SOURCE Data Collection Forms and QxQs (Current)

Codesort descending Version Title Date Form QxQ
AES 1.0 Adverse Events Form 02/24/2021 PDF icon PDF PDF icon PDF
ALD 1.0 Aldrete Score Form 02/15/2022 PDF icon PDF PDF icon PDF
ANT 1.0 Anthropometry Form 02/24/2021 PDF icon PDF PDF icon PDF
BCT 2.0 Bronchoscopy Sub-study Informed Consent Tracking Form 06/23/2023 PDF icon PDF PDF icon PDF
BCW 2.0 Bronchoscopy Sub-study Specimen Collection Worksheet 05/09/2023 PDF icon PDF PDF icon PDF
BEQ 1.0 Baseline Exacerbation Questionnaire 02/24/2021 PDF icon PDF PDF icon PDF
BID 1.0 Bronchoscopy Sub-study Label ID Form 02/15/2022 PDF icon PDF PDF icon PDF
BIE 1.0 Bronchoscopy Sub-study Inclusion Exclusion Criteria Form 10/25/2022 PDF icon PDF PDF icon PDF
BIF 1.0 Follow-up Biospecimen Collection Form 04/06/2023 PDF icon PDF PDF icon PDF
BIO 1.0 Biospecimen Collection Form 06/24/2021 PDF icon PDF PDF icon PDF
BMB 1.0 Bronchoscopy Sub-study Mucin Brush Label ID Form 02/15/2022 PDF icon PDF PDF icon PDF
BMU 1.0 Bronchoscopy Sub-study Mucin Label ID Form 02/15/2022 PDF icon PDF PDF icon PDF
BPF 1.0 Blood Pressure Form 06/10/2021 PDF icon PDF PDF icon PDF
BPW 3.0 Bronchoscopy Sub-study Specimen Processing Worksheet 07/17/2023 PDF icon PDF PDF icon PDF
BSL 1.0 Bronchoscopy Sub-study Sputum Slide Label ID Form 02/15/2022 PDF icon PDF PDF icon PDF
BSW 1.0 Bronchoscopy Sub-study Withdrawal Form 02/15/2022 PDF icon PDF PDF icon PDF
BSY 1.0 Bronchoscopy Sub-study Sputolysin Label ID Form 02/15/2022 PDF icon PDF PDF icon PDF
CAA 1.0 Chronic Airway Assessment Test (CAAT) 06/03/2021 PDF icon PDF PDF icon PDF
CAP 1.0 COPD Assessment in Primary Care to Identify Undiagnosed Respiratory Disease and Exacerbation Risk (CAPTURE) 02/24/2021 PDF icon PDF PDF icon PDF
CBC 1.0 CBC Results Form 02/24/2021 PDF icon PDF PDF icon PDF
CIF 1.0 Contact Information Form 03/03/2021 PDF icon PDF PDF icon PDF
COF 1.0 Follow-up COVID-19 History Questionnaire 10/21/2022 PDF icon PDF PDF icon PDF
COQ 1.0 COVID-19 History Questionnaire 10/20/2022 PDF icon PDF PDF icon PDF
CSF 1.0 Clinically Significant Findings Form 07/26/2022 PDF icon PDF PDF icon PDF
CTA 1.0 CT Image Acquisition Form 02/24/2021 PDF icon PDF PDF icon PDF
CTF 1.0 Follow-up CT Image Acquisition Form 10/21/2022 PDF icon PDF PDF icon PDF
DEM 1.0 Demographic Information Form 06/24/2021 PDF icon PDF PDF icon PDF
DNA 1.0 DNA PAXgene Label ID Form 03/08/2021 PDF icon PDF PDF icon PDF
EBC 1.0 Exhaled Breath Condensate Collection Form 02/24/2021 PDF icon PDF PDF icon PDF
ECA 1.0 Baseline E-Cigarette Use Assessment 04/23/2021 PDF icon PDF PDF icon PDF
ECF 1.0 Follow-up E-Cigarette Use Assessment 10/21/2022 PDF icon PDF PDF icon PDF
EHB 1.0 Baseline Employment History Form 09/21/2022 PDF icon PDF PDF icon PDF
EHF 1.0 Follow-up Employment History Form 02/24/2023 PDF icon PDF PDF icon PDF
ELH 1.0 Early Life History Questionnaire 06/08/2021 PDF icon PDF PDF icon PDF
FEQ 1.0 Follow-up Exacerbation Questionnaire 10/21/2022 PDF icon PDF PDF icon PDF
