PGP Participant Survey
|
Responses submitted 7/16/2011 14:09:09.
Show responses
|
Timestamp |
7/16/2011 14:09:09 |
Year of birth |
60-69 years |
Which statement best describes you? |
I am comfortable making my genome sequence data publicly available without prior review. |
Severe disease or rare genetic trait |
No |
Sex/Gender |
Male |
Race/ethnicity |
American Indian / Alaska Native, Hispanic or Latino, White |
Maternal grandmother: Country of origin |
United States |
Paternal grandmother: Country of origin |
United States |
Paternal grandfather: Country of origin |
United States |
Maternal grandfather: Country of origin |
United States |
Enrollment of relatives |
No |
Enrollment of older individuals |
Yes |
Enrollment of parents |
No |
Have you uploaded genetic data to your PGP participant profile? |
No, but I have genetic data and plan to upload it |
Have you used the PGP web interface to record a designated proxy? |
Yes |
Have you uploaded health record data using our Google Health or Microsoft Healthvault interfaces? |
Yes |
Uploaded health records: Update status |
Yes |
Uploaded health records: Extensiveness |
5 |
Blood sample |
Yes |
Saliva sample |
Yes |
Microbiome samples |
Yes |
Tissue samples from surgery |
Yes |
Tissue samples from autopsy |
Yes |
PGP Participant Survey
|
Responses submitted 8/22/2011 22:14:41.
Show responses
|
Timestamp |
8/22/2011 22:14:41 |
Year of birth |
60-69 years |
Which statement best describes you? |
I am comfortable making my genome sequence data publicly available without prior review. |
Severe disease or rare genetic trait |
No |
Sex/Gender |
Male |
Race/ethnicity |
American Indian / Alaska Native, Hispanic or Latino, White |
Maternal grandmother: Country of origin |
United States |
Paternal grandmother: Country of origin |
United States |
Paternal grandfather: Country of origin |
United States |
Maternal grandfather: Country of origin |
United States |
Enrollment of relatives |
No |
Enrollment of older individuals |
Yes |
Enrollment of parents |
Maybe |
Have you uploaded genetic data to your PGP participant profile? |
Yes, I have uploaded genetic data |
Have you used the PGP web interface to record a designated proxy? |
Yes |
Have you uploaded health record data using our Google Health or Microsoft Healthvault interfaces? |
Yes |
Uploaded health records: Update status |
Yes |
Uploaded health records: Extensiveness |
5 |
Blood sample |
Yes |
Saliva sample |
Yes |
Microbiome samples |
Yes |
Tissue samples from surgery |
Yes |
Tissue samples from autopsy |
Yes |
PGP Participant Survey
|
Responses submitted 10/11/2012 23:11:10.
Show responses
|
Timestamp |
10/11/2012 23:11:10 |
Year of birth |
60-69 years |
Which statement best describes you? |
I am comfortable making my genome sequence data publicly available without prior review. |
Severe disease or rare genetic trait |
Yes |
Do you have a severe genetic disease or rare genetic trait? If so, you can add a description for your public profile. |
APOE-4 Heterozygous.
Mother Alzheimer's Disease Age 82-86yo |
Disease/trait: Onset |
Congenital / present at birth |
Disease/trait: Rarity |
Uncommon |
Disease/trait: Severity |
Low severity disease |
Disease/trait: Relative enrollment |
Yes, I have one or more affected relatives who have expressed an interest |
Disease/trait: Diagnosis |
No |
Sex/Gender |
Male |
Race/ethnicity |
Hispanic or Latino, White |
Maternal grandmother: Country of origin |
France |
Paternal grandmother: Country of origin |
Germany |
Paternal grandfather: Country of origin |
United Kingdom |
Maternal grandfather: Country of origin |
Czech Republic |
Enrollment of relatives |
No |
Enrollment of older individuals |
Yes |
Enrollment of parents |
Yes |
Have you uploaded genetic data to your PGP participant profile? |
Yes, I have uploaded genetic data |
Have you used the PGP web interface to record a designated proxy? |
Yes |
Have you uploaded health record data using our Google Health or Microsoft Healthvault interfaces? |
Yes |
Uploaded health records: Update status |
Yes |
Uploaded health records: Extensiveness |
5 |
Blood sample |
Yes |
Saliva sample |
Yes |
Microbiome samples |
Yes |
Tissue samples from surgery |
Yes |
Tissue samples from autopsy |
Yes |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 10/11/2012 23:13:32.
