Module: colon-epi-followup
Module Contents
- colon-epi-followup-ncore
- 1.CENTER_NO
- 2.PERSON_ID (*PK)
- 3.FU_ID (*PK)
- 4.FU_TYPE
- 5.CMPLDATE_FU
- 6.AGE_EPI_FU
- 7.SEX
- 8.SUN_EXP
- 9.SUN_EXP_WKDAY_40_FU
- 10.SUN_EXP_WKND_40_FU
- 11.SUNSCREEN_40_FU
- 12.SUN_EXP_40_CITY1_FU
- 13.SUN_EXP_40_COUNTRY1_FU
- 14.SUN_EXP_40_YR1_FU
- 15.SUN_EXP_40_CITY2_FU
- 16.SUN_EXP_40_COUNTRY2_FU
- 17.SUN_EXP_40_YR2_FU
- 18.SUN_EXP_40_CITY3_FU
- 19.SUN_EXP_40_COUNTRY3_FU
- 20.SUN_EXP_40_YR3_FU
- 21.SUN_EXP_40_CITY4_FU
- 22.SUN_EXP_40_COUNTRY4_FU
- 23.SUN_EXP_40_YR4_FU
- 24.SUN_EXP_WKDAY_60_FU
- 25.SUN_EXP_WKND_60_FU
- 26.SUNSCREEN_60_FU
- 27.SUN_EXP_60_CITY1_FU
- 28.SUN_EXP_60_COUNTRY1_FU
- 29.SUN_EXP_60_YR1_FU
- 30.SUN_EXP_60_CITY2_FU
- 31.SUN_EXP_60_COUNTRY2_FU
- 32.SUN_EXP_60_YR2_FU
- 33.SUN_EXP_60_CITY3_FU
- 34.SUN_EXP_60_COUNTRY3_FU
- 35.SUN_EXP_60_YR3_FU
- 36.SUN_EXP_60_CITY4_FU
- 37.SUN_EXP_60_COUNTRY4_FU
- 38.SUN_EXP_60_YR4_FU
- 39.Q_CRC_OPINION
- 40.Q_TEST_ADVISE_FU
- 41.Q_LOWER_RISK_FU
- 42.Q_PREVENT_CRC_FU
- 43.Q_CAUSE_CRC_FU
- 44.Q_SCREEN_FAMILY_SUPPORT_FU
- 45.Q_SCREEN_FRIEND_SUPPORT_FU
- 46.Q_WORRY_FRQ_FU
- 47.CHOLESTROL_FU
- 48.CHOLESTROL_FRQ_FU
- 49.CHOLESTROL_INT_FU
- 50.CHOLESTROL_LEN_FU
- 51.CHOLESTROL_TIME_FU
- 52.LAXATIVE_FU
- 53.LAXATIVE_FRQ_FU
- 54.LAXATIVE_INT_FU
- 55.LAXATIVE_LEN_FU
- 56.LAXATIVE_TIME_FU
- 57.DIABETES_FU
- 58.DIAB_MED_TYPE_FU
- 59.DIAB_ORAL_LEN_FU
- 60.DIAB_ORAL_TIME_FU
- 61.DIAB_INS_INJ_LEN_FU
- 62.DIAB_INS_INJ_TIME_FU
- 63.DIAB_INS_PUMP_LEN_FU
- 64.DIAB_INS_PUMP_TIME_FU
- 65.HORMON_MEDS_FU
- 66.HORMON_MEDS_TYPE_FU
- 67.HORMON_MEDS_TYPE_SPECIFY_FU
- 68.HORMON_MEDS_FRQ_FU
- 69.HORMON_MEDS_INT_FU
- 70.HORMON_MEDS_LEN_FU
- 71.HORMON_MEDS_TIME_FU
- 72.ALT_MED_EVER_FU
- 73.ALT_MED_PROV1_SPECIFY_FU
- 74.ALT_MED_PROV1_TIME_FU
- 75.ALT_MED_PROV2_SPECIFY_FU
- 76.ALT_MED_PROV2_TIME_FU
- 77.ALT_MED_PROV3_SPECIFY_FU
- 78.ALT_MED_PROV3_TIME_FU
- 79.VIT_A_FU
- 80.VIT_A_FRQ_FU
- 81.VIT_A_INT_FU
- 82.VIT_A_LEN_FU
- 83.VIT_A_TIME_FU
- 84.VIT_B_FU
- 85.VIT_B_FRQ_FU
- 86.VIT_B_INT_FU
- 87.VIT_B_LEN_FU
- 88.VIT_B_TIME_FU
- 89.VIT_C_FU
- 90.VIT_C_FRQ_FU
- 91.VIT_C_INT_FU
- 92.VIT_C_LEN_FU
- 93.VIT_C_TIME_FU
- 94.VIT_D_FU
- 95.VIT_D_FRQ_FU
- 96.VIT_D_INT_FU
- 97.VIT_D_LEN_FU
- 98.VIT_D_TIME_FU
- 99.VIT_E_FU
- 100.VIT_E_FRQ_FU
- 101.VIT_E_INT_FU
- 102.VIT_E_LEN_FU
- 103.VIT_E_TIME_FU
- 104.SELENIUM_FU
- 105.SELENIUM_FRQ_FU
- 106.SELENIUM_INT_FU
- 107.SELENIUM_LEN_FU
- 108.SELENIUM_TIME_FU
- 109.ZINC_FU
- 110.ZINC_FRQ_FU
- 111.ZINC_INT_FU
- 112.ZINC_LEN_FU
- 113.ZINC_TIME_FU
- 114.COD_FU
- 115.COD_FRQ_FU
- 116.COD_INT_FU
- 117.COD_LEN_FU
- 118.COD_TIME_FU
- 119.LYCOPENE_FU
- 120.LYCOPENE_FRQ_FU
- 121.LYCOPENE_INT_FU
- 122.LYCOPENE_LEN_FU
- 123.LYCOPENE_TIME_FU
- 124.GINGKO_FU
- 125.GINGKO_FRQ_FU
- 126.GINGKO_INT_FU
- 127.GINGKO_LEN_FU
- 128.GINGKO_TIME_FU
- 129.SAW_PALM_FU
- 130.SAW_PALM_FRQ_FU
- 131.SAW_PALM_INT_FU
- 132.SAW_PALM_LEN_FU
- 133.SAW_PALM_TIME_FU
- 134.GARLIC_FU
- 135.GARLIC_FRQ_FU
- 136.GARLIC_INT_FU
- 137.GARLIC_LEN_FU
- 138.GARLIC_TIME_FU
- 139.CHON_SULF_FU
- 140.CHON_SULF_FRQ_FU
- 141.CHON_SULF_INT_FU
- 142.CHON_SULF_LEN_FU
- 143.CHON_SULF_TIME_FU
- 144.GLUCOSAMINE_FU
- 145.GLUCOSAMINE_FRQ_FU
- 146.GLUCOSAMINE_INT_FU
- 147.GLUCOSAMINE_LEN_FU
- 148.GLUCOSAMINE_TIME_FU
- 149.ST_JOHNS_WORT_FU
- 150.ST_JOHNS_WORT_FRQ_FU
- 151.ST_JOHNS_WORT_INT_FU
- 152.ST_JOHNS_WORT_LEN_FU
- 153.ST_JOHNS_WORT_TIME_FU
- 154.OTHER_PILL_FU
- 155.OTHER_PILL_SPECIFY
- 156.OTHER_PILL_FRQ_FU
- 157.OTHER_PILL_INT_FU
- 158.OTHER_PILL_LEN_FU
- 159.OTHER_PILL_TIME_FU
- 160.BODY_MEASURE
- 161.HIP_CIRCUM_FU
- 162.HIP_CIRCUM_UNIT_FU
- 163.WAIST_CIRCUM_FU
- 164.WAIST_CIRCUM_UNIT_FU
- 165.TEETH_MISSING_FU
- 166.TEETH_MISSING_CNT_FU
- 167.CHEMO_RAD_FU
- 168.CHEMO_FU
- 169.RAD_FU
- 170.CHEMO_EVER_FU
- 171.RAD_EVER_FU
- 172.PAPSMEAR_FU
- 173.PAP_PROBLEM_FU
- 174.PAP_FAMHX_FU
- 175.PAP_ROUTINE_FU
- 176.PAP_FU_PROB_FU
- 177.PAP_OTHER_FU
- 178.PAP_OTH_TEXT_FU
- 179.PAPSMEAR_NO_FU
- 180.PAPSMEAR_LST_AGE_FU
- 181.MAMMO_FU
- 182.MAM_PROBLEM_FU
- 183.MAM_FAMHX_FU
- 184.MAM_ROUTINE_FU
- 185.MAM_FU_PROB_FU
- 186.MAM_OTHER_FU
- 187.MAM_OTH_TEXT_FU
- 188.MAMMO_NO_FU
- 189.MAMMO_LST_AGE_FU
- 190.PSA_FU
- 191.PSA_PROBLEM_FU
- 192.PSA_FAMHX_FU
- 193.PSA_ROUTINE_FU
- 194.PSA_FU_PROB_FU
- 195.PSA_OTHER_FU
- 196.PSA_OTH_TEXT_FU
- 197.PSA_NO_FU
- 198.PSA_LST_AGE_FU
- 199.CIG_FU
- 200.CIG_CURR_FU
- 201.CIG_STOP_AGE_FU
1 | CENTER_NO | number (2,0) | Required:true | ||||||||||||||||
Center identification number. | |||||||||||||||||||
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2 | PERSON_ID (*PK) | string (12) | Required:true |
Number that uniquely identifies an individual. *PERSON_ID + FU_ID are the primary key for the table. |
3 | FU_ID (*PK) | number (1,0) | Required:true | ||||||||||
Follow-up questionnaire that participant completed. *PERSON_ID + FU_ID are the primary key for the table. | |||||||||||||
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4 | FU_TYPE | number (1,0) | Required:true | ||||||||||||||
Version of follow-up questionnaire administered. | |||||||||||||||||
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5 | CMPLDATE_FU | string (8) | Required:true | ||||
Date participant completed follow-up questionnaire | |||||||
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6 | AGE_EPI_FU | number (3,0) | Required:true | ||||||
Age at the time follow-up questionnaire completed | |||||||||
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7 | SEX | number (1,0) | Required:false | ||||||||
Participant’s gender. | |||||||||||
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8 | SUN_EXP | number (1,0) | Required:true | ||||||
pseudo entry question (not asked) to use for validations if sun exposure questions were asked | |||||||||
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9 | SUN_EXP_WKDAY_40_FU | number (1,0) | Required:false | ||||||||||||||
In your 40s and 50s (age: 40 to 59 years), on a typical weekday in the summer, (May-September), about how many hours per day did you spend outside in the sun? | |||||||||||||||||
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10 | SUN_EXP_WKND_40_FU | number (1,0) | Required:false | ||||||||||||||
In your 40s and 50s (age: 40 to 59 years), on a typical weekend (Saturday and Sunday) in the summer, (May-September), about how many hours per day did you spend outside in the sun? | |||||||||||||||||
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11 | SUNSCREEN_40_FU | number (1,0) | Required:false | ||||||||||||
In your 40s and 50s (age: 40 to 59 years) , when in the sun, did you wear sunscreen or protective clothing such as long sleeves, etc.? | |||||||||||||||
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12 | SUN_EXP_40_CITY1_FU | string (200) | Required:false |
In your 40s and 50s (age: 40-59 years), which is the first city where lived for at least 1 year? |
13 | SUN_EXP_40_COUNTRY1_FU | number (3,0) | Required:false |
In your 40s and 50s (age: 40-59 years), which is the COUNTRY of the first city where lived for at least 1 year? |
14 | SUN_EXP_40_YR1_FU | number (2,0) | Required:false | ||||||
In your 40s and 50s (age: 40-59 years), how many years did you live in the first city where lived for at least 1 year? | |||||||||
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15 | SUN_EXP_40_CITY2_FU | string (200) | Required:false |
In your 40s and 50s (age: 40-59 years), which is the second city where lived for at least 1 year? |
16 | SUN_EXP_40_COUNTRY2_FU | number (3,0) | Required:false |
In your 40s and 50s (age: 40-59 years), which is the COUNTRY of the second city where lived for at least 1 year? |
17 | SUN_EXP_40_YR2_FU | number (2,0) | Required:false | ||||||
In your 40s and 50s (age: 40-59 years), how many years did you live in the second city where lived for at least 1 year? | |||||||||
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18 | SUN_EXP_40_CITY3_FU | string (200) | Required:false |
