PGP Participant Survey
|
Responses submitted 3/22/2015 17:15:06.
Show responses
|
Timestamp |
3/22/2015 17:15:06 |
Year of birth |
1964 |
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 |
March |
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: Skin and Subcutaneous Tissue
|
Responses submitted 3/22/2015 17:17:09.
Show responses
|
Timestamp |
3/22/2015 17:17:09 |
Have you ever been diagnosed with any of the following conditions? |
Eczema, Allergic contact dermatitis, Rosacea, Skin tags, Acne, Cafe au lait spots |
Other condition not listed here? |
Basal cell, etc |
PGP Trait & Disease Survey 2012: Musculoskeletal System and Connective Tissue
|
Responses submitted 3/22/2015 17:18:41.
Show responses
|
Timestamp |
3/22/2015 17:18:41 |
Have you ever been diagnosed with any of the following conditions? |
Osteoarthritis, Chondromalacia patella (CMP), Sciatica, Achilles tendonitis, Plantar fasciitis, Flatfeet, Scoliosis |
Other condition not listed here? |
Reactive arthritis once, coccyx fracture, ACL |
PGP Trait & Disease Survey 2012: Endocrine, Metabolic, Nutritional, and Immunity
|
Responses submitted 3/22/2015 17:19:29.
Show responses
|
Timestamp |
3/22/2015 17:19:29 |
Other condition not listed here? |
Adrenal nodule |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 3/22/2015 17:20:23.
Show responses
|
Timestamp |
3/22/2015 17:20:23 |
Have you ever been diagnosed with one of the following conditions? |
Non-melanoma skin cancer, Uterine fibroids |
Other condition not listed here? |
Adrenal nodule |
PGP Trait & Disease Survey 2012: Congenital Traits and Anomalies
|
Responses submitted 3/22/2015 17:21:34.
Show responses
|
Timestamp |
3/22/2015 17:21:34 |
PGP Trait & Disease Survey 2012: Digestive System
|
Responses submitted 3/22/2015 17:23:14.
Show responses
|
Timestamp |
3/22/2015 17:23:14 |
Have you ever been diagnosed with any of the following conditions? |
Impacted tooth, Dental cavities, Gingivitis, Temporomandibular joint (TMJ) disorder, Canker sores (oral ulcers), Geographic tongue, Gastroesophageal reflux disease (GERD) |
Other condition not listed here? |
Hpylori duodenitis lpr |
PGP Trait & Disease Survey 2012: Genitourinary Systems
|
Responses submitted 3/22/2015 17:25:00.
Show responses
|
Timestamp |
3/22/2015 17:25:00 |
Have you ever been diagnosed with any of the following conditions? |
Urinary tract infection (UTI), Fibrocystic breast disease, Endometriosis, Ovarian cysts |
Other condition not listed here? |
Microhematuria vag prolapse adenomyosis |
PGP Trait & Disease Survey 2012: Blood
|
Responses submitted 3/22/2015 17:25:38.
Show responses
|
Timestamp |
3/22/2015 17:25:38 |
Have you ever been diagnosed with any of the following conditions? |
Iron deficiency anemia |
PGP Trait & Disease Survey 2012: Respiratory System
|
Responses submitted 3/22/2015 17:27:25.
Show responses
|
Timestamp |
3/22/2015 17:27:25 |
Have you ever been diagnosed with any of the following conditions? |
Deviated septum, Chronic tonsillitis |
PGP Trait & Disease Survey 2012: Cancers
|
Responses submitted 3/22/2015 17:35:29.
Show responses
|
Timestamp |
3/22/2015 17:35:29 |
Have you ever been diagnosed with one of the following conditions? |
Non-melanoma skin cancer |
Harvard PGP: COVID-19 Demographics Survey
|
Responses submitted 3/30/2020 19:09:00.
Show responses
|
Timestamp |
3/30/2020 19:09:00 |
What is the zip code of your primary residence? |
04097 |
Do have another residence where you spend more than 30 days a year? |
No |
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)] |
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? |
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? |
Not employed: Not looking for work |
Harvard PGP: COVID-19 Health Assessment for Week of 22-28 March 2020
|
Responses submitted 3/30/2020 19:13:45.
Show responses
|
Timestamp |
3/30/2020 19:13:45 |
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? [Rapid breathing] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Shortness of breath] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Wheezing or chest tightness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Bluish lips or face] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Dizziness] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Confusion or inability to arouse] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Running nose] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Sore throat] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Nausea] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Vomiting] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Abdominal pain] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Diarrhea] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of smell] |
No |
Since Jan 1, 2020, have you experienced any of the following symptoms? [Loss of sense of taste] |
No |
Are you currently experiencing any of the following symptoms? [Persistent high fever of 38°C (100.4°F) or higher, lasting for a day or more] |
No |
Are you currently experiencing any of the following symptoms? [Feeling cold, chills or shivers] |
No |
Are you currently experiencing any of the following symptoms? [Headache] |
No |
Are you currently experiencing any of the following symptoms? [Aches all over the body] |
No |
Are you currently experiencing any of the following symptoms? [Cough] |
No |
Are you currently experiencing any of the following symptoms? [Rapid breathing] |
No |
Are you currently experiencing any of the following symptoms? [Shortness of breath] |
No |
Are you currently experiencing any of the following symptoms? [Wheezing or chest tightness] |
No |
Are you currently experiencing any of the following symptoms? [Persistent pain or pressure in the chest] |
No |
Are you currently experiencing any of the following symptoms? [Bluish lips or face] |
No |
Are you currently experiencing any of the following symptoms? [Dizziness] |
No |
Are you currently experiencing any of the following symptoms? [Confusion or inability to arouse] |
No |
Are you currently experiencing any of the following symptoms? [Running nose] |
No |
Are you currently experiencing any of the following symptoms? [Sore throat] |
No |
Are you currently experiencing any of the following symptoms? [Nausea] |
No |
Are you currently experiencing any of the following symptoms? [Vomiting] |
No |
Are you currently experiencing any of the following symptoms? [Abdominal Pain] |
No |
Are you currently experiencing any of the following symptoms? [Diarrhea] |
No |
Are you currently experiencing any of the following symptoms? [Pink eye (conjunctivitis)] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of smell] |
No |
Are you currently experiencing any of the following symptoms? [Loss of sense of taste] |
No |
Are you regularly taking any of the following medications? Please choose all those that apply. |
Olmesartan (e.g. Benicar) |
Have you been tested for coronavirus (COVID-19) by a medical doctor or other official testing service? |
No, I have not tried to get tested |
In the past 4 weeks, have you been in close contact with a person who has tested positive for coronavirus (COVID-19)? |
No |
In the past 4 weeks, have you been in close contact with a person who has symptoms consistent with coronavirus (COVID-19) but has not been tested? |
No |
Harvard PGP: COVID-19 Health Assessment for Week of 5 April - 11 April 2020
|
Responses submitted 4/6/2020 14:39:55.
Show responses
|
Timestamp |
4/6/2020 14:39:55 |
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? |
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. [Cough] |
Yes |
Are you regularly taking any of the following medications? Please choose all those that apply. |
Olmesartan (e.g. Benicar) |
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 4/16/2020 9:13:15.
Show responses
|
Timestamp |
4/16/2020 9:13:15 |
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? |
Yes |
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. [Cough] |
Yes |
Are you regularly taking any of the following medications? Please choose all those that apply. |
Olmesartan (e.g. Benicar) |
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 |