Show responses
|
Timestamp |
10/11/2012 23:13:32 |
Have you ever been diagnosed with one of the following conditions? |
Colon polyps |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 10/11/2012 23:22:41.
Show responses
|
Timestamp |
10/11/2012 23:22:41 |
Have you ever been diagnosed with any of the following conditions? |
High cholesterol (hypercholesterolemia), High triglycerides (hypertriglyceridemia) |
Other condition not listed here? |
Overweight. Mild Hypertension. Borderline Glucose Intolerance |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 10/11/2012 23:26:05.
Show responses
|
Timestamp |
10/11/2012 23:26:05 |
Have you ever been diagnosed with one of the following conditions? |
Migraine without aura |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 10/11/2012 23:36:11.
Show responses
|
Timestamp |
10/11/2012 23:36:11 |
Have you ever been diagnosed with one of the following conditions? |
Age-related hearing loss |
Other condition not listed here? |
Presbyopia |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 10/11/2012 23:37:38.
Show responses
|
Timestamp |
10/11/2012 23:37:38 |
Have you ever been diagnosed with one of the following conditions? |
Hypertension, Bundle branch block |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 10/11/2012 23:39:47.
Show responses
|
Timestamp |
10/11/2012 23:39:47 |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 10/11/2012 23:42:21.
Show responses
|
Timestamp |
10/11/2012 23:42:21 |
Have you ever been diagnosed with any of the following conditions? |
Dental cavities |
Other condition not listed here? |
Hemorrhoids |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 10/11/2012 23:46:01.
Show responses
|
Timestamp |
10/11/2012 23:46:01 |
Have you ever been diagnosed with any of the following conditions? |
Kidney stones, Benign prostatic hypertrophy (BPH) |
Other condition not listed here? |
Erectile Dysfunction |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 10/11/2012 23:48:27.
Show responses
|
Timestamp |
10/11/2012 23:48:27 |
Have you ever been diagnosed with any of the following conditions? |
Dandruff |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 10/11/2012 23:49:43.
Show responses
|
Timestamp |
10/11/2012 23:49:43 |
Have you ever been diagnosed with any of the following conditions? |
Bunions |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 10/11/2012 23:57:27.
Show responses
|
Timestamp |
10/11/2012 23:57:27 |
Other condition not listed here? |
Occipital Plagiocephaly Left 754.0 |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 10/12/2012 0:27:18.
Show responses
|
Timestamp |
10/12/2012 0:27:18 |
Have you ever been diagnosed with any of the following conditions? |
High cholesterol (hypercholesterolemia), High triglycerides (hypertriglyceridemia) |
Other condition not listed here? |
Overweight 278.02. Borderline Glucose Intolerance 790.21 |
PGP Participant Survey
|
Responses submitted 2/3/2013 14:05:43.
Show responses
|
Timestamp |
2/3/2013 14:05:43 |
Year of birth |
60-69 years |
Which statement best describes you? |
I am comfortable making my genome sequence data publicly available without prior review. |
Severe disease or rare genetic trait |
Yes |
Do you have a severe genetic disease or rare genetic trait? If so, you can add a description for your public profile. |
Alzheimer's Disease APOE-4 Gene Heterozygous |
Disease/trait: Onset |
Congenital / present at birth |
Disease/trait: Rarity |
Fairly common |
Disease/trait: Severity |
Very severe disease |
Disease/trait: Relative enrollment |
Yes, I have one or more affected relatives who have expressed an interest |
Disease/trait: Diagnosis |
No |
Sex/Gender |
Male |
Race/ethnicity |
White |
Maternal grandmother: Country of origin |
France |
Paternal grandmother: Country of origin |
Mexico |
Paternal grandfather: Country of origin |
Germany |
Maternal grandfather: Country of origin |
Czech Republic |
Enrollment of relatives |
Yes |
Enrollment of older individuals |
Yes |
Enrollment of parents |
Yes |
Enrolled relatives [Siblings / Fraternal twins] |
1 |
Enrolled relatives [Children] |
1 |
Are all your enrolled relatives linked to your PGP profile? |
Yes |
Have you uploaded genetic data to your PGP participant profile? |
Yes, I have uploaded genetic data |
Have you used the PGP web interface to record a designated proxy? |
Yes |
Have you uploaded health record data using our Google Health or Microsoft Healthvault interfaces? |
Yes |
Uploaded health records: Update status |
Yes |
Uploaded health records: Extensiveness |
5 |
Blood sample |
Yes |
Saliva sample |
Yes |
Microbiome samples |
Yes |
Tissue samples from surgery |
Yes |
Tissue samples from autopsy |
Yes |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 2/22/2015 15:15:43.
