Cystic Fibrosis Action Plan-Pictogram Validation

Question Title

* 1. Your Date of Birth

Date

Date

Question Title

* 2. Are you the patient with cystic fibrosis or a caregiver (for example-parent)?

patient

caregiver

Other (please specify)

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* 3. What is the highest level of school you have completed or the highest degree you have received?

Less than high school degree

High school degree or equivalent (e.g., GED)

Some college but no degree

Associate degree

Bachelor degree

Graduate degree