Understanding the Triggers, Symptom Load, and Quality of Life in People with POTS: Ongoing Study

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* 1. I have been diagnosed with postural orthostatic tachycardia syndrome (POTS) by a healthcare practitioner.

Yes

No

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* 2. What is your height (inches)?

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* 3. What is your weight (lbs.)?

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* 4. How old are you (years)?

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* 5. What is your gender?

Female

Male

Female Transgender

Male Transgender

Gender Variant/Non-Conforming

Prefer Not to Answer

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* 6. To which of the following race(s) do you belong?

Black or African American

White

American Indian or Alaska Native

Asian or Asian American

Another race

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* 7. Are you of Latino or Hispanic origin?

Yes

No

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* 8. What is your current marital status?

Married or living with partner

Separated

Widowed

Divorced

Never married

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* 9. Have you been pregnant?

Yes

No