Show responses
|
Timestamp |
2/22/2015 15:15:43 |
Other condition not listed here? |
Anemia Unspecified 285.9 |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 2/22/2015 15:29:01.
Show responses
|
Timestamp |
2/22/2015 15:29:01 |
Other condition not listed here? |
Posterior Vitreous Detachment 379.21 |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 2/22/2015 15:37:54.
Show responses
|
Timestamp |
2/22/2015 15:37:54 |
Other condition not listed here? |
Anemia Unspecified 285.9 |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 2/22/2015 15:48:58.
Show responses
|
Timestamp |
2/22/2015 15:48:58 |
Other condition not listed here? |
Anemia Unspecified 285.9 |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 2/22/2015 16:29:00.
Show responses
|
Timestamp |
2/22/2015 16:29:00 |
Other condition not listed here? |
Anemia Unspecified 285.9 |
PGP Basic Phenotypes Survey 2015
|
Responses submitted 8/26/2015 21:07:41.
Show responses
|
Timestamp |
8/26/2015 21:07:41 |
1.1 — Blood Type |
A + |
1.2 — Height |
6'0" |
1.3 — Weight |
195 |
1.4 — Comments |
My weight has varied over the years from 165 to 225 lbs. I am trying to work on getting regular exercise and cutting back on caloric intake. Have lost 30 lbs over the past 5 years. My goal is another 30 lbs in 5 years. I am an "End to end section hiker of the Appalachian Trail, having started on Springer Mountain GA at age 65 yo in 2012, hiking 200 miles / 2 wks each summer, with goal to reach the half-way mark at 1100 miles in PA on my 70th birthday in 2016 and complete all 2200 miles atop Katahdin ME on my 75th birthday September 10, 2021. |
2.1 — Left Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
2 |
2.2 — Right Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
10 |
2.3 — Left Eye Color - Text Description |
Light Blue |
2.4 — Right Eye Color - Text Description |
Light Blue |
2.5 —Comments |
No change. Always very light blue like my father and maternal grandmother. My mother had brown eyes, but must have had a parent (I did not know my mathernal grandparents) with blue eyes. 3 of my 7 siblings have blue eyes with blond hair (as a child) like me, the other half have dark hair and hazel or brown eyes. |
3.1 — What is your natural hair color currently, when without artificial color or dye? |
gray |
3.2 — Hair Color - Text Description |
"Dishwater" blonde, then brown, then gray. |
3.3 — Comments |
As a child "dishwater" blonde from 1 to 20 yo , and gradually darkening to brown as an adult from age 21 to 50 yo; and with aging from 51 to 69 yo increasing gray (initially in beard and then scalp). |
4.1 — Any final thoughts? |
My two wives had dark hair and hazel, brown eyes. Two of my children have hazel eyes and dark hair; One daughter blue eyes and blonde hair. |
1.4 — Handedness |
Right |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 2/28/2016 20:43:26.
Show responses
|
Timestamp |
2/28/2016 20:43:26 |
Have you ever been diagnosed with one of the following conditions? |
Presbyopia |
Other condition not listed here? |
posterior vitreous detachments OU H43.813 |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 2/28/2016 21:14:04.
