Thank you so much for your interest in sharing about your experience with asthma or COPD and offering feedback about respiratory health management tools.

From time to time we will have paid research opportunities available for you to participate in including surveys and phone interviews. Please answer the following questions if you would like to be contacted for upcoming research opportunities. We look forward to learning from you!

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* 1. What is your name?

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* 2. What is your email?

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* 3. If you would like to share, what is your phone number? (optional)
As needed, we will send you an email to set up a time for a call if the specific research opportunity involves a phone interview. Please also share the best times to reach you

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* 4. What state do you live in? Please select the state you live in from the drop-down list

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* 5. What country do you live in? Please select the country you live in from the drop-down list

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* 6. What is your age? Please select from the drop-down list

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* 7. Which respiratory conditions do you have?

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* 8. How long ago were you diagnosed with asthma or COPD? Please select from the drop-down list  

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* 9. Which of the following medications do you take for asthma or COPD? Please select ALL that apply

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* 10. What type of doctor do you see for asthma or COPD? Please select ALL that apply

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* 11. Other than asthma or COPD, what other health conditions do you have? Please select ALL that apply

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* 12. We're interested in finding out about your preferences for ways to get compensated for upcoming research opportunities. How would you like to be compensated for participating in upcoming research opportunities? Please select ALL of the below that apply.

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* 13. How did you hear about this opportunity?

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