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Coronavirus disease 2019 (COVID-19) is a potentially life-threatening respiratory/systemic disease, that is highly contagious due to SARS-CoV-2 (coronavirus), and is a global pandemic.  On behalf of the Sudden Arrhythmia Death Syndromes (SADS) Foundation, please take 5 minutes to complete this survey to learn more about if and how our families are being impacted by SARS-CoV-2-COVID-19.

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* 1. Name (optional)

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* 2. Email (Optional)

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* 3. Can we contact you to follow up on this study?

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* 4. May we contact you to keep you up to date on SADS Foundation activities?

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* 5. SADS Condition

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* 6. Age

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* 7. Country/State

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* 8. Have you been exposed to a person with a positive SARS-CoV-2 test?

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* 9. Have you been tested for SARS-CoV-2?

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* 10. If tested were you,

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* 11. Have you had any symptoms of coronavirus caused by COVID-19? Check any that apply

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* 12. If you’ve had symptoms, have you been hospitalized for COVID-19?

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* 13. If yes, were you:

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* 14. If not, were you told to quarantine at home?

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* 15. If you were positive or got sick from coronavirus, how long did it take you to recover?

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* 16. If you were treated for COVID-19, what treatments were used:

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* 17. Tell us what happen to you:

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* 18. Other comments:

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