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

Question Title

* 1. Are you a cystic fibrosis patient or caregiver?

Patient

Caregiver

Question Title

* 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?

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

Question Title

* 3. What is your gender if you have CF or the gender/s of your children if you are the caregiver?

Male

Female

If you are caring for more than one person, please tell us their genders.

Question Title

* 4. What country do you live in?

United States

Canada

Mexico

United Kingdom

France

Germany

Spain

Italy

Australia

New Zealand

South Africa

Israel

Other (please specify)