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$125 Opinion Study
*
1.
Contact Info
(Required.)
Name
Phone
E-Mail
State
Gender
Age
*
2.
Do you have a computer or laptop that can be used for this study?
(Required.)
Yes
No
3.
If yes, does that computer or laptop have a webcam that can be used for this study?
Yes
No
*
4.
Which (if any) of the following conditions have you been diagnosed with?
(Required.)
Atrial Fibrillation (or Nonvalvular AFib), a type of irregular heartbeat – NOT caused by a heart valve problem
Deep Vein Thrombosis (DVT: Blood clot in a vein, usually in the leg, thigh, or pelvis)
Pulmonary Embolism (PE: Blood clot in the lungs - one or more arteries in your lungs become blocked.)
Congestive Heart Failure
Type 2 Diabetes
Stroke or “Mini-Stroke”
High blood pressure or hypertension
ASCVD
Renal insufficiency (i.e. impaired kidney function)
Peripheral Artery Disease (PAD)
Coronary Artery Disease (CAD)
None of the above
Current Progress,
0 of 7 answered