Show responses
|
Timestamp |
2/28/2016 21:14:04 |
Have you ever been diagnosed with one of the following conditions? |
Colon polyps |
Other condition not listed here? |
Benign Prostatic Hypertrophy PSA 5.1 N40 |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 2/28/2016 21:31:11.
Show responses
|
Timestamp |
2/28/2016 21:31:11 |
Have you ever been diagnosed with any of the following conditions? |
High cholesterol (hypercholesterolemia), High triglycerides (hypertriglyceridemia) |
Other condition not listed here? |
Prediabetes R73.0 and Overweight E66.3 |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 2/28/2016 21:43:04.
Show responses
|
Timestamp |
2/28/2016 21:43:04 |
Other condition not listed here? |
Anemia unspecified D64.9 |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 2/28/2016 22:06:07.
Show responses
|
Timestamp |
2/28/2016 22:06:07 |
Have you ever been diagnosed with one of the following conditions? |
Hypertension, Bundle branch block |
Other condition not listed here? |
Bradycardia R00.1 and Incomplete Right Bundle Branch Block I45.10 |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 2/28/2016 22:08:16.
Show responses
|
Timestamp |
2/28/2016 22:08:16 |
Have you ever been diagnosed with one of the following conditions? |
Migraine without aura |
Other condition not listed here? |
Obstructive sleep apnea mild G47.33 and Plagiocephaly left occipital Q67.3 |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 2/28/2016 22:09:31.
Show responses
|
Timestamp |
2/28/2016 22:09:31 |
Have you ever been diagnosed with one of the following conditions? |
Migraine without aura |
Other condition not listed here? |
Obstructive sleep apnea mild G47.33 and Plagiocephaly left occipital Q67.3 |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 2/28/2016 22:12:21.
Show responses
|
Timestamp |
2/28/2016 22:12:21 |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 2/28/2016 22:25:31.
Show responses
|
Timestamp |
2/28/2016 22:25:31 |
Have you ever been diagnosed with any of the following conditions? |
Dental cavities |
Other condition not listed here? |
Internal hemorrhoids grade 2 K64.1 |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 2/28/2016 22:36:49.
Show responses
|
Timestamp |
2/28/2016 22:36:49 |
Have you ever been diagnosed with any of the following conditions? |
Kidney stones, Benign prostatic hypertrophy (BPH) |
Other condition not listed here? |
Erectile dysfunction arterial N52.01 |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 2/28/2016 23:01:58.
Show responses
|
Timestamp |
2/28/2016 23:01:58 |
Have you ever been diagnosed with any of the following conditions? |
Dandruff |
Other condition not listed here? |
Actinic keratosis L57.0 |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 2/28/2016 23:25:07.
Show responses
|
Timestamp |
2/28/2016 23:25:07 |
Have you ever been diagnosed with any of the following conditions? |
Bunions |
Other condition not listed here? |
Medial meniscus tear left knee M23.204; Osteoarthritis knees bilateral M17.0; Wrist fracture left S62.002D |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 2/28/2016 23:28:03.
Show responses
|
Timestamp |
2/28/2016 23:28:03 |
Other condition not listed here? |
Plagiocephaly occipital left Q67.3 |
Harvard PGP: COVID-19 Demographics Survey
|
Responses submitted 3/24/2020 16:58:08.
