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Registration for interview participation and/or online survey

Thank you for your interest in the BURDEN initiative.

The BURDEN initiative is a research project to examine the impact of Non-Cystic Fibrosis Bronchiectasis (NCFBE) on the everyday life of people living with NCFBE and their caregivers by first conducting interviews, and second by performing an online survey in the USA, Europe (UK, Germany, France, Spain & Italy) and Japan. For further information please visit www.bronchiectasis-burden.com.

Based on your choice, the purpose of the registration is to select and contact you for an interview and/or to remind you when the online survey will start.

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* 1. Before continuing, do you agree with the Data Privacy Statement?

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* 2. And, please confirm that you are 18 years of age or older: