Have you been diagnosed with COPD more than 1 year ago?

Are you treated with inhalers daily for COPD?

Have you experienced flare-ups/worsening of your COPD within the last 12 months?

Have you received a prescription for corticosteroids such as prednisone and/or antibiotics within the last 12 months due to worsening of COPD?

Have you been hospitalised within the last 12 months due to worsening of COPD?

Have you been diagnosed with asthma?

Have you been diagnosed with any lung disease other than COPD?

Are you currently taking any of the immunosuppressive therapies listed below?

Select all that apply:

Are you currently treated with long-term-oxygen therapy with more than 4.0 L/minute?

In the past 5 years, have you been diagnosed with cancer (not including common types of skin cancer)?

Please indicate your smoking status below

Informed consent

The British Research Panel is a voluntary patient community, founded and run by the patient organization, James Lind Care. When you give your consent for the purposes below, you also give James Lind Care employees who work for the Research Panel the right to process your information in this questionnaire. You can always withdraw your consent by writing to info@britishresearchpanel.co.uk

I hereby authorize the British Research Panel to store and process my data so that they can contact me about participation in research projects. You can read more about how we process your data at this link: https://britishresearchpanel.co.uk/data-privacy-policy/

CONTACT

British Research Panel
info@britishresearchpanel.co.uk

James Lind Care:
info@jameslindcare.com

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ORGANISATION

The British Research Panel is an initiative by James Lind Care, an organisation specialising in building patient communities in Europe.

Head office and management is in Copenhagen, Denmark.

© James Lind Care

DATA PROTECTION

James Lind Care and hereby The British Research Panel have permission from the Danish Data Protection Authority, to collect and store personal data of EU citizens once they have given consent.

The British Research Panel complies with the provisions of the new EU regulation on personal data, which became effective the 25th of May, 2018.

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