Give others hope! We would like to learn more about your experience with severe COPD/emphysema by asking you a few short questions. This information will not be shared. View our privacy policy for more details. Step 1 of 4 25% Please choose your country from the drop down menu.EnglandNorthern IrelandScotlandWalesOtherPlease choose your county in England from the drop down menu.Choose a CountyBedfordshireBerkshireBristolBuckinghamshireCambridgeshireCheshireCornwallCumbriaDerbyshireDevonDorsetDurhamEast Riding of YorkshireEast SussexEssexGloucestershireGreater ManchesterHampshireHerefordshireHertfordshireIsle of ManIsle of WightKentLancashireLeicestershireLincolnshireLondonMerseysideMiddlesexNorfolkNorth YorkshireNorthamptonshireNorthumberlandNottinghamshireOxfordshireRutlandShropshireSomersetSouth YorkshirStaffordshireSuffolkSurreyTyne and WearWarwickshireWest MidlandsWest SussexWest YorkshireWiltshireWorcestershirePlease choose your county in Northern Ireland from the drop down menu.Choose a CountyCounty AntrimCounty ArmaghCounty DownCounty FermanaghCounty LondonderryCounty TyronePlease choose your county in Scotland from the drop down menu.Choose a CountyAberdeenAberdeenshireAngusArgyll and ButeClackmannanshireDumfries and GallowayDundeeEast AyrshireEast DunbartonshireEast LothianEast RenfrewshireEdinburghFalkirkFifeGlasgowHighlandInverclydeMidlothianMorayNorth AyrshireNorth LanarkshireOrkneyPerth and KinrossRenfrewshireScottish BordersShetland IslesSouth AyrshireSouth LanarkshireStirlingshireWest DunbartonshireWest LothianWestern IslesPlease choose your county in Wales from the drop down menu.Choose a CountyAnglesey/Sir FonBlaenau GwentBridgendCaerphillyCardiffCarmarthenshireCeredigionConwyDenbighshireFlintshireGlamorganGwyneddMerthyr TydfilMonmouthshireNeath Port TalbotNewportNewport CityPembrokeshirePowysRhondda Cynon TaffSwanseaTorfaenWrexhamWhere do you live? Which, if any, of these conditions have you been diagnosed with? COPD Emphysema I don't know If you have been diagnosed with COPD, do you know which GOLD stage you are currently in? Stage 1 (mild) Stage 2 (moderate) Stage 3 (severe) Stage 4 (very severe) No, I don't know Please can you rate the level of your breathlessness: I only get breathless with strenuous exercise I get short of breath when hurrying on level ground or walking up a slight hill On level ground, I walk slower than people of my age because of breathlessness, or I have to stop for breath when walking at my own pace on the level I stop for breath after walking about 100 yards or after a few minutes on level ground I am too breathless to leave the house or I am breathless when dressing/undressing Which of these treatments, if any, are you currently using to treat your condition? Inhalers Supplemental Oxygen Pulmonary Rehab How did you first hear about further treatment options for severe COPD/emphysema with the Zephyr Valve? Social media (such as Facebook) Google (or internet search) Local media (TV, newspaper, etc.) My primary care physician/community nurse My pulmonologist or chest physician At pulmonary rehab Friends or family Other Have you talked to your doctor(s) about further treatment options like Zephyr Valve? And if so, which one(s)? Primary Care Physician/Family Doctor Pulmonologist/Chest Physician Someone at a Zephyr Treatment Center No, I have not spoken to a medical professional about this treatment option. If you talked to a doctor(s), did they know about Zephyr Valve treatment? Yes No Have you had any additional testing to determine if you could be a candidate for further treatment options like the Zephyr Valve? Yes No Did you get further treatment or a procedure scheduled? Yes, Zephyr Valves/endobronchial valve treatment Yes, lung volume reduction surgery Yes, lung transplant No, I was not eligible for further treatment options Which topic(s) are of highest interest for you concerning the disease?
