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CO-CREATE-Ex Research Survey

Long COVID-19 Symptoms
Alcohol and Tobacco
Housing and Employment
Demographics
Grades are roughly equivalent to years of school.
Testing and Vaccination
Disability
Examples of daily activities include walking,climbing stairs, shopping, balancing a checkbook, bathing or dressing.
Health Status
Select all that apply
Please choose the units you would like to use for height Please choose the units you would like to use for weight