HLQ Data: EXAMPLE-013
Participant Information
CMMI ID:
EXAMPLE-013
Study ID:
SYNTHETIC-2026
Questionnaire Date:
2025-04-22 22:29
Upload:
Manual Import
Age:
43
Sex:
Male
Lives Alone:
Yes
General Health:
Good
Takes Supplements:
Yes (1)
Demographics & Household4
Age
43
43
Sex
1
1
Children Count
1
1
Partner Status
3
3
Pets3
Pets Cat
1
1
Pets Dog
0
0
Pets Other
0
0
General Health & Supplements4
Gen Health
3
3
Gluten Free
0
0
Food Allergy
0
0
Reg Supplement
1
1
Bowel Habits & Digestion2
Bowel Frequency
2
2
Stool Consistency
5
5
IBS Symptoms3
Bloating
0
0
Symptoms
0
0
Pain Frequency
0
0
Current Medications9
Ppi
0
0
Ssri
0
0
Nsaid
0
0
Statin
0
0
Metformin
0
0
Probiotic
1
1
Thyroid Med
0
0
Ace Inhibitor
1
1
Antibiotic Recent
0
0
Disease History - Cardiovascular4
Hbp Ever
1
1
Stroke Ever
0
0
High Chol Ever
0
0
Heart Disease Ever
0
0
Disease History - Diabetes2
Diabetes Ever
0
0
Diabetes Type
0
0
Disease History - Cancer1
Cancer Ever
0
0
Disease History - Respiratory2
Copd Ever
0
0
Asthma Ever
0
0
Disease History - Digestive & GI6
Uc Ever
0
0
Ibs Ever
0
0
Gerd Ever
0
0
Crohn Ever
0
0
Celiac Ever
0
0
Fatty Liver Ever
0
0
Disease History - Neurological1
Migraine Ever
1
1
Disease History - Autoimmune & Inflammatory2
Arthritis Ever
0
0
Arthritis Oa Ever
0
0
Disease History - Skin1
Eczema Ever
0
0
Disease History - Kidney & Liver1
Kidney Disease Ever
0
0
Disease History - Other Conditions1
Thyroid Ever
0
0
Mental Health - Depression & Anxiety2
Anxiety Ever
0
0
Depression Ever
0
0
Sleep - Duration & Quality2
Hours
8
8
Quality
4
4
Sleep - Trouble & Disturbances2
Trouble Falling Asleep
0
0
Trouble Staying Asleep
1
1
Physical Activity4
Walking Days
7
7
Moderate Days
2
2
Strength Days
2
2
Vigorous Days
1
1
Physical Measurements4
Bmi
31
31
Waist Cm
100
100
Height Cm
188
188
Weight Kg
109.6
109.6
Smoking & Tobacco3
Cig Ever
0
0
Cig Current
0
0
Cig Pack Years
0
0
Other7
Vegan
0
0
Vegetarian
0
0
Hypothyroid
0
0
Living Alone
1
1
Psoriasis Ever
0
0
Alcohol Frequency
0
0
Alcohol Drinks Week
0
0