Show responses
|
Timestamp |
3/24/2020 16:58:08 |
What is the zip code of your primary residence? |
21146 |
Do have another residence where you spend more than 30 days a year? |
No |
What is your age (in years)? |
73 |
What is your gender? |
Male |
Select all the following that apply to your current living arrangements. |
Live with partner/spouse |
What is your race? Pick all that apply. |
American Indian or Alaska Native, White |
What is your ethnicity? |
Hispanic or Latino or Spanish Origin |
Select which one of the following applies to you and your birth status. |
None of the above |
Have you ever been diagnosed with any of the following? [Asthma (Adult)] |
No |
Have you ever been diagnosed with any of the following? [Asthma (Childhood)] |
No |
Have you ever been diagnosed with any of the following? [Chronic obstructive pulmonary disease (COPD)] |
No |
Have you ever been diagnosed with any of the following? [Emphysema] |
No |
Have you ever been diagnosed with any of the following? [Chronic bronchitis] |
No |
Have you ever been diagnosed with any of the following? [Pneumonia] |
No |
Have you ever been diagnosed with any of the following? [Type 1 Diabetes] |
No |
Have you ever been diagnosed with any of the following? [Type 2 Diabetes] |
No |
Have you ever smoked tobacco products? |
Yes |
Do you currently smoke tobacco products? |
No |
What is the average number of cigarettes (# of cigarettes not packs) you smoke per day? |
Don't currently smoke |
Have you ever used e-cigarettes (e.g. JUUL, Vuse, MarkTen)? |
No |
Which one of the following best describes your employment status for the past 3 months? |
Employed: Working 40 or more hrs per week |
Select the category that best describes your occupation. |
Healthcare Practitioners |
What is the zip code of your primary workplace/worksite? |
21146 |
Do you have a secondary workplace/worksite where you work more than 30 days a year? |
Yes |
What is the zip code of your secondary workplace/worksite (where you work more than 30 days a year)? |
21287 |
If a vaccine against coronovirus (COVID-19) would reach the stage where it must be tested for safety and efficacy in humans, would you - assuming that you are eligible - be interested in taking part in that trial? |
Yes |
Harvard PGP: COVID-19 Health Assessment for Week of 22-28 March 2020
|
Responses submitted 3/24/2020 17:04:46.
Show responses
|
Timestamp |
3/24/2020 17:04:46 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Feeling cold, chills or shivers] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Headache] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Aches all over the body] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Cough] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Rapid breathing] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Shortness of breath] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Wheezing or chest tightness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Bluish lips or face] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Dizziness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Confusion or inability to arouse] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Running nose] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Sore throat] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Nausea] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Vomiting] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Abdominal pain] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Diarrhea] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of smell] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of taste] |
No |
Are you currently experiencing any of the following symptoms? [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Are you currently experiencing any of the following symptoms? [Feeling cold, chills or shivers] |
No |
Are you currently experiencing any of the following symptoms? [Headache] |
No |
Are you currently experiencing any of the following symptoms? [Aches all over the body] |
No |
Are you currently experiencing any of the following symptoms? [Cough] |
No |
Are you currently experiencing any of the following symptoms? [Rapid breathing] |
No |
Are you currently experiencing any of the following symptoms? [Shortness of breath] |
No |
Are you currently experiencing any of the following symptoms? [Wheezing or chest tightness] |
No |
Are you currently experiencing any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Are you currently experiencing any of the following symptoms? [Bluish lips or face] |
No |
Are you currently experiencing any of the following symptoms? [Dizziness] |
No |
Are you currently experiencing any of the following symptoms? [Confusion or inability to arouse] |
No |
Are you currently experiencing any of the following symptoms? [Running nose] |
No |
Are you currently experiencing any of the following symptoms? [Sore throat] |
No |
Are you currently experiencing any of the following symptoms? [Nausea] |
No |
Are you currently experiencing any of the following symptoms? [Vomiting] |
No |
Are you currently experiencing any of the following symptoms? [Abdominal Pain] |
No |
Are you currently experiencing any of the following symptoms? [Diarrhea] |
No |
Are you currently experiencing any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of smell] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of taste] |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
losartan (e.g. Cozaar) |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP: COVID-19 Health Assessment for Week of 29 March- 4 April 2020
|
Responses submitted 3/30/2020 18:16:46.
