Return to Support Center Homepage
To learn more about ARDS, Click Here
View the ARDS Support Center, Inc. Mission Statement
To contact us, Click Here
To view or post to message board, Click Here
For more information about the Weekly Support Newsletter, Click Here
To learn more about the ARDS Pen Pal Circle, Click Here
For more information about Care Corner, Click Here
If you are in need of immediate support, please Click Here
To view the Medical Advisors, Click Here
Click Here to participate in an important ARDS research project
Search the ARDS Support Center Website
Click Here to go to other ARDS related sites
Click Here to find out about donations and contributions
To view or obtain information about Memorials, Click Here
ARDS Support Center, Inc. corporate information
journalsstoriesbtn.gif (1387 bytes)
For more information about the Clinical Network, Click Here
To obtain free audio cassettes Click Here
Click Here to visit RxList.com
Click Here for information about the ASC staff

   Future Research

     We need help catching a killer.

     No, we are not the police. We are the online ARDS
     Support Group. Just as detectives require evidence to
     catch killers, the medical community requires
     statistical research to help corner killer diseases to
     help eradicate them. A solid, concise database of both
     victims and survivors, as well as circumstances
     involved in their contracting ARDS will be invaluable
     to medical researchers in their quest to end the
     suffering caused by this deadly syndrome.

     Won't you please help? 

 

 

      Please answer all the questions.  When complete,
      click the Submit Form button at bottom of the page.

 

      Tell us how to get in touch with you:

First Name
Last Name
Street
City
State
Zip
E-mail
Confirm E-mail
Telephone
Age
Sex Male Female

         Please select one of the following.

A) ARDS Survivor
B) Family/Friend of ARDS Survivor
C) Lost a loved one to ARDS


The following questions relate to the ARDS patient:
Sex of ARDS Patient?   Male Female

Age at time of ARDS crisis?


Condition Pre-ARDS?


How long before ARDS developed?


Duration of ARDS crisis?


Initial condition Post-ARDS?


Current condition Post-ARDS


Post ARDS problems if any?

Additional Comments?

 

Thank you for taking the time to complete the survey !

 

Copyright © 2000 ASC.  All rights reserved.
Revised: May 15, 2001

 

 

 

>