COPD Assessment

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Personal Details
Assessment

This questionnaire will help you and your healthcare professional measure the impact COPD (Chronic Obstructive Pulmonary Disease) is having on your wellbeing and daily life. Your answers and test score, can be used by you and your healthcare professional to help improve the management of your COPD and get the greatest benefit from treatment.

This form collects personal and medical information about you. We use this information to confirm you are registered with the practice and to allow the practice team to contact you if applicable. The information you send helps us to update your medical records held by the practice and our partners in the NHS. Please read our Privacy Policy to discover how we protect and manage your submitted data.

 
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