PGP Participant Survey
|
Responses submitted 12/6/2012 16:22:13.
Show responses
|
Timestamp |
12/6/2012 16:22:13 |
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 |
Yes |
Do you have a severe genetic disease or rare genetic trait? If so, you can add a description for your public profile. |
Major Depressive Disorder |
Disease/trait: Onset |
10-19 years of age |
Disease/trait: Rarity |
Uncommon |
Disease/trait: Severity |
Moderate severity disease |
Disease/trait: Relative enrollment |
Maybe |
Disease/trait: Diagnosis |
Yes |
Disease/trait: Genetic confirmation |
No |
Disease/trait: Documentation |
No |
Sex/Gender |
Female |
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? |
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 |
3 |
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 12/6/2012 16:22:58.
Show responses
|
Timestamp |
12/6/2012 16:22:58 |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 12/6/2012 16:23:37.
Show responses
|
Timestamp |
12/6/2012 16:23:37 |
Have you ever been diagnosed with any of the following conditions? |
Lactose intolerance |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 12/6/2012 16:24:00.
Show responses
|
Timestamp |
12/6/2012 16:24:00 |
Have you ever been diagnosed with any of the following conditions? |
Iron deficiency anemia |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 12/6/2012 16:24:51.
Show responses
|
Timestamp |
12/6/2012 16:24:51 |
Have you ever been diagnosed with one of the following conditions? |
Restless legs syndrome, Migraine without aura, Other peripheral neuropathy |
Other condition not listed here? |
Sciatica |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 12/6/2012 16:25:29.
Show responses
|
Timestamp |
12/6/2012 16:25:29 |
Have you ever been diagnosed with one of the following conditions? |
Astigmatism, Presbyopia, Floaters |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 12/6/2012 16:25:58.
Show responses
|
Timestamp |
12/6/2012 16:25:58 |
Have you ever been diagnosed with one of the following conditions? |
Hemorrhoids |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 12/6/2012 16:26:33.
Show responses
|
Timestamp |
12/6/2012 16:26:33 |
Have you ever been diagnosed with any of the following conditions? |
Allergic rhinitis |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 12/6/2012 16:27:18.
Show responses
|
Timestamp |
12/6/2012 16:27:18 |
Have you ever been diagnosed with any of the following conditions? |
Dental cavities, Gingivitis, Canker sores (oral ulcers), Gastroesophageal reflux disease (GERD), Irritable bowel syndrome (IBS) |
Other condition not listed here? |
strawberry gallbladder |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 12/6/2012 16:27:53.
Show responses
|
Timestamp |
12/6/2012 16:27:53 |
Have you ever been diagnosed with any of the following conditions? |
Kidney stones, Urinary tract infection (UTI), Fibrocystic breast disease, Bartholin's cyst |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 12/6/2012 16:28:43.
Show responses
|
Timestamp |
12/6/2012 16:28:43 |
Have you ever been diagnosed with any of the following conditions? |
Acne |
Other condition not listed here? |
Idiopathic pruritus (all over) |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 12/6/2012 16:29:13.
Show responses
|
Timestamp |
12/6/2012 16:29:13 |
Have you ever been diagnosed with any of the following conditions? |
Osteoarthritis, Sciatica |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 12/6/2012 16:29:47.
Show responses
|
Timestamp |
12/6/2012 16:29:47 |
Harvard PGP: COVID-19 Health Assessment for Week of 22-28 March 2020
|
Responses submitted 3/25/2020 14:26:32.
Show responses
|
Timestamp |
3/25/2020 14:26:32 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
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] |
Yes |
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 Demographics Survey
|
Responses submitted 3/25/2020 14:28:03.
Show responses
|
Timestamp |
3/25/2020 14:28:03 |
What is the zip code of your primary residence? |
76574 |
Do have another residence where you spend more than 30 days a year? |
No |
What is your age (in years)? |
59 |
What is your gender? |
Female |
Select all the following that apply to your current living arrangements. |
Live alone |
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? |
Disabled/Not able to work |
Harvard PGP: COVID-19 Health Assessment for Week of 29 March- 4 April 2020
|
Responses submitted 3/30/2020 17:35:03.
Show responses
|
Timestamp |
3/30/2020 17:35:03 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
Yes |
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] |
Yes |
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] |
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] |
Yes |
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 4/7/2020 17:51:19.
Show responses
|
Timestamp |
4/7/2020 17:51:19 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
Yes |
Currently are you experiencing ANY of the above list of symptoms? |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Indicate which of the following symptoms you are currently experiencing. [Feeling cold, chills or shivers] |
No |
Indicate which of the following symptoms you are currently experiencing. [Headache] |
No |
Indicate which of the following symptoms you are currently experiencing. [Aches all over the body] |
No |
Indicate which of the following symptoms you are currently experiencing. [Cough] |
No |
Indicate which of the following symptoms you are currently experiencing. [Rapid breathing] |
No |
Indicate which of the following symptoms you are currently experiencing. [Shortness of breath] |
No |
Indicate which of the following symptoms you are currently experiencing. [Wheezing or chest tightness] |
No |
Indicate which of the following symptoms you are currently experiencing. [Persistent pain or pressure in the chest] |
No |
Indicate which of the following symptoms you are currently experiencing. [Bluish lips or face] |
No |
Indicate which of the following symptoms you are currently experiencing. [Dizziness] |
No |
Indicate which of the following symptoms you are currently experiencing. [Confusion or inability to arouse] |
No |
Indicate which of the following symptoms you are currently experiencing. [Running nose] |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Sore throat] |
No |
Indicate which of the following symptoms you are currently experiencing. [Nausea] |
No |
Indicate which of the following symptoms you are currently experiencing. [Vomiting] |
No |
Indicate which of the following symptoms you are currently experiencing. [Abdominal Pain] |
No |
Indicate which of the following symptoms you are currently experiencing. [Diarrhea] |
No |
Indicate which of the following symptoms you are currently experiencing. [Pink eye (conjunctivitis)] |
No |
Indicate which of the following symptoms you are currently experiencing. [Loss of sense of smell] |
No |
Indicate which of the following symptoms you are currently experiencing. [Loss of sense of taste] |
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] |
Yes |
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] |
No |
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] |
Yes |
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] |
Yes |
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] |
No |
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 |
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 4/15/2020 17:53:11.
Show responses
|
Timestamp |
4/15/2020 17:53:11 |
Are you currently ill with a cold or flu-like illness? |
Unknown |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
Yes |
Currently are you experiencing ANY of the above list of symptoms? |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Indicate which of the following symptoms you are currently experiencing. [Feeling cold, chills or shivers] |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Headache] |
No |
Indicate which of the following symptoms you are currently experiencing. [Aches all over the body] |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Cough] |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Rapid breathing] |
No |
Indicate which of the following symptoms you are currently experiencing. [Shortness of breath] |
No |
Indicate which of the following symptoms you are currently experiencing. [Wheezing or chest tightness] |
No |
Indicate which of the following symptoms you are currently experiencing. [Persistent pain or pressure in the chest] |
No |
Indicate which of the following symptoms you are currently experiencing. [Bluish lips or face] |
No |
Indicate which of the following symptoms you are currently experiencing. [Dizziness] |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Confusion or inability to arouse] |
No |
Indicate which of the following symptoms you are currently experiencing. [Running nose] |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Sore throat] |
No |
Indicate which of the following symptoms you are currently experiencing. [Nausea] |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Vomiting] |
No |
Indicate which of the following symptoms you are currently experiencing. [Abdominal Pain] |
No |
Indicate which of the following symptoms you are currently experiencing. [Diarrhea] |
No |
Indicate which of the following symptoms you are currently experiencing. [Pink eye (conjunctivitis)] |
No |
Indicate which of the following symptoms you are currently experiencing. [Loss of sense of smell] |
No |
Indicate which of the following symptoms you are currently experiencing. [Loss of sense of taste] |
Yes |
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] |
Yes |
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] |
No |
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] |
Yes |
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] |
No |
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] |
No |
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)? |
don't know |
Harvard PGP COVID-19 Health Assessment [Ongoing]
|
Responses submitted 5/27/2020 18:25:49.
Show responses
|
Timestamp |
5/27/2020 18:25:49 |
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)? |
don't know |
Harvard PGP COVID-19 Health Assessment [Ongoing]
|
Responses submitted 6/12/2020 17:11:15.
Show responses
|
Timestamp |
6/12/2020 17:11:15 |
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? |
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] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Sore throat] |
No |
In the past 2 weeks, which symptoms have you experienced. [Nausea] |
Yes |
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 |
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)? |
don't know |