Survey Container Component
Lifestyle Changes
Which of the following lifestyle changes have you made or experienced due to your HCM?
Check all that apply:
Shortness of Breath D₂ has context menu
Shortness of breath is a common symptom of HCM, but its progression can be gradual. People with HCM sometimes adapt their daily routine to accomadate their symptoms and may be doing worse than they realize. The following questions ask you to report on your experiences with HCM during the past 7 days. Please check one box per question that best describes your symptom during that time. Please be sure to answer all questions.
Were you short of breath during the past 7 days?
Select one:
Were you short of breath during light physical activity such as walking slowly or cooking during the past 7 days?
Select one:
Were you short of breath during light physical activity such as cleaning house or lifting heavy objects during the past 7 days?
Select one:
How often did you have shortness of breath during the past 7 days?
Select one:
Additional Common Symptoms
Other common symptoms of HCM include tiredness, rapid heartbeat or flutter(palpitations), chest pain, dizziness or lightheadedness, and/or fainting or loss of consciousness. If you continue to experience any of these symptoms, it's important to talk to a cardiologist. The following questions ask you to report on your experiences with HCM during the past 7 days. please check one box per question that best describes your symptom during that time. Please be sure to answer all questions
Were you tired during the past 7 days?
Select one:
Did your heart beat rapidly or flutter (palpitations) during the past 7 days?
Select one:
Did you have the chest pain during the past 7 days?
Select one:
Were you dizzy or lightheaded during the past 7 days?
Select one:
Did you faint or lose consciousness during the past 7 days?
Select one:
Symptom Guide Results
Thank you for using the interactive HCM Real Talk Symptom Guide
Now that you've completed the Symptom Guide, you can access this infomration and bring it with you to discuss with your cardiologist. For your convinience, you can access your information in any of the following ways:
Access now
Send SMS
OR
Send to yourself
What is Survey Container Component?
The Survey Container (Doctor Discussion Guide) component is a tool designed to help patients prepare for conversations with their healthcare providers. It typically includes a set of questions and topics that patients can use to ensure they cover all relevant aspects of their health concerns during their appointments. This component aims to facilitate more productive and comprehensive discussions between patients and doctors, ultimately leading to better healthcare outcomes.
Questions are authored by adding Survey Questions Componet within Survey Container Component.
