PGP Participant Survey
|
Responses submitted 6/28/2012 1:38:34.
Show responses
|
Timestamp |
6/28/2012 1:38:34 |
Year of birth |
21-29 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 |
No response |
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 |
No |
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 |
No |
Uploaded health records: Extensiveness |
2 |
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 2/3/2013 22:44:46.
Show responses
|
Timestamp |
2/3/2013 22:44:46 |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 2/3/2013 22:45:11.
Show responses
|
Timestamp |
2/3/2013 22:45:11 |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 2/3/2013 22:45:29.
Show responses
|
Timestamp |
2/3/2013 22:45:29 |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 2/3/2013 22:46:06.
Show responses
|
Timestamp |
2/3/2013 22:46:06 |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 2/3/2013 22:58:32.
Show responses
|
Timestamp |
2/3/2013 22:58:32 |
Have you ever been diagnosed with one of the following conditions? |
Myopia (Nearsightedness) |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 2/3/2013 22:59:08.
Show responses
|
Timestamp |
2/3/2013 22:59:08 |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 2/3/2013 23:01:45.
Show responses
|
Timestamp |
2/3/2013 23:01:45 |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 2/3/2013 23:14:05.
Show responses
|
Timestamp |
2/3/2013 23:14:05 |
Have you ever been diagnosed with any of the following conditions? |
Impacted tooth, Dental cavities, Canker sores (oral ulcers) |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 2/3/2013 23:14:27.
Show responses
|
Timestamp |
2/3/2013 23:14:27 |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 2/3/2013 23:15:14.
Show responses
|
Timestamp |
2/3/2013 23:15:14 |
Have you ever been diagnosed with any of the following conditions? |
Dandruff, Psoriasis, Acne |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 2/3/2013 23:15:57.
Show responses
|
Timestamp |
2/3/2013 23:15:57 |
Have you ever been diagnosed with any of the following conditions? |
Tennis elbow |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 2/3/2013 23:16:35.
Show responses
|
Timestamp |
2/3/2013 23:16:35 |
PGP Participant Survey
|
Responses submitted 6/16/2014 19:30:43.
Show responses
|
Timestamp |
6/16/2014 19:30:43 |
Year of birth |
1991 |
Sex/Gender |
Neutrois |
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 |
Month of birth |
July |
Anatomical sex at birth |
Female |
Maternal grandmother: Race/ethnicity |
White |
Maternal grandfather: Race/ethnicity |
White |
Paternal grandmother: Race/ethnicity |
White |
Paternal grandfather: Race/ethnicity |
White |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 6/16/2014 19:34:19.
Show responses
|
Timestamp |
6/16/2014 19:34:19 |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 6/16/2014 19:34:54.
Show responses
|
Timestamp |
6/16/2014 19:34:54 |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 6/16/2014 19:35:49.
Show responses
|
Timestamp |
6/16/2014 19:35:49 |
Have you ever been diagnosed with any of the following conditions? |
Iron deficiency anemia |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 6/16/2014 19:37:49.
Show responses
|
Timestamp |
6/16/2014 19:37:49 |
Have you ever been diagnosed with one of the following conditions? |
Recurrent sleep paralysis, Essential tremor, Migraine without aura |
Other condition not listed here? |
Ocular migraine |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 6/16/2014 19:40:05.
Show responses
|
Timestamp |
6/16/2014 19:40:05 |
Have you ever been diagnosed with one of the following conditions? |
Myopia (Nearsightedness) |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 6/16/2014 19:43:19.
Show responses
|
Timestamp |
6/16/2014 19:43:19 |
Have you ever been diagnosed with any of the following conditions? |
Allergic rhinitis |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 6/16/2014 19:44:19.
Show responses
|
Timestamp |
6/16/2014 19:44:19 |
Have you ever been diagnosed with one of the following conditions? |
Raynaud's phenomenon |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 6/16/2014 19:47:26.
Show responses
|
Timestamp |
6/16/2014 19:47:26 |
Have you ever been diagnosed with any of the following conditions? |
Impacted tooth, Dental cavities, Gingivitis, Canker sores (oral ulcers), Peptic ulcer (stomach or duodenum) |
Other condition not listed here? |
Supernumerary tooth |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 6/16/2014 19:48:46.
Show responses
|
Timestamp |
6/16/2014 19:48:46 |
Have you ever been diagnosed with any of the following conditions? |
Endometriosis |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 6/16/2014 19:49:45.
Show responses
|
Timestamp |
6/16/2014 19:49:45 |
Have you ever been diagnosed with any of the following conditions? |
Dandruff, Psoriasis, Acne |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 6/16/2014 21:50:25.
Show responses
|
Timestamp |
6/16/2014 21:50:25 |
Have you ever been diagnosed with any of the following conditions? |
Tennis elbow |
Other condition not listed here? |
tendonitis - ankle/foot |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 6/16/2014 21:53:48.
Show responses
|
Timestamp |
6/16/2014 21:53:48 |
PGP Basic Phenotypes Survey 2015
|
Responses submitted 8/21/2015 8:55:24.
Show responses
|
Timestamp |
8/21/2015 8:55:24 |
1.1 — Blood Type |
A + |
1.2 — Height |
5'8'' |
1.3 — Weight |
122 |
2.1 — Left Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
10 |
2.2 — Right Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
8 |
2.3 — Left Eye Color - Text Description |
aqua |
2.4 — Right Eye Color - Text Description |
same |
2.5 —Comments |
my left eye pupil is slightly larger. my dad has light blue eyes and my mom has green eyes. my sister's eyes are blue on the outer iris and orange around the pupil. my pupils are always huge for no reason unless im looking directly into light. i can move my right eye independent of my left eye, when i'm really tired they do not move together and i see double. i'm nearsighted, so is my sister, but our parents are farsighted. my left eye is worse. my left eye is dominant. |
3.2 — Hair Color - Text Description |
"ash blonde" (the color of wet sidewalk... that color that is neither blonde nor brown...aka grey but not from age) |
3.3 — Comments |
i was born bald, when my hair grew in it was white, then it turned blonde, then golden blonde, then the weird not-blonde-not-brown color it is now (ash blonde??) |
1.4 — Handedness |
Right |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 8/21/2015 9:21:51.
Show responses
|
Timestamp |
8/21/2015 9:21:51 |
Have you ever been diagnosed with one of the following conditions? |
Essential tremor, Migraine with aura, Migraine without aura |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 8/21/2015 9:47:09.
Show responses
|
Timestamp |
8/21/2015 9:47:09 |
Have you ever been diagnosed with any of the following conditions? |
Dandruff, Eczema, Allergic contact dermatitis, Acne |
Other condition not listed here? |
pernio |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 8/26/2017 13:46:53.
Show responses
|
Timestamp |
8/26/2017 13:46:53 |
PGP Participant Survey
|
Responses submitted 8/26/2017 13:49:13.
Show responses
|
Timestamp |
8/26/2017 13:49:13 |
Year of birth |
1991 |
Sex/Gender |
neutrois, agender |
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 |
Month of birth |
July |
Anatomical sex at birth |
Female |
Maternal grandmother: Race/ethnicity |
White |
Maternal grandfather: Race/ethnicity |
White |
Paternal grandmother: Race/ethnicity |
White |
Paternal grandfather: Race/ethnicity |
White |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 8/26/2017 13:49:56.
Show responses
|
Timestamp |
8/26/2017 13:49:56 |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 8/26/2017 13:51:50.
Show responses
|
Timestamp |
8/26/2017 13:51:50 |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 8/26/2017 13:54:46.
Show responses
|
Timestamp |
8/26/2017 13:54:46 |
Have you ever been diagnosed with any of the following conditions? |
Iron deficiency anemia |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 8/26/2017 14:01:13.
Show responses
|
Timestamp |
8/26/2017 14:01:13 |
Have you ever been diagnosed with one of the following conditions? |
Essential tremor, Chronic tension headaches (15+ days per month, at least 6 months), Migraine with aura, Carpal tunnel syndrome, Other peripheral neuropathy |
Other condition not listed here? |
Cubital tunnel syndrome, Acephalgic migraine |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 8/26/2017 14:03:51.
Show responses
|
Timestamp |
8/26/2017 14:03:51 |
Have you ever been diagnosed with one of the following conditions? |
Myopia (Nearsightedness), Astigmatism |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 8/26/2017 14:05:43.
Show responses
|
Timestamp |
8/26/2017 14:05:43 |
Have you ever been diagnosed with one of the following conditions? |
Raynaud's phenomenon |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 8/26/2017 14:06:37.
Show responses
|
Timestamp |
8/26/2017 14:06:37 |
Have you ever been diagnosed with any of the following conditions? |
Allergic rhinitis |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 8/26/2017 14:15:49.
Show responses
|
Timestamp |
8/26/2017 14:15:49 |
Have you ever been diagnosed with any of the following conditions? |
Impacted tooth, Dental cavities, Gingivitis, Canker sores (oral ulcers) |
Other condition not listed here? |
Esophageal ulcer |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 8/26/2017 14:18:26.
Show responses
|
Timestamp |
8/26/2017 14:18:26 |
Have you ever been diagnosed with any of the following conditions? |
Endometriosis |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 8/26/2017 14:31:56.
Show responses
|
Timestamp |
8/26/2017 14:31:56 |
Have you ever been diagnosed with any of the following conditions? |
Dandruff, Eczema, Allergic contact dermatitis, Psoriasis, Acne |
Other condition not listed here? |
acne medicamentosa, nodulocystic acne, chillblains |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 8/26/2017 14:45:50.
Show responses
|
Timestamp |
8/26/2017 14:45:50 |
Have you ever been diagnosed with any of the following conditions? |
Tennis elbow |
Other condition not listed here? |
recurrent ankle sprains |
PGP Basic Phenotypes Survey 2015
|
Responses submitted 8/26/2017 15:08:43.
Show responses
|
Timestamp |
8/26/2017 15:08:43 |
1.1 — Blood Type |
A + |
1.2 — Height |
5'8'' |
1.3 — Weight |
140 |
1.4 — Comments |
Write better with right hand, but better with left hand for using fork/spoon, sports such as golf/baseball/tennis/hockey/shooting |
2.1 — Left Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
6 |
2.2 — Right Eye (Photograph Number) (full-size image: https://goo.gl/XQ2Voh) |
8 |
2.3 — Left Eye Color - Text Description |
aqua |
2.4 — Right Eye Color - Text Description |
same |
2.5 —Comments |
My mom has green eyes and my dad has light blue eyes. My eyes look like a perfect combination if you mixed the two colors. My sister, however, has eyes that look green from far away, but up close are blue around the outer circumference, and orange around the pupil - this is different from my mom's eyes which are very uniformly the color of a green olive. |
3.2 — Hair Color - Text Description |
dark beige |
3.3 — Comments |
My hair color is the color that white-blonde hair turns as you get older: looks like the color of a wet sidewalk. Which is grey, but it's odd to call it grey because it's not the color grey that people's hair turns when they're old. Dark beige.
When I was born I had no hair, until I was 1, however my hair was so white and wispy I looked bald until I was 3. Then it slowly darkened to blonde, to golden, to beige, to darker beige. It does lighten a bit in the sunlight. |
1.4 — Handedness |
Right |
Harvard PGP: COVID-19 Health Assessment for Week of 22-28 March 2020
|
Responses submitted 3/23/2020 19:08:16.
Show responses
|
Timestamp |
3/23/2020 19:08:16 |
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] |
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] |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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? |
I work in healthcare and have been in close contact with a number of people there who have had some but not all symptoms but who did not meet criteria for testing |
Harvard PGP: COVID-19 Health Assessment for Week of 5 April - 11 April 2020
|
Responses submitted 4/6/2020 19:17:27.
Show responses
|
Timestamp |
4/6/2020 19:17:27 |
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? |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
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] |
Yes |
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] |
Yes |
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, lithium, gabapentin, truvada, adderall, caffeine, inositol, vitamin d, vitamin b12, folate, clindamycin (topical), tretinoin (topical), azelaic acid (topical), fluticasone (nasal spray), ketotifen (ophthalmic) |
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 4/6/2020 19:25:27.
Show responses
|
Timestamp |
4/6/2020 19:25:27 |
What is the zip code of your primary residence? |
02144 |
Do have another residence where you spend more than 30 days a year? |
No |
What is your age (in years)? |
28 |
What is your gender? |
neutrois |
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? |
Employed: Working 1-39 hrs per week |
Select the category that best describes your occupation. |
management, healthcare support, and arts |
What is the zip code of your primary workplace/worksite? |
02155 |
Do you have a secondary workplace/worksite where you work more than 30 days a year? |
Yes |
What is the zip code of your secondary workplace/worksite (where you work more than 30 days a year)? |
02148 |
If a vaccine against coronovirus (COVID-19) would reach the stage where it must be tested for safety and efficacy in humans, would you - assuming that you are eligible - be interested in taking part in that trial? |
Maybe |
Harvard PGP COVID-19 Health Assessment Week 4: 12 April - 18 April 2020
|
Responses submitted 4/13/2020 22:11:14.
Show responses
|
Timestamp |
4/13/2020 22:11:14 |
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? |
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] |
Yes |
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] |
Yes |
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] |
No |
Indicate which of the following symptoms you are currently experiencing. [Sore throat] |
Yes |
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] |
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] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Headache] |
Yes |
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] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Shortness of breath] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
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] |
No |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Rapid breathing] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Shortness of breath] |
Yes |
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] |
Yes |
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] |
Yes |
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. |
lithium, adderall, caffeine, inositol, vitamin b12, vitamin d, folate, truvada, gabapentin, clindamycin (topical), azelaic acid (topical), tretinoin (topical), fluticasone (nasal), ketotifen (ophthalmic) |
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 6/1/2020 12:49:46.
Show responses
|
Timestamp |
6/1/2020 12:49:46 |
Are you currently ill with a cold or flu-like illness? |
No |
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] |
Yes |
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] |
Yes |
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] |
No |
Indicate which of the following symptoms you are currently experiencing. [Sore throat] |
Yes |
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] |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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 |
Are you regularly taking any of the following medications? Please choose all those that apply. |
None of these medications, lithium, adderall, caffeine, inositol, vitamin b12, vitamin d, folate, truvada, gabapentin, clindamycin (topical), azelaic acid (topical), tretinoin (topical), fluticasone (nasal), ketotifen (ophthalmic) |
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 22:52:26.
Show responses
|
Timestamp |
6/12/2020 22:52:26 |
Are you currently ill with a cold or flu-like illness? |
No |
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] |
Yes |
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] |
Yes |
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] |
No |
Indicate which of the following symptoms you are currently experiencing. [Sore throat] |
Yes |
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] |
Yes |
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] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Shortness of breath] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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] |
Yes |
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 |
Are you regularly taking any of the following medications? Please choose all those that apply. |
lithium, adderall, caffeine, inositol, vitamin b12, vitamin d, folate, truvada, gabapentin, clindamycin (topical), azelaic acid (topical), tretinoin (topical), fluticasone (nasal), ketotifen (ophthalmic) |
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 |