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Surveys
2012
September
T
TTP
TTP
Thrombotic Thrombocytopenic Purpura Questionnaire
0%
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Hello:
You are invited to participate in our survey on Thrombotic Thrombocytopenic Purpura (TTP). In this survey, approximately 450 people will be asked to complete a survey that asks questions about TTP. It will take approximately 3 minutes to complete the questionnaire. If you see any errors or anything that you believe should be added or deleted, please contact me.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact the email address specified below.
Link: http://questionpro.com/t/AJJAkZOJ1K
Email:
[email protected]
Thank you very much for your time and support. Please start with the survey now by clicking on the button below.
I Agree
What sex are you?
Female
Male
When were you first diagnosed with TTP?
In my teens
In my 20's
In my 30's
In my 40's
In my 50's
Other
What type of TTP do you have?
Idiopathic
Secondary
If Idiopathic, which type?
Acute
Chronic
Relapsing
Familial
If Secondary, what was the cause?
Pregnancy
Bacterial Endocarditis
Autoimmune
Neoplasm
Drug induced
HIV associated
Other
What treatment / procedure was performed?
Blood transfusion
Plasma exchange
Splenectomy
Kidney dialysis
Other
What medications are you / were you on for treatment?
Glucocorticoids
Azathioprine
Cyclophosphamide
Ciclosporin
Vincristine
Rituximab
Cyclosporine A.
Aspirin
Dipyridamole
Prosorba
Folic Acid
Hepatitis B vaccination
Other
What organs were affected because of TTP?
Kidneys
Lungs
Brain
Heart
Pancreas
Adrenals
Spleen
Skin
Other
How many relapses have you had?
0
1
2
3
4
5
Other
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