Patient Survey: Bronchiectasis and COPD

Thank you for your interest in participating in this survey. We are collaborating with Insmed Incorporated (a pharmaceutical company) on a project to better understand the patient journey for individuals diagnosed with COPD and/or bronchiectasis.

You are not required to provide personal information in your responses to the questions in this survey. Your responses are not linked to your COPD360social, BronchandNTM360social, Facebook, or Instagram account.

By completing the survey, you acknowledge that the COPD Foundation/Bronchiectasis and NTM Association has your consent to analyze the responses (data) and to potentially publish the de-identified results in a medical journal. No personal information about you will be shared publicly or included in potential publication of the results of this research, and your responses will not be able to be linked back to you. Your participation in the survey is completely voluntary, and you are not required to share any information that could identify you.

Have you been diagnosed with any of the following lung conditions? Please select all that apply.

Has a doctor ever suggested that you might have another lung condition in addition to your COPD?

Before you were diagnosed with bronchiectasis and/or NTM lung disease, whichever came first, had a doctor given you any of these diagnoses to explain your breathing symptoms? Please select all that apply.

The next two questions will ask you about your symptoms and treatment for your lung condition(s). We are specifically interested in the lung condition(s) you identified in question #1: COPD, Bronchiectasis, and/or NTM.

Thinking about your lung condition(s) over the past 12 months, which of the following have been true for you? Please select all that apply.

Have you had any of the following diagnostic tests? Please select all that apply

Please specify how long ago you had a chest x-ray:

Please specify how long ago you had a CT scan of your chest: