This pulmonary questionnaire
consisting of 21 questions was developed by Gina Thomas, a Respiratory Therapist from
Sequoia Hospital in Redwood City, California, in conjunction with advisors at Stanford
University. Answers obtained from people responding to the questionnaire are designed to
build a database which will help to implement pulmonary rehabilitation programs for those
recovering from ARDS.
you have problems using this form, please click here --> Old survey
Questions in Section A are optional, you can
answer all, some, or none.
Please answer all the questions in Section B
use your mouse to move from one question to the next as hitting the
enter key will automatically submit the form.
Then submit the form.
Thank you for taking the
time to complete the survey !