Prequalification survey

Are you willing to answer a few questions to see if you may be eligible to participate in the iNO-PF Research Study? This will take about 3 minutes of your time and is voluntary. This survey is for your information only. The information you provide is confidential and will not be saved or sent to another party.

By checking the YES box below, you also consent to the Terms of Use and Privacy Policy.

Prequalification survey

1
Are you between the age of 18 and 80 years?
2

Do you have a diagnosis of pulmonary fibrosis?

Pulmonary fibrosis includes the following:

  • Idiopathic pulmonary fibrosis
  • Idiopathic interstitial pneumonia
  • Chronic hypersensitivity pneumonitis
  • Occupational and environmental lung disease
3
Are you using oxygen therapy?

You have chosen not to participate in this survey.

If you change your mind, you can complete the prequalification survey at another time.

For more information about the iNO-PF Research Study, you may visit iNO-PF at clinicaltrials.gov and search NCT03267108 to learn more.

You have prequalified for the iNO-PF Research Study.

Prequalifying means you meet the basic criteria to participate in the study. You will need to be evaluated to determine whether you are eligible for the study.

For more information about the iNO-PF Research Study, you may visit iNO-PF at clinicaltrials.gov and search NCT03267108.

Thank you for completing the survey.

Based on your responses, you are not eligible to participate in the iNO-PF Research Study at this time.

For more information about the iNO-PF Research Study, you may visit iNO-PF at clinicaltrials.gov and search NCT03267108. You can also contact a study site near you.

Please check back with us to learn about other ongoing cardiopulmonary research studies.