In your 40s and 50s (age: 40-59 years), which is the third city where lived for at least 1 year? |
19 | SUN_EXP_40_COUNTRY3_FU | number (3,0) | Required:false |
In your 40s and 50s (age: 40-59 years), which is the COUNTRY of the third city where lived for at least 1 year? |
20 | SUN_EXP_40_YR3_FU | number (2,0) | Required:false | ||||||
In your 40s and 50s (age: 40-59 years), how many years did you live in the third city where lived for at least 1 year? | |||||||||
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21 | SUN_EXP_40_CITY4_FU | string (200) | Required:false |
In your 40s and 50s (age: 40-59 years), which is the fourth city where lived for at least 1 year? |
22 | SUN_EXP_40_COUNTRY4_FU | number (3,0) | Required:false |
In your 40s and 50s (age: 40-59 years), which is the COUNTRY of the fourth city where lived for at least 1 year? |
23 | SUN_EXP_40_YR4_FU | number (2,0) | Required:false | ||||||
In your 40s and 50s (age: 40-59 years), how many years did you live in the fourth city where lived for at least 1 year? | |||||||||
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24 | SUN_EXP_WKDAY_60_FU | number (1,0) | Required:false | ||||||||||||||
In your 60s and 70s (age: 60 to 79 years), on a typical weekday in the summer, (May-September), about how many hours per day did you spend outside in the sun? | |||||||||||||||||
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25 | SUN_EXP_WKND_60_FU | number (1,0) | Required:false | ||||||||||||||
In your 60s and 70s (age: 60 to 79 years), on a typical weekend (Saturday and Sunday) in the summer, (May-September), about how many hours per day did you spend outside in the sun? | |||||||||||||||||
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26 | SUNSCREEN_60_FU | number (1,0) | Required:false | ||||||||||||
In your 60s and 70s (age: 60 to 79 years), when in the sun, did you wear sunscreen or protective clothing such as long sleeves, etc.? | |||||||||||||||
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27 | SUN_EXP_60_CITY1_FU | string (200) | Required:false |
In your 60s and 70s (age: 60 to 79 years), which is the first city where lived for at least 1 year? |
28 | SUN_EXP_60_COUNTRY1_FU | number (3,0) | Required:false |
In your 60s and 70s (age: 60 to 79 years), which is the COUNTRY of the first city where lived for at least 1 year? |
29 | SUN_EXP_60_YR1_FU | number (2,0) | Required:false | ||||||
In your 60s and 70s (age: 60 to 79 years), how many years did you live in the first city where lived for at least 1 year? | |||||||||
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30 | SUN_EXP_60_CITY2_FU | string (200) | Required:false |
In your 60s and 70s (age: 60 to 79 years), which is the second city where lived for at least 1 year? |
31 | SUN_EXP_60_COUNTRY2_FU | number (3,0) | Required:false |
In your 60s and 70s (age: 60 to 79 years), which is the COUNTRY of the second city where lived for at least 1 year? |
32 | SUN_EXP_60_YR2_FU | number (2,0) | Required:false | ||||||
In your 60s and 70s (age: 60 to 79 years), how many years did you live in the second city where lived for at least 1 year? | |||||||||
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33 | SUN_EXP_60_CITY3_FU | string (200) | Required:false |
In your 60s and 70s (age: 60 to 79 years), which is the third city where lived for at least 1 year? |
34 | SUN_EXP_60_COUNTRY3_FU | number (3,0) | Required:false |
In your 60s and 70s (age: 60 to 79 years), which is the COUNTRY of the third city where lived for at least 1 year? |
35 | SUN_EXP_60_YR3_FU | number (2,0) | Required:false | ||||||
In your 60s and 70s (age: 60 to 79 years), how many years did you live in the third city where lived for at least 1 year? | |||||||||
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36 | SUN_EXP_60_CITY4_FU | string (200) | Required:false |
In your 60s and 70s (age: 60 to 79 years), which is the fourth city where lived for at least 1 year? |