Show responses
|
Timestamp |
3/30/2020 18:16:46 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Feeling cold, chills or shivers] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Headache] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Aches all over the body] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Cough] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Rapid breathing] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Shortness of breath] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Wheezing or chest tightness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Bluish lips or face] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Dizziness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Confusion or inability to arouse] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Running nose] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Sore throat] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Nausea] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Vomiting] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Abdominal pain] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Diarrhea] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of smell] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of taste] |
No |
Are you currently experiencing any of the following symptoms? [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Are you currently experiencing any of the following symptoms? [Feeling cold, chills or shivers] |
No |
Are you currently experiencing any of the following symptoms? [Headache] |
No |
Are you currently experiencing any of the following symptoms? [Aches all over the body] |
No |
Are you currently experiencing any of the following symptoms? [Cough] |
No |
Are you currently experiencing any of the following symptoms? [Rapid breathing] |
No |
Are you currently experiencing any of the following symptoms? [Shortness of breath] |
No |
Are you currently experiencing any of the following symptoms? [Wheezing or chest tightness] |
No |
Are you currently experiencing any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Are you currently experiencing any of the following symptoms? [Bluish lips or face] |
No |
Are you currently experiencing any of the following symptoms? [Dizziness] |
No |
Are you currently experiencing any of the following symptoms? [Confusion or inability to arouse] |
No |
Are you currently experiencing any of the following symptoms? [Running nose] |
No |
Are you currently experiencing any of the following symptoms? [Sore throat] |
No |
Are you currently experiencing any of the following symptoms? [Nausea] |
No |
Are you currently experiencing any of the following symptoms? [Vomiting] |
No |
Are you currently experiencing any of the following symptoms? [Abdominal Pain] |
No |
Are you currently experiencing any of the following symptoms? [Diarrhea] |
No |
Are you currently experiencing any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of smell] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of taste] |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
losartan (e.g. Cozaar) |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
I don't know. I am a physician, who went on total telemedicine on March 23, 2020 |
Harvard PGP: COVID-19 Health Assessment for Week of 5 April - 11 April 2020
|
Responses submitted 4/7/2020 12:25:23.
Show responses
|
Timestamp |
4/7/2020 12:25:23 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
No |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
No |
Since Jan 1, 2020, to the best of your recollection,have you experienced ANY of the above list of symptoms? |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
Ibuprofen (eg. Advil, Midol, Motrin, Motrin IB, Motrin Migraine Pain, Proprinal), losartan (e.g. Cozaar) |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP COVID-19 Health Assessment Week 4: 12 April - 18 April 2020
|
Responses submitted 4/13/2020 21:49:48.
Show responses
|
Timestamp |
4/13/2020 21:49:48 |
Are you currently ill with a cold or flu-like illness? |
No |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
No |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
No |
Since Jan 1, 2020, to the best of your recollection,have you experienced ANY of the above list of symptoms? |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
losartan (e.g. Cozaar) |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP COVID-19 Health Assessment Week 4: 12 April - 18 April 2020
|
Responses submitted 5/4/2020 21:56:08.
Show responses
|
Timestamp |
5/4/2020 21:56:08 |
Are you currently ill with a cold or flu-like illness? |
No |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
No |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
No |
Since Jan 1, 2020, to the best of your recollection,have you experienced ANY of the above list of symptoms? |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
Ibuprofen (eg. Advil, Midol, Motrin, Motrin IB, Motrin Migraine Pain, Proprinal), losartan (e.g. Cozaar) |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP COVID-19 Health Assessment [Ongoing]
|
Responses submitted 5/28/2020 15:26:58.
Show responses
|
Timestamp |
5/28/2020 15:26:58 |
Are you currently ill with a cold or flu-like illness? |
No |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
losartan (e.g. Cozaar) |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
Yes, and the test was negative for coronavirus (COVID-19) |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
Yes |
How long ago was your contact with a person who has tested positive for coronavirus (COVID-19)? |
2-14 days |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP COVID-19 Health Assessment Week 4: 12 April - 18 April 2020
|
Responses submitted 5/31/2020 8:13:49.
Show responses
|
Timestamp |
5/31/2020 8:13:49 |
Are you currently ill with a cold or flu-like illness? |
No |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
No |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
No |
Since Jan 1, 2020, to the best of your recollection,have you experienced ANY of the above list of symptoms? |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
losartan (e.g. Cozaar) |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
Yes, and the test was negative for coronavirus (COVID-19) |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
Yes |
How long ago was your contact with a person who has tested positive for coronavirus (COVID-19)? |
2-14 days |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP COVID-19 Health Assessment [Ongoing]
|
Responses submitted 6/8/2020 20:59:18.
Show responses
|
Timestamp |
6/8/2020 20:59:18 |
Are you currently ill with a cold or flu-like illness? |
No |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
losartan (e.g. Cozaar) |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
Yes, and the test was negative for coronavirus (COVID-19) |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |