Hyperbaric Oxygen Survey
This survey is for Long Covid patients who have had hyperbaric oxygen. The results will be used to inform the medical aids of the usefulness of hyperbaric oxygen and motivate for funding.
Sign in to Google to save your progress. Learn more
Age *
Sex *
Duration of Long Covid before hyperbaric oxygen (number  months) *
How many sessions of hyperbaric oxygen have you had all together? *
Was hyperbaric oxygen beneficial in any way ?
Clear selection
Rate the following symptoms according to how much they improved after hyperbaric oxygen.
(Rotate device to see options)
0 = No improvement
5 = Complete resolution 
*
n/a
0
1
2
3
4
5
Brain Fog
Fatigue
Dizziness
Post exertional malaise
Racing heart (tachycardia)
Shortness of breath
Flu like symptoms
Exercise tolerance
Were there any other symptoms that improved after hyperbaric oxygen?
How many hours a week did you work before hyperbaric oxygen? *
How many hours a week did you work after hyperbaric oxygen?
*
Please describe in a few sentences how hyperbaric oxygen impacted your life if at all?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy