Respiratory Health Survey-P3-PreTraining

Over the last several years our group has studied lower respiratory tract (lung and bronchial) health in flight attendants exposed to environmental cigarette smoke during the era when smoking was allowed on commercial flights. This research has allowed us to study new approaches at preventing illness and optimizing health of current and former cabin crew. As part of our research, we would like to know more about upper respiratory health and to learn more about the interventions that we are testing, as well as other lifestyle and environmental issues and how they may influence upper respiratory health.

The following survey may help to shed light on these topics.

Thank you for your involvement, time and efforts!

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* 1. ID and Zip/Postal Codes

Your ID Code

ZIP/Postal Code

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* 2. Please enter today's date:

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* 3. Have you ever been diagnosed by a health care provider as having any of the following. Please mark all that apply.

Sinus infection (Sinusitis)

Rhino sinusitis or rhinitis

Nasal sinus polyps

Asthma

Bronchitis

Pneumonia

Influenza

Deviated nasal septum

Chronic obstructive pulmonary disease

Other lung disease or dysfunction

Laryngitis

Gum or mouth infections

Tonsillitis or other throat infections

Post nasal drip

Ear infections

Dry eye

Eye infections

Aspirin sensitivity

Headaches

Lower back pain

Allergies

Eczema

GERD (Gastro-Esophageal Reflux Disorder)

Intestinal disorders (Irritable Bowel Syndrome)

Autoimmune disorder or disease

Cardiovascular (Heart or vascular) disease or disorder

Stroke or Transient Ischemic Attack

I prefer not to respond to this question

Other (please specify)

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* 4. If you experienced any of the following disorders, please indicate the frequency.

	Rarely or never	Frequently	Chronic	I do not recall having this disorder or its frequency.	I prefer not to respond to this question
Sinusitis or Rhino-sinusitis	Sinusitis or Rhino-sinusitis Rarely or never	Sinusitis or Rhino-sinusitis Frequently	Sinusitis or Rhino-sinusitis Chronic	Sinusitis or Rhino-sinusitis I do not recall having this disorder or its frequency.	Sinusitis or Rhino-sinusitis I prefer not to respond to this question
Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma)	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) Rarely or never	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) Frequently	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) Chronic	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) I do not recall having this disorder or its frequency.	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) I prefer not to respond to this question
Tonsillitis or other throat infections	Tonsillitis or other throat infections Rarely or never	Tonsillitis or other throat infections Frequently	Tonsillitis or other throat infections Chronic	Tonsillitis or other throat infections I do not recall having this disorder or its frequency.	Tonsillitis or other throat infections I prefer not to respond to this question
Pneumonia or influenza	Pneumonia or influenza Rarely or never	Pneumonia or influenza Frequently	Pneumonia or influenza Chronic	Pneumonia or influenza I do not recall having this disorder or its frequency.	Pneumonia or influenza I prefer not to respond to this question
Bronchitis	Bronchitis Rarely or never	Bronchitis Frequently	Bronchitis Chronic	Bronchitis I do not recall having this disorder or its frequency.	Bronchitis I prefer not to respond to this question
Asthma	Asthma Rarely or never	Asthma Frequently	Asthma Chronic	Asthma I do not recall having this disorder or its frequency.	Asthma I prefer not to respond to this question
Allergies or reactivity to airborne irritants	Allergies or reactivity to airborne irritants Rarely or never	Allergies or reactivity to airborne irritants Frequently	Allergies or reactivity to airborne irritants Chronic	Allergies or reactivity to airborne irritants I do not recall having this disorder or its frequency.	Allergies or reactivity to airborne irritants I prefer not to respond to this question
Cough	Cough Rarely or never	Cough Frequently	Cough Chronic	Cough I do not recall having this disorder or its frequency.	Cough I prefer not to respond to this question
Laryngitis or hoarseness	Laryngitis or hoarseness Rarely or never	Laryngitis or hoarseness Frequently	Laryngitis or hoarseness Chronic	Laryngitis or hoarseness I do not recall having this disorder or its frequency.	Laryngitis or hoarseness I prefer not to respond to this question
Mouth or gum infections	Mouth or gum infections Rarely or never	Mouth or gum infections Frequently	Mouth or gum infections Chronic	Mouth or gum infections I do not recall having this disorder or its frequency.	Mouth or gum infections I prefer not to respond to this question
Ear infections	Ear infections Rarely or never	Ear infections Frequently	Ear infections Chronic	Ear infections I do not recall having this disorder or its frequency.	Ear infections I prefer not to respond to this question

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* 5. If you experienced any of these disorders, when were they worst?

	In my childhood	Adulthood before I began flying	During my career as a flight attendant	After I stopped working as a flight attendant (if applicable)	I do not recall ever having this disorder.	I prefer not to respond to this question
Sinusitis or Rhino-sinusitis	Sinusitis or Rhino-sinusitis In my childhood	Sinusitis or Rhino-sinusitis Adulthood before I began flying	Sinusitis or Rhino-sinusitis During my career as a flight attendant	Sinusitis or Rhino-sinusitis After I stopped working as a flight attendant (if applicable)	Sinusitis or Rhino-sinusitis I do not recall ever having this disorder.	Sinusitis or Rhino-sinusitis I prefer not to respond to this question
Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma)	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) In my childhood	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) Adulthood before I began flying	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) During my career as a flight attendant	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) After I stopped working as a flight attendant (if applicable)	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) I do not recall ever having this disorder.	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) I prefer not to respond to this question
Tonsillitis or other throat infections	Tonsillitis or other throat infections In my childhood	Tonsillitis or other throat infections Adulthood before I began flying	Tonsillitis or other throat infections During my career as a flight attendant	Tonsillitis or other throat infections After I stopped working as a flight attendant (if applicable)	Tonsillitis or other throat infections I do not recall ever having this disorder.	Tonsillitis or other throat infections I prefer not to respond to this question
Pneumonia or influenza	Pneumonia or influenza In my childhood	Pneumonia or influenza Adulthood before I began flying	Pneumonia or influenza During my career as a flight attendant	Pneumonia or influenza After I stopped working as a flight attendant (if applicable)	Pneumonia or influenza I do not recall ever having this disorder.	Pneumonia or influenza I prefer not to respond to this question
Bronchitis	Bronchitis In my childhood	Bronchitis Adulthood before I began flying	Bronchitis During my career as a flight attendant	Bronchitis After I stopped working as a flight attendant (if applicable)	Bronchitis I do not recall ever having this disorder.	Bronchitis I prefer not to respond to this question
Asthma	Asthma In my childhood	Asthma Adulthood before I began flying	Asthma During my career as a flight attendant	Asthma After I stopped working as a flight attendant (if applicable)	Asthma I do not recall ever having this disorder.	Asthma I prefer not to respond to this question
Allergies or reactivity to airborne irritants	Allergies or reactivity to airborne irritants In my childhood	Allergies or reactivity to airborne irritants Adulthood before I began flying	Allergies or reactivity to airborne irritants During my career as a flight attendant	Allergies or reactivity to airborne irritants After I stopped working as a flight attendant (if applicable)	Allergies or reactivity to airborne irritants I do not recall ever having this disorder.	Allergies or reactivity to airborne irritants I prefer not to respond to this question
Cough	Cough In my childhood	Cough Adulthood before I began flying	Cough During my career as a flight attendant	Cough After I stopped working as a flight attendant (if applicable)	Cough I do not recall ever having this disorder.	Cough I prefer not to respond to this question
Laryngitis or hoarseness	Laryngitis or hoarseness In my childhood	Laryngitis or hoarseness Adulthood before I began flying	Laryngitis or hoarseness During my career as a flight attendant	Laryngitis or hoarseness After I stopped working as a flight attendant (if applicable)	Laryngitis or hoarseness I do not recall ever having this disorder.	Laryngitis or hoarseness I prefer not to respond to this question
Mouth or gum infections	Mouth or gum infections In my childhood	Mouth or gum infections Adulthood before I began flying	Mouth or gum infections During my career as a flight attendant	Mouth or gum infections After I stopped working as a flight attendant (if applicable)	Mouth or gum infections I do not recall ever having this disorder.	Mouth or gum infections I prefer not to respond to this question
Ear infections	Ear infections In my childhood	Ear infections Adulthood before I began flying	Ear infections During my career as a flight attendant	Ear infections After I stopped working as a flight attendant (if applicable)	Ear infections I do not recall ever having this disorder.	Ear infections I prefer not to respond to this question

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* 6. Please indicate the last time you recall having each of these conditions.

