PGP Participant Survey
|
Responses submitted 7/25/2011 8:58:16.
Show responses
|
Timestamp |
7/25/2011 8:58:16 |
Year of birth |
50-59 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 |
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 12/20/2011 9:25:02.
Show responses
|
Timestamp |
12/20/2011 9:25:02 |
Year of birth |
50-59 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 |
Germany |
Paternal grandmother: Country of origin |
Netherlands |
Paternal grandfather: Country of origin |
United Kingdom |
Maternal grandfather: Country of origin |
Spain |
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 |
4 |
Blood sample |
Yes |
Saliva sample |
Yes |
Microbiome samples |
Yes |
Tissue samples from surgery |
Yes |
Tissue samples from autopsy |
Yes |
PGP Participant Survey
|
Responses submitted 6/24/2012 11:52:42.
Show responses
|
Timestamp |
6/24/2012 11:52:42 |
Year of birth |
50-59 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 |
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 Trait & Disease Survey 2012: Cancers
|
Responses submitted 10/12/2012 21:33:57.
Show responses
|
Timestamp |
10/12/2012 21:33:57 |
Have you ever been diagnosed with one of the following conditions? |
Colon polyps, Non-melanoma skin cancer |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 10/12/2012 21:35:11.
Show responses
|
Timestamp |
10/12/2012 21:35:11 |
Have you ever been diagnosed with any of the following conditions? |
Hypothyroidism, Hashimoto's thyroiditis, Diabetes mellitus, type 2, High cholesterol (hypercholesterolemia) |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 10/12/2012 21:35:51.
Show responses
|
Timestamp |
10/12/2012 21:35:51 |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 10/12/2012 21:36:45.
Show responses
|
Timestamp |
10/12/2012 21:36:45 |
Have you ever been diagnosed with one of the following conditions? |
Carpal tunnel syndrome |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 10/12/2012 21:37:52.
Show responses
|
Timestamp |
10/12/2012 21:37:52 |
Have you ever been diagnosed with one of the following conditions? |
Age-related cataract, Myopia (Nearsightedness), Astigmatism, Presbyopia, Dry eye syndrome, Floaters |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 10/12/2012 21:38:33.
Show responses
|
Timestamp |
10/12/2012 21:38:33 |
Have you ever been diagnosed with one of the following conditions? |
Hypertension, Cardiac arrhythmia, Hemorrhoids |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 10/12/2012 21:39:10.
Show responses
|
Timestamp |
10/12/2012 21:39:10 |
Have you ever been diagnosed with any of the following conditions? |
Deviated septum, Allergic rhinitis, Asthma |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 10/12/2012 21:40:23.
Show responses
|
Timestamp |
10/12/2012 21:40:23 |
Have you ever been diagnosed with any of the following conditions? |
Impacted tooth, Dental cavities, Canker sores (oral ulcers), Gastroesophageal reflux disease (GERD), Barrett's esophagus, Rectal prolapse, Nonalcoholic fatty liver disease (NAFLD) |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 10/12/2012 21:41:06.
Show responses
|
Timestamp |
10/12/2012 21:41:06 |
Have you ever been diagnosed with any of the following conditions? |
Benign prostatic hypertrophy (BPH) |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 10/12/2012 21:41:52.
Show responses
|
Timestamp |
10/12/2012 21:41:52 |
Have you ever been diagnosed with any of the following conditions? |
Dandruff, Eczema, Allergic contact dermatitis, Skin tags, Acne, Dermatographia |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 10/12/2012 21:43:00.
Show responses
|
Timestamp |
10/12/2012 21:43:00 |
Have you ever been diagnosed with any of the following conditions? |
Osteoarthritis, Sciatica, Rotator cuff tear, Osteoporosis |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 10/12/2012 21:43:42.
Show responses
|
Timestamp |
10/12/2012 21:43:42 |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 11/13/2012 11:32:35.
Show responses
|
Timestamp |
11/13/2012 11:32:35 |
Have you ever been diagnosed with one of the following conditions? |
Colon polyps, Non-melanoma skin cancer |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 11/13/2012 11:34:35.
Show responses
|
Timestamp |
11/13/2012 11:34:35 |
Have you ever been diagnosed with any of the following conditions? |
Hypothyroidism, Hashimoto's thyroiditis, Diabetes mellitus, type 2, High cholesterol (hypercholesterolemia), High triglycerides (hypertriglyceridemia) |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 11/13/2012 11:35:16.
Show responses
|
Timestamp |
11/13/2012 11:35:16 |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 11/13/2012 11:35:58.
Show responses
|
Timestamp |
11/13/2012 11:35:58 |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 11/13/2012 11:36:55.
Show responses
|
Timestamp |
11/13/2012 11:36:55 |
Have you ever been diagnosed with one of the following conditions? |
Infantile, juvenile, and presenile cataract, Myopia (Nearsightedness), Astigmatism, Presbyopia, Dry eye syndrome, Tinnitus |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 11/13/2012 11:37:41.
Show responses
|
Timestamp |
11/13/2012 11:37:41 |
Have you ever been diagnosed with one of the following conditions? |
Hypertension, Premature ventricular contractions, Cardiac arrhythmia, Hemorrhoids |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 11/13/2012 11:38:04.
Show responses
|
Timestamp |
11/13/2012 11:38:04 |
Have you ever been diagnosed with any of the following conditions? |
Deviated septum, Allergic rhinitis, Asthma |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 11/13/2012 11:40:02.
Show responses
|
Timestamp |
11/13/2012 11:40:02 |
Have you ever been diagnosed with any of the following conditions? |
Impacted tooth, Dental cavities, Canker sores (oral ulcers), Gastroesophageal reflux disease (GERD), Barrett's esophagus, Rectal prolapse, Nonalcoholic fatty liver disease (NAFLD) |
Other condition not listed here? |
Non-alcoholic Steato Hepatitis (NASH) |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 11/13/2012 11:40:38.
Show responses
|
Timestamp |
11/13/2012 11:40:38 |
Have you ever been diagnosed with any of the following conditions? |
Benign prostatic hypertrophy (BPH) |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 11/13/2012 11:41:13.
Show responses
|
Timestamp |
11/13/2012 11:41:13 |
Have you ever been diagnosed with any of the following conditions? |
Pilonidal cyst, Dandruff, Eczema, Allergic contact dermatitis, Dermatographia |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 11/13/2012 11:42:14.
Show responses
|
Timestamp |
11/13/2012 11:42:14 |
Have you ever been diagnosed with any of the following conditions? |
Osteoarthritis, Sciatica, Rotator cuff tear |
Other condition not listed here? |
Osteopenia |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 11/13/2012 11:43:02.
Show responses
|
Timestamp |
11/13/2012 11:43:02 |
PGP Participant Survey
|
Responses submitted 11/13/2012 11:47:05.
Show responses
|
Timestamp |
11/13/2012 11:47:05 |
Year of birth |
50-59 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 |
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 |
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 Basic Phenotypes Survey 2015
|
Responses submitted 8/29/2015 13:58:05.
Show responses
|
Timestamp |
8/29/2015 13:58:05 |
1.1 — Blood Type |
A + |
1.2 — Height |
5'6" |
1.3 — Weight |
190 |
2.1 — Left Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
13 |
2.2 — Right Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
13 |
2.3 — Left Eye Color - Text Description |
Hazel |
2.4 — Right Eye Color - Text Description |
Hazel |
2.5 —Comments |
When I spend a great deal of time in the summer sun, my eyes get much brighter green. Less sun exposure, darker green. The brown around my iris is less than in photo 14, but a bit more than photo 13 (both eyes). |
3.1 — What is your natural hair color currently, when without artificial color or dye? |
gray |
3.2 — Hair Color - Text Description |
Salt and Pepper--Going Gray |
3.3 — Comments |
Before beginning to gray, my hair was dark brown with a hint of red. I would call it brown, not auburn. However, my sideburns and bear were distinctly red. Everything is gray enough now that no red tones are noted at all. |
1.4 — Handedness |
Right |
Harvard PGP: COVID-19 Demographics Survey
|
Responses submitted 3/24/2020 9:20:41.
Show responses
|
Timestamp |
3/24/2020 9:20:41 |
What is the zip code of your primary residence? |
12790 |
Do have another residence where you spend more than 30 days a year? |
No |
What is your age (in years)? |
63 |
What is your gender? |
Male |
Select all the following that apply to your current living arrangements. |
Live with partner/spouse, Also live with my 93 year old Father-in-Law |
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)] |
Yes |
Have you ever been diagnosed with any of the following? [Asthma (Childhood)] |
Yes |
Have you ever been diagnosed with any of the following? [Type 2 Diabetes] |
Yes |
Have you ever smoked tobacco products? |
No |
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? |
Retired |
Harvard PGP: COVID-19 Health Assessment for Week of 22-28 March 2020
|
Responses submitted 3/24/2020 9:25:22.
Show responses
|
Timestamp |
3/24/2020 9:25:22 |
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] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Headache] |
Yes |
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] |
Yes |
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] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Nausea] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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
|
Responses submitted 3/30/2020 11:11:53.
Show responses
|
Timestamp |
3/30/2020 11:11:53 |
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] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Headache] |
Yes |
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] |
Yes |
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] |
Yes |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Nausea] |
Yes |
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] |
Yes |
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
|
Responses submitted 4/6/2020 14:47:20.
Show responses
|
Timestamp |
4/6/2020 14:47:20 |
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? |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
In the past 2 weeks, which symptoms have you experienced. [Feeling cold, chills or shivers] |
No |
In the past 2 weeks, which symptoms have you experienced. [Headache] |
No |
In the past 2 weeks, which symptoms have you experienced. [Aches all over the body] |
No |
In the past 2 weeks, which symptoms have you experienced. [Cough] |
No |
In the past 2 weeks, which symptoms have you experienced. [Rapid breathing] |
No |
In the past 2 weeks, which symptoms have you experienced. [Shortness of breath] |
No |
In the past 2 weeks, which symptoms have you experienced. [Wheezing or chest tightness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Persistent pain or pressure in the chest] |
No |
In the past 2 weeks, which symptoms have you experienced. [Bluish lips or face] |
No |
In the past 2 weeks, which symptoms have you experienced. [Dizziness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Running nose] |
No |
In the past 2 weeks, which symptoms have you experienced. [Sore throat] |
No |
In the past 2 weeks, which symptoms have you experienced. [Diarrhea] |
Yes |
Since Jan 1, 2020, to the best of your recollection,have you experienced ANY of the above list of symptoms? |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Feeling cold, chills or shivers] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Headache] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Aches all over the body] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Cough] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Rapid breathing] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Shortness of breath] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Wheezing or chest tightness] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Persistent pain or pressure in the chest] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Bluish lips or face] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Dizziness] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Confusion or inability to arouse] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Running nose] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Sore throat] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Nausea] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Vomiting] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Abdominal pain] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Diarrhea] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Pink eye (conjunctivitis)] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Loss of sense of smell] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [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 Week 4: 12 April - 18 April 2020
|
Responses submitted 4/13/2020 18:36:26.
Show responses
|
Timestamp |
4/13/2020 18:36:26 |
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? |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
In the past 2 weeks, which symptoms have you experienced. [Feeling cold, chills or shivers] |
No |
In the past 2 weeks, which symptoms have you experienced. [Headache] |
No |
In the past 2 weeks, which symptoms have you experienced. [Aches all over the body] |
No |
In the past 2 weeks, which symptoms have you experienced. [Cough] |
No |
In the past 2 weeks, which symptoms have you experienced. [Rapid breathing] |
No |
In the past 2 weeks, which symptoms have you experienced. [Shortness of breath] |
No |
In the past 2 weeks, which symptoms have you experienced. [Wheezing or chest tightness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Persistent pain or pressure in the chest] |
No |
In the past 2 weeks, which symptoms have you experienced. [Bluish lips or face] |
No |
In the past 2 weeks, which symptoms have you experienced. [Dizziness] |
No |
In the past 2 weeks, which symptoms have you experienced. [Confusion or inability to arouse] |
No |
In the past 2 weeks, which symptoms have you experienced. [Running nose] |
No |
In the past 2 weeks, which symptoms have you experienced. [Sore throat] |
No |
In the past 2 weeks, which symptoms have you experienced. [Nausea] |
No |
In the past 2 weeks, which symptoms have you experienced. [Vomiting] |
No |
In the past 2 weeks, which symptoms have you experienced. [Abdominal pain] |
No |
In the past 2 weeks, which symptoms have you experienced. [Diarrhea] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Pink eye (conjunctivitis)] |
No |
In the past 2 weeks, which symptoms have you experienced. [Loss of sense of smell] |
No |
In the past 2 weeks, which symptoms have you experienced. [Loss of sense of taste] |
No |
Since Jan 1, 2020, to the best of your recollection,have you experienced ANY of the above list of symptoms? |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Feeling cold, chills or shivers] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Headache] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Aches all over the body] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Cough] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Rapid breathing] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Shortness of breath] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Wheezing or chest tightness] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Persistent pain or pressure in the chest] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Bluish lips or face] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Dizziness] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Confusion or inability to arouse] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Running nose] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Sore throat] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Nausea] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Vomiting] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Abdominal pain] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Diarrhea] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Pink eye (conjunctivitis)] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Loss of sense of smell] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [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 [Ongoing]
|
Responses submitted 5/27/2020 18:57:02.
Show responses
|
Timestamp |
5/27/2020 18:57:02 |
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)? |
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 6/12/2020 12:28:01.
Show responses
|
Timestamp |
6/12/2020 12:28:01 |
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. |
Ibuprofen (eg. Advil, Midol, Motrin, Motrin IB, Motrin Migraine Pain, Proprinal) |
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 |