| HIQ |
2 |
Home Information Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| ANT |
2 |
Anthropometry Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure |
| BIO |
4 |
Biospecimen Collection Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| BPF |
3 |
Blood Pressure Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure |
| CBC |
3 |
CBC Results Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy |
| CSF |
1 |
Clinically Significant Findings Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| CIF |
3 |
Contact Information Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| CAT |
2 |
COPD Assessment Test |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Exacerbation |
| COV |
1 |
COVID-19 Questionnaire Wave 1 |
|
PDF
|
PDF
|
C4R, Phone Call Follow-up, Visit 5 (SPIROMICS II) |
| CVQ |
1 |
COVID-19 Vaccine Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy, Exacerbation, Phone Call Follow-up |
| DEM |
4 |
Demographic Information Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| ECF |
3 |
e-Cigarette Use Assessment for Follow-Up Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy, Exacerbation, Phone Call Follow-up |
| EHA |
2 |
Employment History Form for Follow-Up |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| EBC |
1 |
Exhaled Breath Condensate Collection Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
| FEE |
1 |
Follow-Up Exacerbation Extended Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| FEQ |
1 |
Follow-Up Exacerbation Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| FUQ |
5 |
Follow-Up Phone Questionnaire |
|
PDF
|
PDF
|
Phone Call Follow-up, Visit 5 (SPIROMICS II) |
| FCT |
2 |
Functional Assessment of Chronic Illness Therapy-Fatigue |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| HBC |
1 |
Hair and Buccal Collection Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| HGS |
1 |
Hand Grip Strength Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| HDS |
2 |
Hospital Anxiety and Depression Scale |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| CTF |
3 |
Image Acquisition Form for Follow-Up |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| ISP |
5 |
Induced Sputum Worksheet |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
| ISW |
5 |
Induced Sputum Worksheet |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
| ITF |
4 |
Informed Consent Tracking Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| LAB |
2 |
Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| LYS |
1 |
Lysate Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| MHF |
3 |
Medical History Form for Follow-Up |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| MRC |
2 |
Modified Medical Research Council Dyspnea Scale |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| MUC |
1 |
Mucin Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| NQT |
1 |
Nutritionquest Tracking Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
| NQS |
1 |
Nutritonquest Questionnaire ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
| OSC |
1 |
Oscillometry Data Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
| OSR |
1 |
Oscillometry Reading Center Data Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
| PAX |
1 |
Paxgene Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| PID |
3 |
Personal Identifiers Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| PLI |
2 |
Phantom Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| PFE |
1 |
Pulmonary Function Eligibility Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy, Exacerbation |
| MCQ |
2 |
Questionnaire for Ease and Cough and Sputum Clearance |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| RSW |
2 |
Reason for Study Withdrawal Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| RDF |
2 |
Respiratory Disease and Smoke Exposure Questionnaire for Follow-Up |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Exacerbation |
| RRM |
1 |
Revised Respiratory Medication Use Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Exacerbation |
| SFH |
3 |
SF12 Health Survey |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| SPB |
1 |
Short Physical Performance Battery |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| SMW |
4 |
Six Minute Walk Test |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| SDF |
2 |
Spirometry Data Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy, Exacerbation |
| SLY |
1 |
Sputolysin Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| SPW |
6 |
Sputum Processing Worksheet |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy, Exacerbation |
| SPU |
3 |
Sputum Slide Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy, Exacerbation |
| SLI |
1 |
Sputum Slide Lab ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| SGR |
3 |
St. George's Respiratory Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
| SKF |
1 |
Stool Kit ID Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
| STL |
1 |
Stool Sample Collection Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Bronchoscopy |
| TEC |
2 |
Temporary Exclusion Criteria Form |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II), Heart Failure, Bronchoscopy, Exacerbation, Phone Call Follow-up |
| VSA |
2 |
Veterans Specific Activity Questionnaire |
|
PDF
|
PDF
|
Visit 5 (SPIROMICS II) |
