APEX study: helping to understand asthma attacks

1

Are you aged over 18?* This field is required.This is a requirement to take part in the study.

YESNO

2

Have you been diagnosed with asthma?* This field is required.This is a requirement to take part in the study.

YESNO

3

Have you had an asthma attack in the last 2 years?* This field is required.This is NOT a requirement to take part in the study but will help inform the research team.

YESNO

4

Can you confirm that you're able to visit the site at Nottingham City Hospital for the required visits?* This field is required.You will be reimbursed reasonable travel expenses.

YESNO

5

Do you consent to the information entered here being stored by Lindus Health, subject to the terms of our privacy policy, and being shared with the research team?* This field is required.This is required so that the study can contact you with further details about participation. We will never share your data without your explicit consent.

YESNO

6

Great, you could be eligible for this study! What is your name?* This field is required.In the following questions we will just ask for your name, email, and phone number so that the research team can contact you.

First Name

Last Name

7

And what's your email address?* This field is required.In the following questions we will just ask for your name, email, and phone number so that the research team can contact you.

example@example.com

Confirm Email

8

And finally, your phone number?Your mobile number will only be shared with the research team to contact you about this study.