37 | SUN_EXP_60_COUNTRY4_FU | number (3,0) | Required:false |
In your 40s and 50s (age: 40-59 years), which is the COUNTRY of the fourth city where lived for at least 1 year? |
38 | SUN_EXP_60_YR4_FU | number (2,0) | Required:false | ||||||
In your 60s and 70s (age: 60 to 79 years), , how many years did you live in the fourth city where lived for at least 1 year? | |||||||||
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39 | Q_CRC_OPINION | number (1,0) | Required:true | ||||||
pseudo entry question (not asked) for next block of questions | |||||||||
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40 | Q_TEST_ADVISE_FU | number (1,0) | Required:false | ||||||||||
Has a doctor, nurse or other health professional ever advised you to get a test to check for colorectal cancer? | |||||||||||||
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41 | Q_LOWER_RISK_FU | number (1,0) | Required:false | ||||||||||||||
There is not much people can do to lower their chances of getting colorectal cancer | |||||||||||||||||
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42 | Q_PREVENT_CRC_FU | number (1,0) | Required:false | ||||||||||||||
There are so many different recommendations about preventing colorectal cancer, it’s hard to know which ones to follow | |||||||||||||||||
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43 | Q_CAUSE_CRC_FU | number (1,0) | Required:false | ||||||||||||||
It seems like almost everything causes colorectal cancer | |||||||||||||||||
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44 | Q_SCREEN_FAMILY_SUPPORT_FU | number (1,0) | Required:false | ||||||||||||||
I get encouragement from my family members to have a colorectal cancer screening test | |||||||||||||||||
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45 | Q_SCREEN_FRIEND_SUPPORT_FU | number (1,0) | Required:false | ||||||||||||||
I get encouragement from my friends to have a colorectal cancer screening test | |||||||||||||||||
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46 | Q_WORRY_FRQ_FU | number (1,0) | Required:false | ||||||||||||||
How often do you worry about colorectal cancer? | |||||||||||||||||
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47 | CHOLESTROL_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you ever taken Cholesterol lowering drugs (statins) [such as Lipitor, Mevacor, Altocor , Pravachol, Torvast, Lescol, Mevacor, Crestor, Zocor ] (do not include Zetia Ezetrol, and Ezemibe and/or niacin), at least | |||||||||||||
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48 | CHOLESTROL_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take Cholesterol lowering drugs (statins) when you were using it at least 2 times a week for more than a month? | |||||||||||
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49 | CHOLESTROL_INT_FU | number (1,0) | Required:false | ||||||||||
Interval in which Cholesterol lowering drugs (statins) was taken. | |||||||||||||
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50 | CHOLESTROL_LEN_FU | number (4,0) | Required:false | ||||||||
Since your last interview, how many months or years in total did you take Cholesterol lowering drugs (statins) ? | |||||||||||
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51 | CHOLESTROL_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time Cholesterol lowering drugs (statins) was taken. | |||||||||||||
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52 | LAXATIVE_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you ever taken polyethylene glycol laxative such as MiraLax, Glyco Lax, or GoLYTELY (except for as a preparation for a colonoscopy, sigmoidoscopy, or barium enema procedure), at least twice a week for more than | |||||||||||||
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53 | LAXATIVE_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take polyethylene glycol laxative when you were using it at least 2 times a week for more than a month? | |||||||||||
