This free survey is powered by QUESTIONPRO.COM
0%
Exit Survey »
 
 
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.

 
 
 
 
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
 
 
Survey Software Powered by QuestionPro Survey Software