 

The following questions will help guide us in our goals to increase COPD knowledge, especially for the newly diagnosed COPDer.

Only fill in what you want to tell us about  -  leaving blanks is OK

Please list the most important subjects that you would have wanted to learn about when you were FIRST diagnosed.    ----   

What were your first thoughts??        
After those first thoughts , there probably were a bunch of questions......    These are the  questions we are looking for.

NOTE: If you are recently diagnosed, and your questions are still unanswered,
Indicate with a "UA" in the second (where) column.

Subject or Question

Where did you learn this.
(Doctors office, Rehab, Internet,  etc)
UA = unanswered
When did you learn this.
(when diagnosed "@Dx", 1 week later, 1 month later etc)
Rate the importance
 --1 thru 5 --
5 = highest
1)  
2)  
3)  
4)  
5)  
6)  
7)  
8)  
9)  
10)  

 

What are your favorite Websites for the following:

COPD Information:
COPD Organizations:
Medicine references:
Oxygen Therapy:
Interpreting Tests:
Medical Equipment:
Travel planning:
Other not listed:

How long have you been diagnosed with COPD? 

Comments:
Include here  --   subject ideas that you are still questioning or looking for  -   and also ongoing subjects.
 

Thank you for taking the time to help !

                                                           

 

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11/15/2004
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