After COVID-19, when can you safely have a procedure?

Basic Demographics

Hospitals and electrophysiology labs are resuming procedures—but is it safe to have a procedure now? In order to help address your questions and concerns, we created this survey to find out what you want to know.

After a few basic demographic questions on this page, there will be about a dozen multiple-choice and short-answer questions over two additional pages. This survey should take about five minutes for you to complete. We’ll keep confidential any personal information you share.

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1. Please enter your name and email address.

First and Last Name

Email Address

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2. Are you male or female?

Male

Female

Prefer not to answer

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3. What is your age?

50 or less

51-65 years old

66-80 years old

More than 80 years old

Prefer not to answer

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4. Do you have atrial fibrillation (afib)?

Yes

Don’t know

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5. Which type of atrial fibrillation (afib) do you currently have?

Paroxysmal – afib that comes and goes and lasts less than a week

Persistent – afib that lasts a week or longer or requires medication or cardioversion to stop

Long-standing persistent – continuous afib that has lasted one year or longer

Permanent – continuous afib for which you are no longer seeking treatment

I have been diagnosed with afib, but don’t know which type

33% of survey complete.