PHA Connects: COVID-19, Your Child and Pulmonary Hypertension Survey

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* 1. Tell us about yourself

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Email Address

Phone Number

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* 2. Would you like to receive more information from PHA about future events and activities?

Yes! (Note: Be sure your contact information is entered above).

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* 3. What is your connection to pulmonary hypertension (PH)?

I am an adult with PH.

I am a child or teen with PH.

I am the caregiver of an adult with PH. (Example: spouse)

I am the caregiver of a child/teen with PH. (Example: parent)

I am a health care provider. (Example: nurse or doctor).

I work in industry.

Other (please specify)

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* 4. How did you hear about this event? Check all that apply.

PHA website

PHA News, the weekly e-newsletter from PHA

Weekly email from PHA about PHA Connects

Pathlight, PHA's quarterly magazine

PH Roundup, monthly newsletter to health care providers from PHA

Support group meeting

Word of mouth

Social media

Other (please specify)

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* 5. Please use the following scale, next to each question below, to rate your satisfaction:

	5 - Strongly Agree	4 - Agree	3 - Neutral	2 - Disagree	1 - Strongly Disagree	N/A - Not Applicable
This event met my overall expectations.	This event met my overall expectations. 5 - Strongly Agree	This event met my overall expectations. 4 - Agree	This event met my overall expectations. 3 - Neutral	This event met my overall expectations. 2 - Disagree	This event met my overall expectations. 1 - Strongly Disagree	This event met my overall expectations. N/A - Not Applicable
I found the online registration process easy.	I found the online registration process easy. 5 - Strongly Agree	I found the online registration process easy. 4 - Agree	I found the online registration process easy. 3 - Neutral	I found the online registration process easy. 2 - Disagree	I found the online registration process easy. 1 - Strongly Disagree	I found the online registration process easy. N/A - Not Applicable
The information I received prior to the event was helpful.	The information I received prior to the event was helpful. 5 - Strongly Agree	The information I received prior to the event was helpful. 4 - Agree	The information I received prior to the event was helpful. 3 - Neutral	The information I received prior to the event was helpful. 2 - Disagree	The information I received prior to the event was helpful. 1 - Strongly Disagree	The information I received prior to the event was helpful. N/A - Not Applicable
Based on my experience, I would encourage others to attend a PHA Connects event.	Based on my experience, I would encourage others to attend a PHA Connects event. 5 - Strongly Agree	Based on my experience, I would encourage others to attend a PHA Connects event. 4 - Agree	Based on my experience, I would encourage others to attend a PHA Connects event. 3 - Neutral	Based on my experience, I would encourage others to attend a PHA Connects event. 2 - Disagree	Based on my experience, I would encourage others to attend a PHA Connects event. 1 - Strongly Disagree	Based on my experience, I would encourage others to attend a PHA Connects event. N/A - Not Applicable
Speakers were knowledgeable about the topic.	Speakers were knowledgeable about the topic. 5 - Strongly Agree	Speakers were knowledgeable about the topic. 4 - Agree	Speakers were knowledgeable about the topic. 3 - Neutral	Speakers were knowledgeable about the topic. 2 - Disagree	Speakers were knowledgeable about the topic. 1 - Strongly Disagree	Speakers were knowledgeable about the topic. N/A - Not Applicable
Speakers presented information in a clear, understandable way.	Speakers presented information in a clear, understandable way. 5 - Strongly Agree	Speakers presented information in a clear, understandable way. 4 - Agree	Speakers presented information in a clear, understandable way. 3 - Neutral	Speakers presented information in a clear, understandable way. 2 - Disagree	Speakers presented information in a clear, understandable way. 1 - Strongly Disagree	Speakers presented information in a clear, understandable way. N/A - Not Applicable
This event increased my understanding of the topic.	This event increased my understanding of the topic. 5 - Strongly Agree	This event increased my understanding of the topic. 4 - Agree	This event increased my understanding of the topic. 3 - Neutral	This event increased my understanding of the topic. 2 - Disagree	This event increased my understanding of the topic. 1 - Strongly Disagree	This event increased my understanding of the topic. N/A - Not Applicable

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* 6. Can you spare a few more minutes to answer some additional questions?

Yes

PHA Connects: COVID-19, Your Child and Pulmonary Hypertension

PHA Connects: Your Experience

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* 1. Tell us about yourself

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* 2. Would you like to receive more information from PHA about future events and activities?

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* 3. What is your connection to pulmonary hypertension (PH)?

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* 4. How did you hear about this event? Check all that apply.

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* 5. Please use the following scale, next to each question below, to rate your satisfaction:

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* 6. Can you spare a few more minutes to answer some additional questions?