High Altitude Illnesses Community Survey

This is a short, student-led community survey intended to support a community education project about high altitude illnesses, prevention, diagnosis and treatment, sponsored by Ebert Family Clinic. Your participation will help our community understand more about high altitude illnesses and how you can better care for your family and be a part of high altitude wellness.

Thank you for participating! I am a student nurse, completing a public health clinical at Ebert Family Clinic. My goal is to create community education tools about high altitude wellness for families. This is not an ad or for promotional purposes.

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* 1. Are you a Summit County resident?

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* 2. How long have you lived at high altitude, over 2200 meters (7217 feet) here or in other mountain communities?

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* 3. Please check if you have someone in your household are age... (check all that apply)

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* 4. Has anyone in your family been diagnosed with (please check all that apply)

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* 5. If the answer is 'yes' to any of the above high altitude related illnesses, please specify age and if the person/s has/have had any repeat occurrences.

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* 6. Do you know the signs and symptoms of high altitude illnesses such as High altitude sickness, HAPE, pneumonia, and HACE?

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* 7. Did you know that children are more likely to develop high altitude illnesses (including residents, visitors, and with reentry)?

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* 8. Did you know that a recent respiratory infection can be a precursor to high altitude pulmonary edema and other high altitude illnesses?

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* 9. Did you know that long-term residents of all ages can be affected by high altitude illnesses?

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* 10. Would you like to know more about how to monitor oxygen levels for yourself and your family?

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* 11. Do you have a pulse oximeter, to measure blood oxygen level, in your home?

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* 12. Would you like more information about high altitude illnesses and prevention?

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* 13. If you or a loved one has been affected by any high-altitude illness or you would like more information, please leave your name and email address here. If you are concerned that a loved one may currently be suffering from hypoxia (low oxygen) or high-altitude sickness, please contact a physician. Ebert Family Clinic offers free checks for oxygen level and blood pressure.

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