Get American Thoracic Society And National Heart & Lung Institute - Division Of Lung

This guide provides detailed instructions for completing the American Thoracic Society and National Heart & Lung Institute - Division of Lung Disease Respiratory Questionnaire. By following these steps, users can accurately and efficiently fill out the form online, ensuring their responses contribute to important medical research.

Follow the steps to complete the questionnaire seamlessly.

1. Press the ‘Get Form’ button to access the questionnaire and open it in your editing tool.
2. Begin by entering your identification details. This includes your identification number, name (last, first, and middle initial), street address, city, state, and ZIP code. Make sure to provide a valid phone number for contact purposes.
3. Next, complete the demographic information. Fill in your birthdate, place of birth, gender, marital status, race, and highest education level. Use the checkbox options provided for gender, marital status, and race.
4. Move on to the symptoms section. Answer all questions related to your symptoms of cough, phlegm production, wheezing, and breathlessness. Use the yes/no checkboxes where applicable and provide additional information when prompted.
5. Proceed to the past illnesses and occupational history section. Answer questions regarding previous lung troubles, chest illnesses, and your work history, including any exposure to dust or chemicals.
6. Complete the tobacco smoking section. Indicate your smoking history, current habits, and provide any relevant details about your smoking patterns.
7. Finally, fill out the family history section. Provide information about any chronic lung conditions your immediate family members may have had, as well as their current health status.
8. Once all sections are filled out, review your responses for accuracy. After verification, save your changes. You can also download, print, or share the completed questionnaire as needed.

Start completing your questionnaire online to contribute valuable information for lung health research.