	Within the last 30 days.	Three to twelve months ago.	One to five years ago.	More than 5 years ago.	I do not recall/ Not applicable	I prefer not to respond to this question.
Sinusitis or Rhino-sinusitis	Sinusitis or Rhino-sinusitis Within the last 30 days.	Sinusitis or Rhino-sinusitis Three to twelve months ago.	Sinusitis or Rhino-sinusitis One to five years ago.	Sinusitis or Rhino-sinusitis More than 5 years ago.	Sinusitis or Rhino-sinusitis I do not recall/ Not applicable	Sinusitis or Rhino-sinusitis I prefer not to respond to this question.
Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma)	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) Within the last 30 days.	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) Three to twelve months ago.	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) One to five years ago.	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) More than 5 years ago.	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) I do not recall/ Not applicable	Chronic Obstructive Pulmonary Disease or other lung dysfunction (other than asthma) I prefer not to respond to this question.
Tonsillitis or other throat infections	Tonsillitis or other throat infections Within the last 30 days.	Tonsillitis or other throat infections Three to twelve months ago.	Tonsillitis or other throat infections One to five years ago.	Tonsillitis or other throat infections More than 5 years ago.	Tonsillitis or other throat infections I do not recall/ Not applicable	Tonsillitis or other throat infections I prefer not to respond to this question.
Pneumonia or influenza	Pneumonia or influenza Within the last 30 days.	Pneumonia or influenza Three to twelve months ago.	Pneumonia or influenza One to five years ago.	Pneumonia or influenza More than 5 years ago.	Pneumonia or influenza I do not recall/ Not applicable	Pneumonia or influenza I prefer not to respond to this question.
Bronchitis	Bronchitis Within the last 30 days.	Bronchitis Three to twelve months ago.	Bronchitis One to five years ago.	Bronchitis More than 5 years ago.	Bronchitis I do not recall/ Not applicable	Bronchitis I prefer not to respond to this question.
Asthma	Asthma Within the last 30 days.	Asthma Three to twelve months ago.	Asthma One to five years ago.	Asthma More than 5 years ago.	Asthma I do not recall/ Not applicable	Asthma I prefer not to respond to this question.
Allergies or reactivity to airborne irritants	Allergies or reactivity to airborne irritants Within the last 30 days.	Allergies or reactivity to airborne irritants Three to twelve months ago.	Allergies or reactivity to airborne irritants One to five years ago.	Allergies or reactivity to airborne irritants More than 5 years ago.	Allergies or reactivity to airborne irritants I do not recall/ Not applicable	Allergies or reactivity to airborne irritants I prefer not to respond to this question.
Cough	Cough Within the last 30 days.	Cough Three to twelve months ago.	Cough One to five years ago.	Cough More than 5 years ago.	Cough I do not recall/ Not applicable	Cough I prefer not to respond to this question.
Laryngitis or hoarseness	Laryngitis or hoarseness Within the last 30 days.	Laryngitis or hoarseness Three to twelve months ago.	Laryngitis or hoarseness One to five years ago.	Laryngitis or hoarseness More than 5 years ago.	Laryngitis or hoarseness I do not recall/ Not applicable	Laryngitis or hoarseness I prefer not to respond to this question.
Mouth or gum infections	Mouth or gum infections Within the last 30 days.	Mouth or gum infections Three to twelve months ago.	Mouth or gum infections One to five years ago.	Mouth or gum infections More than 5 years ago.	Mouth or gum infections I do not recall/ Not applicable	Mouth or gum infections I prefer not to respond to this question.
Ear infections	Ear infections Within the last 30 days.	Ear infections Three to twelve months ago.	Ear infections One to five years ago.	Ear infections More than 5 years ago.	Ear infections I do not recall/ Not applicable	Ear infections I prefer not to respond to this question.

