Data Collection Forms and QxQs (Current)

Code Version Title Datesort descending Form QxQ
HGS 1.0 Hand Grip Strength Form 09/20/2017 PDF icon PDF PDF icon PDF
MCQ 2.0 Questionnaire for Ease and Cough and Sputum Clearance 10/09/2017 PDF icon PDF PDF icon PDF
MRC 2.0 Modified Medical Research Council Dyspnea Scale 10/09/2017 PDF icon PDF PDF icon PDF
SDF 2.0 Spirometry Data Form 10/09/2017 PDF icon PDF PDF icon PDF
HDS 2.0 Hospital Anxiety and Depression Scale 10/09/2017 PDF icon PDF PDF icon PDF
DEM 4.0 Demographic Information Form 10/23/2017 PDF icon PDF PDF icon PDF
SGR 3.0 St. George's Respiratory Questionnaire 10/24/2017 PDF icon PDF PDF icon PDF
AES 2.0 Adverse Events Form 10/25/2017 PDF icon PDF PDF icon PDF
CAT 2.0 COPD Assessment Test 11/03/2017 PDF icon PDF PDF icon PDF
SFH 3.0 SF12 Health Survey 11/07/2017 PDF icon PDF PDF icon PDF
RSW 2.0 Reason for Study Withdrawal Form 11/08/2017 PDF icon PDF PDF icon PDF
PFE 1.0 Pulmonary Function Eligibility Form 11/15/2017 PDF icon PDF PDF icon PDF
LAB 2.0 Lab ID Form 12/13/2017 PDF icon PDF PDF icon PDF
VSA 2.0 Veterans Specific Activity Questionnaire 12/14/2017 PDF icon PDF PDF icon PDF
EHA 2.0 Employment History Form for Follow-Up 12/18/2017 PDF icon PDF PDF icon PDF
CTF 2.0 Image Acquisition Form for Follow-Up 12/22/2017 PDF icon PDF PDF icon PDF
MHF 3.0 Medical History Form for Follow-Up 01/09/2018 PDF icon PDF PDF icon PDF
PID 3.0 Personal Identifiers Form 01/09/2018 PDF icon PDF PDF icon PDF
SMW 3.0 Six Minute Walk Test 01/17/2018 PDF icon PDF PDF icon PDF
CIF 3.0 Contact Information Form 01/31/2018 PDF icon PDF PDF icon PDF
SPU 2.0 Sputum Slide Form 02/01/2018 PDF icon PDF PDF icon PDF
SPB 1.0 Short Physical Performance Battery 02/05/2018 PDF icon PDF PDF icon PDF
ANT 2.0 Anthropometry Form 02/13/2018 PDF icon PDF PDF icon PDF
FUQ 3.0 Follow-Up Phone Questionnaire 02/27/2018 PDF icon PDF PDF icon PDF
FEQ 1.0 Follow-Up Exacerbation Questionnaire 03/06/2018 PDF icon PDF PDF icon PDF
ECF 2.0 e-Cigarette Use Assessment for Follow-Up Form 03/08/2018 PDF icon PDF PDF icon PDF
HIQ 2.0 Home Information Questionnaire 03/12/2018 PDF icon PDF PDF icon PDF
FCT 2.0 Functional Assessment of Chronic Illness Therapy-Fatigue 03/13/2018 PDF icon PDF PDF icon PDF
BPF 3.0 Blood Pressure Form 05/08/2018 PDF icon PDF PDF icon PDF
PAX 1.0 Paxgene Lab ID Form 05/09/2018 PDF icon PDF PDF icon PDF
LYS 1.0 Lysate Lab ID Form 05/10/2018 PDF icon PDF PDF icon PDF
SLI 1.0 Sputum Slide Lab ID Form 05/10/2018 PDF icon PDF PDF icon PDF
BIO 4.0 Biospecimen Collection Form 05/22/2018 PDF icon PDF PDF icon PDF
FEE 1.0 Follow-Up Exacerbation Extended Questionnaire 05/23/2018 PDF icon PDF PDF icon PDF
CBC 3.0 CBC Results Form 05/31/2018 PDF icon PDF PDF icon PDF
CSF 1.0 Clinically Significant Findings Form 05/31/2018 PDF icon PDF PDF icon PDF
ITF 3.0 Informed Consent Tracking Form 06/04/2018 PDF icon PDF PDF icon PDF
SPW 5.0 Sputum Processing Worksheet 06/05/2018 PDF icon PDF PDF icon PDF
MUC 1.0 Mucin Lab ID Form 06/11/2018 PDF icon PDF PDF icon PDF
PLI 2.0 Phantom Lab ID Form 06/13/2018 PDF icon PDF PDF icon PDF
SLY 1.0 Sputolysin Lab ID Form 06/14/2018 PDF icon PDF PDF icon PDF
ISP 3.0 Induced Sputum Worksheet 07/23/2018 PDF icon PDF PDF icon PDF
ISW 3.0 Induced Sputum Worksheet 07/23/2018 PDF icon PDF PDF icon PDF
RRM 1.0 Revised Respiratory Medication Use Questionnaire 08/14/2018 PDF icon PDF PDF icon PDF
RDF 2.0 Respiratory Disease and Smoke Exposure Questionnaire for Follow-Up 08/24/2018 PDF icon PDF PDF icon PDF
TEC 1.0 Temporary Exclusion Criteria Form 08/29/2018 PDF icon PDF PDF icon PDF