Clinical COPD

Clinical COPD







    PLEASE CHECK THE NUMBER OF THE RESPONSE THAT BEST DESCRIBES HOW YOU HAVE BEEN FEELING DURING THE PAST WEEK.
    (Only one response for each question).

    • On average, during the past week, how often did you feel:





    • In general, during the past week, how much of the time:



    • On average, during the past week, how limited were you in these activities
    because of your breathing problems:





    THANK YOU FOR COMPLETING THIS QUESTIONNAIRE.

    STAFF USE ONLY
    Participants NHS Number:
    Researchers Name:
    NHS Site Number:
    NHS Site Name:
    Postcode: