HLQ Data: EXAMPLE-043

Participant Information

CMMI ID:
EXAMPLE-043

Study ID:
SYNTHETIC-2026

Questionnaire Date:
2025-08-25 22:29

Upload:
Manual Import


Age:
68

Sex:
Female

Lives Alone:
No

General Health:
Good

Takes Supplements:
Yes (2)

Demographics & Household4
Age
68
Sex
2
Children Count
2
Partner Status
2
Pets3
Pets Cat
0
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
3
Stool Consistency
5
IBS Symptoms3
Bloating
0
Symptoms
0
Pain Frequency
0
Current Medications9
Ppi
0
Ssri
0
Nsaid
1
Statin
0
Metformin
1
Probiotic
0
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
0
Disease History - Diabetes2
Diabetes Ever
1
Diabetes Type
2
Disease History - Cancer1
Cancer Ever
0
Disease History - Respiratory2
Copd Ever
0
Asthma Ever
1
Disease History - Digestive & GI6
Uc Ever
0
Ibs Ever
0
Gerd Ever
0
Crohn Ever
0
Celiac Ever
0
Fatty Liver Ever
0
Disease History - Neurological1
Migraine Ever
0
Disease History - Autoimmune & Inflammatory2
Arthritis Ever
1
Arthritis Oa Ever
1
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
1
Depression Ever
0
Sleep - Duration & Quality2
Hours
6.3
Quality
2
Sleep - Trouble & Disturbances2
Trouble Falling Asleep
0
Trouble Staying Asleep
0
Physical Activity4
Walking Days
7
Moderate Days
1
Strength Days
3
Vigorous Days
1
Physical Measurements4
Bmi
29.4
Waist Cm
84
Height Cm
160
Weight Kg
75.3
Smoking & Tobacco3
Cig Ever
0
Cig Current
0
Cig Pack Years
0
Other7
Vegan
0
Vegetarian
0
Hypothyroid
0
Living Alone
1
Psoriasis Ever
0
Alcohol Frequency
3
Alcohol Drinks Week
5