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Study Screening Questionnaire: Vaping 

We are looking for Research Participants for Dr. Harissios Vliagoftis Vaping Study titled:

“Acute airway inflammation induced by vaping”.

If you have been vaping nicotine-containing products for greater than three months OR if you are a non-smoker and have never vaped before, you might qualify for a Research Study conducted by physicians at the University of Alberta. The study will include 5 or 6 appointments within 2 to 3 weeks.

 Research is always voluntary, by completing this survey it does not mean you have to participate.

Version Date 01June2023

Pro00104035

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Do you currently Vape?
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If you do Vape, have you been vaping for longer than 3 months?
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Have you every been diagnosed with Asthma or another type of lung disease?
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If you are eligible for our study based on your responses, a member of the research team may contact you. If you agree to be contacted, please provide your name and phone number:
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