PUMA Study Team

Dear participants,

Thank you for your interest to participate in our PUMA study. Your involvement in this study is invaluable.

To proceed with your participation, we will need to have a short conversation with you to go through the study process. We kindly request that you provide us your name, contact number and preferred time to be contacted.

Please take a moment to fill out the requested details below and return it to us at your earliest convenience. Your information will be kept strictly confidential and will only be used for the purpose of scheduling and conducting the study. You will be contacted from this caller ID: (Walpole, MA, United States +1 (774) 256 2330). You will receive SMS from sender ID: Smartfuture.

Your contribution will help us identify a suitable pre-screening questionnaire which will help identify current and ex-smokers at risk of chronic obstructive pulmonary disease.

If you have any questions or concerns about the study or the participation process, please do not hesitate to contact us at:

Kenneth: kennethtan@ktmc.sg

Vicky: mengqi.qin@ntu.edu.sg

Name of participant: *

Last four digit of NRIC/FIN: *

Contact phone number: *

Email address:

Doctor: *

Would you like to select a preferred date and time for a call? *
Yes Not applicable

* mentioned fields are mandatory.

We look forward to hearing from you soon.

Warm regards,

The PUMA study team

Primary Care and Family Medicine Research Programme

Lee Kong Chian School of Medicine

Nanyang Technological University

Indication of Interest

please select three preferred dates & time to call *