JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Asbestos-related Lung Disease Research Priorities
Thank you for taking the time to complete this short survey on what you feel should be a priority in asbestos-related lung disease.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Are you a...
*
Patient
Relative of a patient
Carer
Other:
What asbestos-related lung disease have you personally experienced as a patient, friend, carer?
*
Asbestos-related pleural plaques
Asbestos-related pleural thickening
Asbestosis
Mesothelioma
Lung Cancer
Other:
Required
What do you feel should be prioritised in research in to asbestos-related lung disease? What questions would you like asbestos-related lung disease research focus on? e.g. causes, treatments, diagnosis, experiences, support etc
*
Your answer
We are looking to establish a Patient & Public Involvement group for interstitial and occupational lung diseases. This is would be to help generate research ideas and represent patient views on study designs. Likely 1-2x/year input. If you would be interested in joining this group, please leave your name, email address and whether you are a patient/ relative in the box below.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report