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COPD Video Series Survey
1.
Which of the video modules did you view (You may choose more than one answer)?
Overview
COPD Medications
Stress Management
Nutrition
Smoking Cessation
Home Equipment
Infection Prevention Measures
Aerobic Exercise and Breathing
Breathing Easy with Exercise
Flexibility Training
Strength and Breathing
2.
Are you currently enrolled in other programs for COPD management (For example: Pulmonary Rehab, other COPD management program)?
Yes
No
3.
If you answered yes to the question above, please type in the program name
4.
Did the video modules that you viewed help you better understand how to take care of your condition?
Yes
No
5.
How satisfied are you with the video presentations?
Very unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
Very unsatisfied
Unsatisfied
Neutral
Satisfied
Very Satisfied
6.
Please type in any additional comments you have about the video presentations.
7.
ZIP Code
Current Progress,
0 of 7 answered