PGP Participant Survey
|
Responses submitted 7/16/2011 20:19:50.
Show responses
|
Timestamp |
7/16/2011 20:19:50 |
Year of birth |
60-69 years |
Which statement best describes you? |
I am comfortable making my genome sequence data publicly available without prior review. |
Severe disease or rare genetic trait |
Yes |
Do you have a severe genetic disease or rare genetic trait? If so, you can add a description for your public profile. |
Allergic Asthma (using for remaining questions)
hay fever, food allergies, eczema |
Disease/trait: Onset |
Before 10 years of age |
Disease/trait: Rarity |
Fairly common |
Disease/trait: Severity |
Moderate severity disease |
Disease/trait: Relative enrollment |
No |
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 |
No |
Enrollment of parents |
No |
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? |
No |
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 7/14/2012 17:06:04.
Show responses
|
Timestamp |
7/14/2012 17:06:04 |
Year of birth |
70-79 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 |
Female |
Race/ethnicity |
White |
Maternal grandmother: Country of origin |
Ireland |
Paternal grandmother: Country of origin |
Ireland |
Paternal grandfather: Country of origin |
Ireland |
Maternal grandfather: Country of origin |
Ireland |
Enrollment of relatives |
No |
Enrollment of older individuals |
No |
Enrollment of parents |
No |
Have you uploaded genetic data to your PGP participant profile? |
No, I have no genetic data. |
Have you used the PGP web interface to record a designated proxy? |
Yes |
Have you uploaded health record data using our Google Health or Microsoft Healthvault interfaces? |
Yes |
Uploaded health records: Update status |
Yes |
Uploaded health records: Extensiveness |
5 |
Blood sample |
Yes |
Saliva sample |
Yes |
Microbiome samples |
Yes |
Tissue samples from surgery |
Yes |
Tissue samples from autopsy |
Yes |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 10/12/2012 17:29:29.
Show responses
|
Timestamp |
10/12/2012 17:29:29 |
Have you ever been diagnosed with one of the following conditions? |
Non-melanoma skin cancer, Lipoma, Uterine fibroids |
Other condition not listed here? |
complex ovarian cyst |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 10/12/2012 17:30:27.
Show responses
|
Timestamp |
10/12/2012 17:30:27 |
Have you ever been diagnosed with any of the following conditions? |
Hypothyroidism |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 10/12/2012 17:31:13.
Show responses
|
Timestamp |
10/12/2012 17:31:13 |
PGP Trait & Disease Survey 2012: Nervous System
|
Responses submitted 10/12/2012 17:32:04.
Show responses
|
Timestamp |
10/12/2012 17:32:04 |
Have you ever been diagnosed with one of the following conditions? |
Restless legs syndrome |
PGP Trait & Disease Survey 2012: Vision and hearing
|
Responses submitted 10/12/2012 17:38:51.
Show responses
|
Timestamp |
10/12/2012 17:38:51 |
Have you ever been diagnosed with one of the following conditions? |
Glaucoma, Age-related cataract, Traumatic cataract, Myopia (Nearsightedness), Astigmatism, Presbyopia, Floaters, Tinnitus |
PGP Trait & Disease Survey 2012: Circulatory System
|
Responses submitted 10/12/2012 17:40:28.
Show responses
|
Timestamp |
10/12/2012 17:40:28 |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 10/12/2012 17:41:02.
Show responses
|
Timestamp |
10/12/2012 17:41:02 |
Have you ever been diagnosed with any of the following conditions? |
Allergic rhinitis, Asthma |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 10/12/2012 17:41:54.
Show responses
|
Timestamp |
10/12/2012 17:41:54 |
Have you ever been diagnosed with any of the following conditions? |
Dental cavities, Canker sores (oral ulcers), Gastroesophageal reflux disease (GERD), Barrett's esophagus, Peptic ulcer (stomach or duodenum), Hiatal hernia, Diverticulosis |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 10/12/2012 17:42:44.
Show responses
|
Timestamp |
10/12/2012 17:42:44 |
Have you ever been diagnosed with any of the following conditions? |
Urinary tract infection (UTI), Ovarian cysts |
PGP Trait & Disease Survey 2012: Skin and Subcutaneous Tissue
|
Responses submitted 10/12/2012 17:43:33.
Show responses
|
Timestamp |
10/12/2012 17:43:33 |
Have you ever been diagnosed with any of the following conditions? |
Eczema, Allergic contact dermatitis, Skin tags |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 10/12/2012 17:44:22.
Show responses
|
Timestamp |
10/12/2012 17:44:22 |
Have you ever been diagnosed with any of the following conditions? |
Osteoarthritis, Frozen shoulder, Tennis elbow, Flatfeet |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 10/12/2012 17:45:12.
Show responses
|
Timestamp |
10/12/2012 17:45:12 |
PGP Basic Phenotypes Survey 2015
|
Responses submitted 8/29/2015 20:24:55.
Show responses
|
Timestamp |
8/29/2015 20:24:55 |
1.1 — Blood Type |
Don't know |
1.2 — Height |
5'1" |
1.3 — Weight |
157 |
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) |
7 |
2.3 — Left Eye Color - Text Description |
blue |
2.4 — Right Eye Color - Text Description |
can't tell, severely scarred |
2.5 —Comments |
My eye color is quite different from at birth (was a light blue). I have had several eye infections and the drugs have changed the color of my iris in both eyes. Also I have scar tissue on both eyes, although the right eye is heavily scarred because of multiple corneal transplants. |
3.1 — What is your natural hair color currently, when without artificial color or dye? |
brown |
3.2 — Hair Color - Text Description |
brown with some gray |
3.3 — Comments |
I was born with very blond hair (a towhead) and as I grew older my color changed gradually. |
1.4 — Handedness |
Right |
PGP Participant Survey
|
Responses submitted 7/2/2017 12:23:01.
Show responses
|
Timestamp |
7/2/2017 12:23:01 |
Year of birth |
1941 |
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 |
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 Basic Phenotypes Survey 2015
|
Responses submitted 7/2/2017 12:33:44.
Show responses
|
Timestamp |
7/2/2017 12:33:44 |
1.1 — Blood Type |
Don't know |
1.2 — Height |
5'1" |
1.3 — Weight |
157 |
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) |
14 |
2.3 — Left Eye Color - Text Description |
blue |
2.4 — Right Eye Color - Text Description |
blue |
2.5 —Comments |
yes, due to medications I have used (eye drops for herpes infections and glaucoma) both eyes have darkened considerably. Only my aunt on my mothers side has also had HSV in one eye. My mother had green eyes, father blue. |
3.1 — What is your natural hair color currently, when without artificial color or dye? |
brown |
3.2 — Hair Color - Text Description |
brown with some gray |
3.3 — Comments |
I was born with very blond hair, mother described at "tow Head" |
1.4 — Handedness |
Right |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 7/2/2017 12:34:48.
Show responses
|
Timestamp |
7/2/2017 12:34:48 |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 7/2/2017 12:36:08.
Show responses
|
Timestamp |
7/2/2017 12:36:08 |
Have you ever been diagnosed with any of the following conditions? |
Canker sores (oral ulcers), Gastroesophageal reflux disease (GERD), Barrett's esophagus, Peptic ulcer (stomach or duodenum), Hiatal hernia, Diverticulosis |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 7/2/2017 12:37:02.
Show responses
|
Timestamp |
7/2/2017 12:37:02 |
Have you ever been diagnosed with any of the following conditions? |
Hypothyroidism, High cholesterol (hypercholesterolemia) |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 7/2/2017 12:38:03.
Show responses
|
Timestamp |
7/2/2017 12:38:03 |
Have you ever been diagnosed with one of the following conditions? |
Non-melanoma skin cancer, Lipoma, Uterine fibroids |
Harvard PGP: COVID-19 Health Assessment for Week of 22-28 March 2020
|
Responses submitted 3/23/2020 21:00:23.
Show responses
|
Timestamp |
3/23/2020 21:00:23 |
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] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Headache] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Aches all over the body] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Cough] |
Yes |
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] |
Yes |
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] |
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] |
Yes |
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 18:57:51.
Show responses
|
Timestamp |
4/7/2020 18:57:51 |
Since Jan 1, 2020, have you been ill with a cold or flu-like illness? |
Unknown |
Currently are you experiencing ANY of the above list of symptoms? |
No |
In the past two weeks, have you experienced ANY of the above list of symptoms? |
No |
Since Jan 1, 2020, to the best of your recollection,have you experienced ANY of the above list of symptoms? |
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] |
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. [Shortness of breath] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Wheezing or chest tightness] |
Yes |
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)] |
Unknown |
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 Demographics Survey
|
Responses submitted 4/7/2020 19:01:10.
Show responses
|
Timestamp |
4/7/2020 19:01:10 |
Do have another residence where you spend more than 30 days a year? |
No |
What is your age (in years)? |
78 |
What is your gender? |
Female |
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)] |
Yes |
Have you ever been diagnosed with any of the following? [Asthma (Childhood)] |
Yes |
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] |
Yes |
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? |
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 Week 4: 12 April - 18 April 2020
|
Responses submitted 4/13/2020 20:23:58.
Show responses
|
Timestamp |
4/13/2020 20:23:58 |
Are you currently ill with a cold or flu-like illness? |
Yes |
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] |
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] |
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] |
Yes |
Indicate which of the following symptoms you are currently experiencing. [Wheezing or chest tightness] |
Yes |
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] |
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] |
Yes |
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] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Wheezing or chest tightness] |
Yes |
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] |
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] |
Yes |
Since Jan 1, 2020, to the best of your recollection which symptoms have you experienced. [Wheezing or chest tightness] |
Yes |
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] |
No |
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)? |
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 5/29/2020 15:42:51.
Show responses
|
Timestamp |
5/29/2020 15:42:51 |
What is the zip code of your primary residence? |
45036 |
Do have another residence where you spend more than 30 days a year? |
No |
What is your age (in years)? |
78 |
What is your gender? |
Female |
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)] |
Yes |
Have you ever been diagnosed with any of the following? [Asthma (Childhood)] |
Yes |
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] |
Yes |
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? |
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 [Ongoing]
|
Responses submitted 5/29/2020 15:45:44.
Show responses
|
Timestamp |
5/29/2020 15:45:44 |
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] |
Yes |
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] |
Yes |
In the past 2 weeks, which symptoms have you experienced. [Wheezing or chest tightness] |
Yes |
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 |
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? |
Yes, and the test was negative for coronavirus (COVID-19) |
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 6/13/2020 17:39:32.
Show responses
|
Timestamp |
6/13/2020 17:39:32 |
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] |
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] |
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] |
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] |
Yes |
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 |
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? |
Yes, and the test was negative for coronavirus (COVID-19) |
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 |