Canadian thyroid lab testing tips & challenges
This survey publicly monitors the way our health care system treats thyroid patients. We are crowdsourcing data that we can use to argue against health inequities across the country. Data may suggest when harm may be done by lack of testing and when patients are being charged user fees for tests.

This is an anonymous survey.  However, what you enter and write will NOT be confidential. Your responses will be immediately compiled and displayed publicly.

Enter one survey per lab test (per blood draw).

You can edit your responses. You can re-enter the survey to provide multiple separate entries.  

After entering your data, you can see displays of the collected data of everyone's responses to date.

By entering your data, you give voluntary consent for Thyroid Patients Canada (Thyroidpatients.ca) leaders to store the data indefinitely, use it in any way they wish, and to display it publicly. Only our organization's leaders and volunteers can see the complete raw data set. The Google Form survey technology collects your IP address of your internet connection and the date and time you entered your data. We will keep that data private.  We may from time to time "clean up" the data, i.e. deleting rows of data that are incomplete, invalid, or redundant.

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Date of lab test blood draw
MM
/
DD
/
YYYY
City
Please give both "City, Province"  like "Calgary, AB" so that Google Maps can put data on a map of results.
Province / Territory
This is needed for data displays that give results by province.
Name of lab company
What kind of health care worker ordered the test?
Clear selection
Abbreviations for lab tests below
FT4 = Free T4.   FT3 = Free T3.   RT3 = Reverse T3.  
TPOAb = Thyroid peroxidase antibody.   TGAb = Thyroglobulin antibody.
Graves-Ab = (TSAb thyroid stimulating antibody, TRAb Thyrotropin receptor antibody, or TSI, TBII)
Yes, was tested -- select all that apply
Did your practitioner write any reasons for the tests on the requisition?
Clear selection
If your practitioner wrote a reason for the test order, please say what it was.
Cancelled by lab -- select all that apply
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Tests you requested but your practitioner refused to order
If you asked your practitioner for one or more tests, your reason(s) for requesting them
Maximum 300 characters.
Practitioner's reason for refusing to order a test
TSH result, if tested
Low = below reference. Normal = Within reference. High = above reference. Laboratories may test or cancel other tests based on the result, so this is relevant information.
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Free T4 result, if tested
Low = below reference. Normal = Within reference. High = above reference. Laboratories may test or cancel other tests based on the result, so this is relevant information.
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IF you had to PAY for testing, please say how much total, i.e. 56.00 (with no dollar sign)
If you were refused a lab test, explain the health consequences, if any.
Maximum 300 characters.
Tips that can help other patients seeking thyroid lab testing in your region.
No doctors' names or identifying information please!  Maximum 200 characters.
Name or username (optional)
Hello there! Do you want your comments to sound like they are coming from a real human being? You could give yourself a fake name or initials. Your answer will appear publicly next to your comments in the results.
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