COPD Video Series Survey

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* 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

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* 2. Are you currently enrolled in other programs for COPD management (For example: Pulmonary Rehab, other COPD management program)?

Yes

No

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* 3. If you answered yes to the question above, please type in the program name

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* 4. Did the video modules that you viewed help you better understand how to take care of your condition?

Yes

No

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* 5. How satisfied are you with the video presentations?

Very unsatisfied

Unsatisfied

Neutral

Satisfied

Very Satisfied

Very unsatisfied

Unsatisfied

Neutral

Satisfied

Very Satisfied

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* 6. Please type in any additional comments you have about the video presentations.

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* 7. ZIP Code