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54 | LAXATIVE_INT_FU | number (1,0) | Required:false | ||||||||||
Interval in which polyethylene glycol laxative was taken. | |||||||||||||
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55 | LAXATIVE_LEN_FU | number (4,0) | Required:false | ||||||||
Since your last interview, how many months or years in total did you take polyethylene glycol laxative ? | |||||||||||
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56 | LAXATIVE_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time polyethylene glycol laxative was taken. | |||||||||||||
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57 | DIABETES_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you ever taken medication to control diabetes – either insulin or oral medications, at least twice a week for more than a month? | |||||||||||||
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58 | DIAB_MED_TYPE_FU | number (1,0) | Required:false | ||||||||||||||||||||
Since the date of your last questionnaire , what type of medication to control diabetes did you take? | |||||||||||||||||||||||
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59 | DIAB_ORAL_LEN_FU | number (4,0) | Required:false | ||||||||
Since your last interview, how many months or years in total did you take oral medication to control diabetes ? | |||||||||||
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60 | DIAB_ORAL_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time oral medication to control diabetes was taken. | |||||||||||||
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61 | DIAB_INS_INJ_LEN_FU | number (4,0) | Required:false | ||||||||
Since your last interview, how many months or years in total did you take insulin injections to control diabetes ? | |||||||||||
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62 | DIAB_INS_INJ_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time insulin injections to control diabetes was taken. | |||||||||||||
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63 | DIAB_INS_PUMP_LEN_FU | number (4,0) | Required:false | ||||||||
Since your last interview, how many months or years in total did you use insulin pump to control diabetes ? | |||||||||||
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64 | DIAB_INS_PUMP_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time insulin pump to control diabetes was used. | |||||||||||||
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65 | HORMON_MEDS_FU | number (1,0) | Required:false | ||||||||||
(For females only) Since the date of your last interview, have you ever taken hormonal medication for menopausal symptoms or disease prevention, at least twice a week for more than a month? ONTARIO Q: have you taken estrogen pill or patch alone or in combination with another hormone continuously for 6 months/ (do not include hormone therapy for birth control/infertility or hormone therapy delivered by injections/vaginal creams/suppositories or herbal/soy products) | |||||||||||||
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66 | HORMON_MEDS_TYPE_FU | number (1,0) | Required:false | ||||||||||||
(For females only) Since the date of your last questionnaire , what type of hormonal medication for menopausal symptoms or disease prevention did you take? | |||||||||||||||
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67 | HORMON_MEDS_TYPE_SPECIFY_FU | string (200) | Required:false |
(For females only) Since the date of your last questionnaire , what type of hormonal medication for menopausal symptoms or disease prevention did you take? [specify] |
68 | HORMON_MEDS_FRQ_FU | number (4,0) | Required:false | ||||||||
(For females only) Since the date of your last interview, how often did you take hormonal medication for menopausal symptoms or disease prevention when you were using it at least 2 times a week for more than a month? | |||||||||||
