Questionnaire to understand the ongoing effects of Covid19

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1. A little bit about you
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This is a short, anonymous questionnaire from the NIHR Centre for Engagement and Dissemination that asks about your personal experiences of ongoing Covid19, otherwise known as long Covid or long-haul Covid. This questionnaire has been written with the input of both our patient reference group and steering group.

We are interested in learning more about your experiences and opinions to help us gain a better understanding of ongoing Covid19, its effects and the implications for improved support and services. 

1. Age *

 

2. Sex *

 

3. How do you describe your ethnicity? *

  • White
  • Asian or Asian British
  • Mixed
  • Black or Black British
  • Other Ethnic Group
 

4. In which country do you currently live? *