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Respiratory Health Survey-P3-PreTraining
Over the last several years our group has studied lower respiratory tract (lung and bronchial) health in flight attendants exposed to environmental cigarette smoke during the era when smoking was allowed on commercial flights. This research has allowed us to study new approaches at preventing illness and optimizing health of current and former cabin crew. As part of our research, we would like to know more about upper respiratory health and to learn more about the interventions that we are testing, as well as other lifestyle and environmental issues and how they may influence upper respiratory health.
The following survey may help to shed light on these topics.
Thank you for your involvement, time and efforts!
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1.
ID and Zip/Postal Codes
(Required.)
Your ID Code
ZIP/Postal Code
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2.
Please enter today's date:
(Required.)
*
3.
Have you ever been diagnosed by a health care provider as having any of the following. Please mark all that apply.
(Required.)
Sinus infection (Sinusitis)
Rhino sinusitis or rhinitis
Nasal sinus polyps
Asthma
Bronchitis
Pneumonia
Influenza
Deviated nasal septum
Chronic obstructive pulmonary disease
Other lung disease or dysfunction
Laryngitis
Gum or mouth infections
Tonsillitis or other throat infections
Post nasal drip
Ear infections
Dry eye
Eye infections
Aspirin sensitivity
Headaches
Lower back pain
Allergies
Eczema
GERD (Gastro-Esophageal Reflux Disorder)
Intestinal disorders (Irritable Bowel Syndrome)
Autoimmune disorder or disease
Cardiovascular (Heart or vascular) disease or disorder
Stroke or Transient Ischemic Attack
I prefer not to respond to this question
Other (please specify)
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4.
If you experienced any of the following disorders, please indicate the frequency.
(Required.)
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Sinusitis or Rhino-sinusitis
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma)
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Tonsillitis or other throat infections
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Pneumonia or influenza
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Bronchitis
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Asthma
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Allergies or reactivity to airborne irritants
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Cough
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Laryngitis or hoarseness
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Mouth or gum infections
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
Ear infections
Rarely or never
Frequently
Chronic
I do not recall having this disorder or its frequency.
I prefer not to respond to this question
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5.
If you experienced any of these disorders, when were they worst?
(Required.)
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Sinusitis or Rhino-sinusitis
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma)
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Tonsillitis or other throat infections
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Pneumonia or influenza
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Bronchitis
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Asthma
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Allergies or reactivity to airborne irritants
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Cough
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Laryngitis or hoarseness
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Mouth or gum infections
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
Ear infections
In my childhood
Adulthood before I began flying
During my career as a flight attendant
After I stopped working as a flight attendant (if applicable)
I do not recall ever having this disorder.
I prefer not to respond to this question
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6.
Please indicate the last time you recall having each of these conditions.
(Required.)
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Sinusitis or Rhino-sinusitis
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma)
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Tonsillitis or other throat infections
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Pneumonia or influenza
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Bronchitis
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Asthma
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Allergies or reactivity to airborne irritants
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Cough
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Laryngitis or hoarseness
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Mouth or gum infections
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
Ear infections
Within the last 30 days.
Three to twelve months ago.
One to five years ago.
More than 5 years ago.
I do not recall/ Not applicable
I prefer not to respond to this question.
7.
In your own experience, please tell us about any triggers that are associated with nasal or sinus congestion or infection. Please include both environmental triggers and other health associated factors that may be related to onset or duration of these problems.
8.
Regarding the wellness activities that are part of your life, please indicate any category in which you have participated over the last year. Select as many as apply. Select the frequency category that best applies to your activities.
None
Less than 10 minutes a week
Less than an hour a week
2 to 6 hours per week
7 to 15 hours per week
16 or more hours per week
Meditative movement (Tai Chi, Qigong, Yoga, or similar)
None
Less than 10 minutes a week
Less than an hour a week
2 to 6 hours per week
7 to 15 hours per week
16 or more hours per week
Seated meditation
None
Less than 10 minutes a week
Less than an hour a week
2 to 6 hours per week
7 to 15 hours per week
16 or more hours per week
Strength training (Weight training, resistance machines, or similar)
None
Less than 10 minutes a week
Less than an hour a week
2 to 6 hours per week
7 to 15 hours per week
16 or more hours per week
Endurance (Aerobic ) training (Walking, running, jogging, cycling, etc)
None
Less than 10 minutes a week
Less than an hour a week
2 to 6 hours per week
7 to 15 hours per week
16 or more hours per week
Sports
None
Less than 10 minutes a week
Less than an hour a week
2 to 6 hours per week
7 to 15 hours per week
16 or more hours per week
Occupational activity that you feel supports your wellness.
None
Less than 10 minutes a week
Less than an hour a week
2 to 6 hours per week
7 to 15 hours per week
16 or more hours per week
Calisthenic type activities (Zumba, Pilates, etc)
None
Less than 10 minutes a week
Less than an hour a week
2 to 6 hours per week
7 to 15 hours per week
16 or more hours per week
Other
None
Less than 10 minutes a week
Less than an hour a week
2 to 6 hours per week
7 to 15 hours per week
16 or more hours per week
Other (please specify)
Thank you for your time and commitment to this project!