Harvard PGP: COVID-19 Demographics Survey
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Responses submitted 10/7/2020 11:41:04.
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Timestamp |
10/7/2020 11:41:04 |
What is the zip code of your primary residence? |
33196 |
Do have another residence where you spend more than 30 days a year? |
No |
What is your age (in years)? |
64 |
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. |
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 |
What is the zip code of your primary workplace/worksite? |
33196 |
Do you have a secondary workplace/worksite where you work more than 30 days a year? |
No |
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? |
Maybe |