FUQ 1.0 Follow-up Phone Questionnaire 02/09/2022 PDF icon PDF PDF icon PDF
HDS 1.0 Hospital Anxiety and Depression Scale (HADS) 11/11/2021 PDF icon PDF PDF icon PDF
HIF 1.0 Follow-up Home Information Questionnaire 10/21/2022 PDF icon PDF PDF icon PDF
HIQ 1.0 Baseline Home Information Questionnaire 02/25/2021 PDF icon PDF PDF icon PDF
IEC 2.0 Inclusion/Exclusion Criteria Form 11/01/2021 PDF icon PDF PDF icon PDF
ISP 2.0 Induced Sputum Worksheet 09/09/2022 PDF icon PDF PDF icon PDF
ISW 2.0 Induced Sputum Worksheet 09/09/2022 PDF icon PDF PDF icon PDF
ITF 2.0 Informed Consent Tracking Form 09/09/2021 PDF icon PDF PDF icon PDF
LAB 1.0 Biospecimen Label ID Form 02/24/2021 PDF icon PDF PDF icon PDF
MED 1.0 Baseline Medication Use Questionnaire 06/24/2021 PDF icon PDF PDF icon PDF
MEF 1.0 Follow-up Medication Use Questionnaire 10/21/2022 PDF icon PDF PDF icon PDF
MHB 1.0 Baseline Medical History Form 02/25/2021 PDF icon PDF PDF icon PDF
MHF 1.0 Follow-up Medical History Form 10/21/2022 PDF icon PDF PDF icon PDF
MRC 1.0 Modified Medical Research Council Dyspnea Scale 02/24/2021 PDF icon PDF PDF icon PDF
MUC 1.0 Mucin Label ID Form 03/08/2021 PDF icon PDF PDF icon PDF
NQS 1.0 NutritonQuest Questionnaire Label ID Form 03/23/2021 PDF icon PDF, PDF icon PDF, PDF icon PDF PDF icon PDF
NQT 1.0 NutritionQuest Tracking Form 03/23/2021 PDF icon PDF PDF icon PDF
NSB 1.0 Nasal Swab Label ID Form 10/07/2021 PDF icon PDF PDF icon PDF
OSC 1.0 Oscillometry Data Form 04/29/2021 PDF icon PDF PDF icon PDF
OSR 1.0 Oscillometry Reading Center Data Form 02/25/2021 PDF icon PDF PDF icon PDF
PFE 1.0 Pulmonary Function Eligibility Form 02/24/2021 PDF icon PDF PDF icon PDF
PID 1.0 Personal Identifiers Form 02/24/2021 PDF icon PDF PDF icon PDF
PSS 2.0 Participant Eligibility Status and Stratum Form 06/21/2022 PDF icon PDF PDF icon PDF
RDF 1.0 Follow-up Respiratory Disease and Smoke Exposure Questionnaire 10/21/2022 PDF icon PDF PDF icon PDF
RDS 3.0 Baseline Respiratory Disease and Smoke Exposure Questionnaire 05/31/2022 PDF icon PDF PDF icon PDF
RNA 1.0 RNA PAXgene Label ID Form 03/08/2021 PDF icon PDF PDF icon PDF
RSW 1.0 Reason for Study Withdrawal Form 02/24/2021 PDF icon PDF PDF icon PDF
RTF 1.0 Recruitment Tracking Form 07/15/2022 PDF icon PDF PDF icon PDF
SDF 2.0 Spirometry Data Form 08/18/2022 PDF icon PDF PDF icon PDF
SGR 1.0 St. George's Respiratory Questionnaire 05/18/2021 PDF icon PDF PDF icon PDF
SKF 1.0 Stool Kit Label ID Form 02/24/2021 PDF icon PDF PDF icon PDF
SLI 1.0 Sputum Slide Label ID Form 03/08/2021 PDF icon PDF PDF icon PDF
SLY 1.0 Sputolysin Label ID Form 03/08/2021 PDF icon PDF PDF icon PDF
SPU 1.0 Sputum Slide Form 07/02/2021 PDF icon PDF PDF icon PDF
SPW 1.0 Sputum Processing Worksheet 11/23/2021 PDF icon PDF PDF icon PDF
STL 1.0 Stool Sample Collection Form 02/24/2021 PDF icon PDF, PDF icon PDF PDF icon PDF
TEC 1.0 Bronchoscopy Sub-study Temporary Exclusion Criteria Form 10/25/2022 PDF icon PDF PDF icon PDF