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Cold, flu and Respiratory Syncytial Virus (RSV) are common respiratory infections experienced by young children, which affect daily family activities, such as sleep disturbance and missed days from school and work. The questionnaire is designed for caregivers who have experience caring for a child suffering from these respiratory viral infections, including cold, flu and RSV, to explore the problems and impacts of the diseases on family life. This short survey should only take 5 minutes of your time.

Misti is on a mission to protect all from preventable infections irrespective of birthplace globally, and your experience will help advance a solution to impact the most vulnerable people affected positively.

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* 1. Your full name

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* 2. At what email address would you like to be contacted?

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* 3. Your relationship with the child who experienced a cold or flu? 

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* 4. How many children do you have?

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* 5. How old is the child being referred to in this survey now? i.e. you may have more than one child who experienced a cold or flu and may mention the experience of taking care of one of them.

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* 6. I am happy to include my written responses from this survey to support the research and development activities around respiratory illnesses.

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* 7. How often was your child infected with a cold, flu or RSV, ever (if the child is 0-36 months old) or in the last 3 years (if the child is 3 years old and above)?

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* 8. How old was the child when they were first infected with a cold or flu? You may make an estimated guess.

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* 9. Thinking about the child's most recent flu-like infection. What were the symptoms of the flu-like infection/s affecting your child? Select all that apply.

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* 10. How significantly did you find your child's cold/ flu impacted your family life?

  Didn't affect me at all Slightly Moderate Significant Very significant
Sleep disturbance
Disrupt normal life routine
Missed days from school and work
Stress and worries when coping with sick child

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* 11. What did you do to relieve the flu-like symptoms?

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* 12. Do you own any of these supplies?

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* 13. Rank these sources of information that you are most likely to seek for treatment advice for your child's flu-like symptoms, with 1 being the most likely and 5 being the least likely.

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* 14. Does your child have chronic respiratory (e.g. Asthma, COPD) or other conditions?

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* 15. If yes, what is the condition?

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* 16. Anything else you would like to share with us? 

Thank you for filling in this survey. We are developing a product to support the discomfort caused by flu-like nasal congestion and running online focused discussions with parents to understand the pain points better and hear your thoughts on Misti's prototype.

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* 17. Are you open to a 45-minute virtual call at a time that best suits you? Otherwise, we will send you our research updates every three months.

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What is Misti doing?
Misti is preparing for the first production of our "MyMisti" device to be available in 2025. This is a medical-grade technology that will deliver targeted, soft and deep mist using normal saline, safe for babies from birth without the burn risks from steam. Misti will effectively and rapidly relieve nasal congestion symptoms associated with cold and flu after 5 minutes. We want to help your child breathe their best and help recover as quickly as possible.

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* 18. We are registering interest* for early users to access our new product. If you would like to access an innovative product, please tick the box below, and we will be in touch. 

*Priority will be placed on those who have registered interest

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* 19. Who referred you to this survey?

If you know other parents with experience in caring for children with flu-like illnesses, send them this survey link so they can join the discussion about the illness' impact and make a positive change. Thank you for your valuable time in completing this survey. We are grateful for your input and support.

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