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COPD Population Screener

  State/Gender

 

 

 


 
Question - Not Required - During the past 4 weeks, how much of the time did you feel short of breath?

 
Question - Not Required - Do you ever cough up any "stuff," such as mucus or phlegm?

 
Question - Not Required - I do less than I used to because of my breathing problems.

 
Question - Not Required - Have you smoked at least 100 cigarettes in your ENTIRE LIFE?

 
Question - Not Required - How old are you?

   


   Please leave this field empty