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HELP SCORE VALIDATION FINAL

Consent

Thank you for being part of this very important study!!! Completing this survey helps us validate the  HELP (HyperEmesis Level Prediction) Score, an HG assessment tool we created to help health professionals improve their care of HG moms. Knowing how sick a woman is means doctors better know what care she needs! Trending the score helps your healthcare team monitor symptom changes and treatment effectiveness.

Remember: We are scoring the severity of nausea/vomiting today not the severity of HG during all or the worst of your pregnancy.

Additional Info: 
  • Estimated completion time is ~8 -15 minutes. 
    (Less after the first time.)
  • A family member can enter your data.
  • Your score will show near the end. 
  • You will be emailed your results. 
  • Most questions are required. 
  • Repeat this survey as your symptoms/meds change.
  • You can save your answers and finish later.
You will be asked series of easy questions to standardize the research, then about 1) your pregnancy, 2) symptoms, and 3) treatments. Completing all required questions is necessary for your data to be included in our research publication and make this tool more helpful to HG mothers! 

​NOTE: All information submitted will be kept strictly confidential and only used by researchers at the HER Foundation, UCLA and USC. Your identifying data will be removed prior to data analysis by our research team to protect your privacy.
IMPORTANT!

1.   FILL THIS OUT TODAY AND THEN AGAIN ABOUT 24 HOURS BEFORE AND 24 HOURS AFTER TREATMENT CHANGES LIKE IV FLUIDS, MEDICATION CHANGES, IV VITAMINS, ETC., and as symptoms change. 

2.   FILL IT OUT EACH DAY YOU ARE IN THE HOSPITAL OR RECEIVE EMERGENCY CARE.

3.   NOTE YOUR ID NUMBER IN YOUR RESULTS EMAIL AND ENTER IT IN THE NEXT SURVEY TO HELP US TREND YOUR SCORES AND SYMPTOMS.

 

Your email will ONLY be used for validation and research-related communication.
This question requires a valid email address.
2. Have filled this survey out since September 15, 2019 for a different day of this pregnancy? *This question is required.If you are unsure, check no.
3. Did you already fill this out in the last 24-48 hours? *This question is required.If you are doing a follow-up entry to report a change in treatment or symptoms, we can skip some questions.
Skip question if you can't find it. This question requires a valid number format.
3. Do you prefer to answer weight in kg or pounds? *This question is required.