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Survey: Clinical Trials
We are researching the cystic fibrosis communities' ideas and feelings about taking part in clinical trials. Answers will be kept anonymous and the research will be shared with the community.
Demographics
*
1.
Are you a cystic fibrosis
patient
or
caregiver
?
(Required.)
Patient
Caregiver
*
2.
Which of the following best describes your age range with CF or the age ranges of your child/children if you are a caregiver?
(Required.)
Under 6
7-12
13-17
18-24
25-34
35-44
45-54
55-64
65+
Caregivers: Enter the ages if you care for more than one person with CF
*
3.
What is your gender if you have CF or the gender/s of your children if you are the caregiver?
(Required.)
Male
Female
If you are caring for more than one person, please tell us their genders.
*
4.
What country do you live in?
(Required.)
United States
Canada
Mexico
United Kingdom
France
Germany
Spain
Italy
Australia
New Zealand
South Africa
Israel
Other (please specify)
