Have you ever served?

Where and for how long did you serve?

Were you deployed to the Middle East (Iraq and Afghanistan)?

Have you been exposed to burn pits? If so, did you wear a mask?

If you have been exposed to burn pits, how close and how long was your exposure?

Have you ever needed supplementary oxygen? If so, how often and for how long did you need it?

Have you ever had a pulmonary function test?

Have you ever had an impulse oscillometry?

Have you ever had a lung biopsy?

Have you ever experienced shortness of breath? If so, when did it occur (e.g., when exercising, when walking around the block, when walking from one room to another)?

Have you ever smoked? If so, when did you start smoking, and how frequently, how much, and for how long have you smoked? If you have quit smoking, when did you quit?

What type of environmental exposures have you had (e.g., dust storms, diesel fuel, depleted uranium, pesticides)?

Have you been diagnosed with any of the following?

- Arthritis/rheumatism

- Cancer

- Hypertension

- Brain injury (TBI)

- Fibromyalgia, lupus

- Migraine headaches

- Contact dermatitis

- COPD

- Asthma

- Allergies

- Vocal cord dysfunction

- Constrictive bronchitis

- Chronic fatigue syndrome

- Acid reflux/heartburn

- Blurred vision

- Eosinophilia esophagitis

- Chronic multisystem illness

- Chronic cough

- Memory loss

- Weight loss