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* 7. In your own experience, please tell us about any triggers that are associated with nasal or sinus congestion or infection. Please include both environmental triggers and other health associated factors that may be related to onset or duration of these problems.

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* 8. Regarding the wellness activities that are part of your life, please indicate any category in which you have participated over the last year. Select as many as apply. Select the frequency category that best applies to your activities.

	None	Less than 10 minutes a week	Less than an hour a week	2 to 6 hours per week	7 to 15 hours per week	16 or more hours per week
Meditative movement (Tai Chi, Qigong, Yoga, or similar)	Meditative movement (Tai Chi, Qigong, Yoga, or similar) None	Meditative movement (Tai Chi, Qigong, Yoga, or similar) Less than 10 minutes a week	Meditative movement (Tai Chi, Qigong, Yoga, or similar) Less than an hour a week	Meditative movement (Tai Chi, Qigong, Yoga, or similar) 2 to 6 hours per week	Meditative movement (Tai Chi, Qigong, Yoga, or similar) 7 to 15 hours per week	Meditative movement (Tai Chi, Qigong, Yoga, or similar) 16 or more hours per week
Seated meditation	Seated meditation None	Seated meditation Less than 10 minutes a week	Seated meditation Less than an hour a week	Seated meditation 2 to 6 hours per week	Seated meditation 7 to 15 hours per week	Seated meditation 16 or more hours per week
Strength training (Weight training, resistance machines, or similar)	Strength training (Weight training, resistance machines, or similar) None	Strength training (Weight training, resistance machines, or similar) Less than 10 minutes a week	Strength training (Weight training, resistance machines, or similar) Less than an hour a week	Strength training (Weight training, resistance machines, or similar) 2 to 6 hours per week	Strength training (Weight training, resistance machines, or similar) 7 to 15 hours per week	Strength training (Weight training, resistance machines, or similar) 16 or more hours per week
Endurance (Aerobic ) training (Walking, running, jogging, cycling, etc)	Endurance (Aerobic ) training (Walking, running, jogging, cycling, etc) None	Endurance (Aerobic ) training (Walking, running, jogging, cycling, etc) Less than 10 minutes a week	Endurance (Aerobic ) training (Walking, running, jogging, cycling, etc) Less than an hour a week	Endurance (Aerobic ) training (Walking, running, jogging, cycling, etc) 2 to 6 hours per week	Endurance (Aerobic ) training (Walking, running, jogging, cycling, etc) 7 to 15 hours per week	Endurance (Aerobic ) training (Walking, running, jogging, cycling, etc) 16 or more hours per week
Sports	Sports None	Sports Less than 10 minutes a week	Sports Less than an hour a week	Sports 2 to 6 hours per week	Sports 7 to 15 hours per week	Sports 16 or more hours per week
Occupational activity that you feel supports your wellness.	Occupational activity that you feel supports your wellness. None	Occupational activity that you feel supports your wellness. Less than 10 minutes a week	Occupational activity that you feel supports your wellness. Less than an hour a week	Occupational activity that you feel supports your wellness. 2 to 6 hours per week	Occupational activity that you feel supports your wellness. 7 to 15 hours per week	Occupational activity that you feel supports your wellness. 16 or more hours per week
Calisthenic type activities (Zumba, Pilates, etc)	Calisthenic type activities (Zumba, Pilates, etc) None	Calisthenic type activities (Zumba, Pilates, etc) Less than 10 minutes a week	Calisthenic type activities (Zumba, Pilates, etc) Less than an hour a week	Calisthenic type activities (Zumba, Pilates, etc) 2 to 6 hours per week	Calisthenic type activities (Zumba, Pilates, etc) 7 to 15 hours per week	Calisthenic type activities (Zumba, Pilates, etc) 16 or more hours per week
Other	Other None	Other Less than 10 minutes a week	Other Less than an hour a week	Other 2 to 6 hours per week	Other 7 to 15 hours per week	Other 16 or more hours per week

Other (please specify)

Thank you for your time and commitment to this project!