HLQ Data: EXAMPLE-019

Participant Information

CMMI ID:
EXAMPLE-019

Study ID:
SYNTHETIC-2026

Questionnaire Date:
2025-05-02 22:29

Upload:
Manual Import


Age:
65

Sex:
Male

Lives Alone:
No

General Health:
Good

Takes Supplements:
Yes (0)

Demographics & Household4
Age
65
Sex
1
Children Count
2
Partner Status
2
Pets3
Pets Cat
1
Pets Dog
0
Pets Other
0
General Health & Supplements4
Gen Health
3
Gluten Free
0
Food Allergy
0
Reg Supplement
1
Bowel Habits & Digestion2
Bowel Frequency
2
Stool Consistency
3
IBS Symptoms3
Bloating
0
Symptoms
0
Pain Frequency
0
Current Medications9
Ppi
1
Ssri
0
Nsaid
0
Statin
0
Metformin
0
Probiotic
1
Thyroid Med
0
Ace Inhibitor
1
Antibiotic Recent
0
Disease History - Cardiovascular4
Hbp Ever
1
Stroke Ever
0
High Chol Ever
0
Heart Disease Ever
1
Disease History - Diabetes2
Diabetes Ever
0
Diabetes Type
0
Disease History - Cancer1
Cancer Ever
0
Disease History - Respiratory2
Copd Ever
1
Asthma Ever
0
Disease History - Digestive & GI6
Uc Ever
0
Ibs Ever
0
Gerd Ever
1
Crohn Ever
0
Celiac Ever
0
Fatty Liver Ever
0
Disease History - Neurological1
Migraine Ever
1
Disease History - Autoimmune & Inflammatory2
Arthritis Ever
0
Arthritis Oa Ever
0
Disease History - Skin1
Eczema Ever
0
Disease History - Kidney & Liver1
Kidney Disease Ever
0
Disease History - Other Conditions1
Thyroid Ever
0
Mental Health - Depression & Anxiety2
Anxiety Ever
0
Depression Ever
1
Sleep - Duration & Quality2
Hours
7.8
Quality
2
Sleep - Trouble & Disturbances2
Trouble Falling Asleep
1
Trouble Staying Asleep
0
Physical Activity4
Walking Days
5
Moderate Days
2
Strength Days
3
Vigorous Days
1
Physical Measurements4
Bmi
28.5
Waist Cm
87
Height Cm
181
Weight Kg
93.4
Smoking & Tobacco3
Cig Ever
1
Cig Current
0
Cig Pack Years
19
Other7
Vegan
0
Vegetarian
0
Hypothyroid
0
Living Alone
1
Psoriasis Ever
0
Alcohol Frequency
0
Alcohol Drinks Week
0