PGP Participant Survey
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Responses submitted 7/26/2011 18:04:46.
Show responses
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Timestamp |
7/26/2011 18:04:46 |
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 |
White |
Maternal grandmother: Country of origin |
Ukraine |
Paternal grandmother: Country of origin |
Latvia |
Paternal grandfather: Country of origin |
Latvia |
Maternal grandfather: Country of origin |
Ukraine |
Enrollment of relatives |
No |
Enrollment of older individuals |
Yes |
Enrollment of parents |
No |
Have you uploaded genetic data to your PGP participant profile? |
No, I have no 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 Fall/Winter 2011 Saliva Kit: Large Tube Collection Survey
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Responses submitted 10/31/2011 14:20:46.
Show responses
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Timestamp |
10/31/2011 14:20:46 |
Which sample tube did you just collect? |
Big tube |
How easy was this sample tube to use for collection? |
5 |
Do you have any gum bleeding or gingivitis (gum inflammation)? |
Yes, just a little |
Did you collect this sample all at once, or at multiple timepoints? |
All at once (in less than 5 minutes) |
What time of day did you collect saliva? |
Between lunch & dinner |
Did you chew gum shortly before collection? |
No, no gum shortly before collection |
When was the last time you brushed and/or flossed? |
6 - 12 hours before collection |
Did you eat anything between the last time you brushed and/or flossed and the saliva collection? |
Yes, some eating between last brushing and collection |
When was the last time you used mouthwash? |
Not applicable: I rarely or never use mouthwash |
Did you eat anything between the last time you used mouthwash and the saliva collection? |
Not applicable: I rarely or never use mouthwash |
If you have any specific comments regarding the sample you collected with this sample tube, please note them here. |
Drank a glass of seltzer within two hours prior to sample deposit |
PGP Fall/Winter 2011 Saliva Kit: Small Tube Collection Survey
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Responses submitted 10/31/2011 14:22:24.
Show responses
|
Timestamp |
10/31/2011 14:22:24 |
Which sample tube did you just collect? |
Small tube |
How easy was this sample tube to use for collection? |
5 |
Do you have any gum bleeding or gingivitis (gum inflammation)? |
Yes, just a little |
Did you collect this sample all at once, or at multiple timepoints? |
All at once (in less than 5 minutes) |
What time of day did you collect saliva? |
Between lunch & dinner |
Did you chew gum shortly before collection? |
No, no gum shortly before collection |
When was the last time you brushed and/or flossed? |
6 - 12 hours before collection |
Did you eat anything between the last time you brushed and/or flossed and the saliva collection? |
Yes, some eating between last brushing and collection |
When was the last time you used mouthwash? |
Not applicable: I rarely or never use mouthwash |
Did you eat anything between the last time you used mouthwash and the saliva collection? |
Not applicable: I rarely or never use mouthwash |
If you have any specific comments regarding the sample you collected with this sample tube, please note them here. |
Drank a glass of seltzer within 2 hours of sample deposit |
PGP Trait & Disease Survey 2012: Cancers
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Responses submitted 10/12/2012 15:05:56.
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Timestamp |
10/12/2012 15:05:56 |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
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Responses submitted 10/12/2012 15:07:03.
Show responses
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Timestamp |
10/12/2012 15:07:03 |
Have you ever been diagnosed with any of the following conditions? |
High cholesterol (hypercholesterolemia), High triglycerides (hypertriglyceridemia) |
PGP Trait & Disease Survey 2012: Blood
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Responses submitted 10/12/2012 15:12:57.
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Timestamp |
10/12/2012 15:12:57 |
PGP Trait & Disease Survey 2012: Nervous System
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Responses submitted 10/12/2012 15:13:23.
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Timestamp |
10/12/2012 15:13:23 |
PGP Trait & Disease Survey 2012: Vision and hearing
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Responses submitted 10/12/2012 15:14:07.
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Timestamp |
10/12/2012 15:14:07 |
PGP Trait & Disease Survey 2012: Circulatory System
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Responses submitted 10/12/2012 15:15:15.
Show responses
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Timestamp |
10/12/2012 15:15:15 |
Have you ever been diagnosed with one of the following conditions? |
Hypertension, Angina |
PGP Trait & Disease Survey 2012: Respiratory System
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Responses submitted 10/12/2012 15:15:37.
Show responses
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Timestamp |
10/12/2012 15:15:37 |
PGP Trait & Disease Survey 2012: Digestive System
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Responses submitted 10/12/2012 15:16:17.
Show responses
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Timestamp |
10/12/2012 15:16:17 |
Have you ever been diagnosed with any of the following conditions? |
Dental cavities, Gingivitis |
PGP Trait & Disease Survey 2012: Genitourinary Systems
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Responses submitted 10/12/2012 15:19:33.
Show responses
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Timestamp |
10/12/2012 15:19:33 |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
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Responses submitted 10/12/2012 15:20:08.
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Timestamp |
10/12/2012 15:20:08 |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
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Responses submitted 10/12/2012 15:21:03.
Show responses
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Timestamp |
10/12/2012 15:21:03 |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
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Responses submitted 10/12/2012 15:21:54.
Show responses
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Timestamp |
10/12/2012 15:21:54 |
PGP Basic Phenotypes Survey 2015
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Responses submitted 4/27/2017 11:23:29.
Show responses
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Timestamp |
4/27/2017 11:23:29 |
1.1 — Blood Type |
Don't know |
1.2 — Height |
5'8" |
1.3 — Weight |
258 |
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) |
2 |
2.3 — Left Eye Color - Text Description |
blue |
2.4 — Right Eye Color - Text Description |
same |
2.5 —Comments |
Always the same. |
3.1 — What is your natural hair color currently, when without artificial color or dye? |
gray |
3.2 — Hair Color - Text Description |
salt & pepper |
1.4 — Handedness |
Right |
Harvard PGP: COVID-19 Demographics Survey
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Responses submitted 3/24/2020 11:51:32.
Show responses
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Timestamp |
3/24/2020 11:51:32 |
What is the zip code of your primary residence? |
10590 |
Do have another residence where you spend more than 30 days a year? |
No |
What is your age (in years)? |
76 |
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? |
Not 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? |
Not employed: Looking for work |
Harvard PGP: COVID-19 Health Assessment for Week of 22-28 March 2020
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Responses submitted 3/24/2020 11:59:41.
Show responses
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Timestamp |
3/24/2020 11:59:41 |
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. |
None of these medications |
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
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Responses submitted 3/30/2020 13:12:08.
Show responses
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Timestamp |
3/30/2020 13:12:08 |
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. |
None of these medications |
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 5 April - 11 April 2020
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Responses submitted 4/6/2020 13:59:30.
Show responses
|
Timestamp |
4/6/2020 13:59:30 |
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. |
None of these medications |
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)? |
Not to my knowledge |
Harvard PGP COVID-19 Health Assessment [Ongoing]
|
Responses submitted 5/28/2020 11:30:12.
Show responses
|
Timestamp |
5/28/2020 11:30:12 |
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. |
None of these medications |
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)? |
Do not know |
Harvard PGP COVID-19 Health Assessment [Ongoing]
|
Responses submitted 6/12/2020 15:03:48.
Show responses
|
Timestamp |
6/12/2020 15:03:48 |
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. |
None of these medications |
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 do not know |