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69 | HORMON_MEDS_INT_FU | number (1,0) | Required:false | ||||||||||
(For females only) Interval in which hormonal medication for menopausal symptoms or disease prevention was taken. | |||||||||||||
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70 | HORMON_MEDS_LEN_FU | number (4,0) | Required:false | ||||||||
(For females only) Since your last interview, how many months or years in total did you take hormonal medication for menopausal symptoms or disease prevention ? | |||||||||||
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71 | HORMON_MEDS_TIME_FU | number (1,0) | Required:false | ||||||||||
(For females only) Interval for total time hormonal medication for menopausal symptoms or disease prevention was taken. | |||||||||||||
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72 | ALT_MED_EVER_FU | number (1,0) | Required:false | ||||||||||
Have you EVER used an alternative health care provider, such as a homeopath, chiropractor, acupuncturist? | |||||||||||||
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73 | ALT_MED_PROV1_SPECIFY_FU | string (200) | Required:FALSE |
Type of alternative health care provider (specify) |
74 | ALT_MED_PROV1_TIME_FU | number (1,0) | Required:false | ||||||||||||||
When was your last treatment provided by the alternative health care provider? | |||||||||||||||||
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75 | ALT_MED_PROV2_SPECIFY_FU | string (200) | Required:false |
Type of alternative health care provider (specify) |
76 | ALT_MED_PROV2_TIME_FU | number (1,0) | Required:false | ||||||||||||||
When was your last treatment provided by the alternative health care provider? | |||||||||||||||||
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77 | ALT_MED_PROV3_SPECIFY_FU | string (200) | Required:false |
Type of alternative health care provider (specify) |
78 | ALT_MED_PROV3_TIME_FU | number (1,0) | Required:false | ||||||||||||||
When was your last treatment provided by the alternative health care provider? | |||||||||||||||||
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79 | VIT_A_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken Vitamin A pills or tablets at least twice a week for more than a month? | |||||||||||||
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80 | VIT_A_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take Vitamin A pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
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81 | VIT_A_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which Vitamin A pills or tablets were taken. | |||||||||||||
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82 | VIT_A_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take Vitamin As? | |||||||||||
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83 | VIT_A_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time Vitamin A pills or tablets were taken. | |||||||||||||
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84 | VIT_B_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken Vitamin B pills or tablets at least twice a week for more than a month? | |||||||||||||
|
85 | VIT_B_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take Vitamin B pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
86 | VIT_B_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which Vitamin B pills or tablets were taken. | |||||||||||||
|
87 | VIT_B_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take Vitamin Bs? | |||||||||||
|
88 | VIT_B_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time Vitamin B pills or tablets were taken. | |||||||||||||
|
89 | VIT_C_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken Vitamin C pills or tablets at least twice a week for more than a month? | |||||||||||||
|
90 | VIT_C_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take Vitamin C pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
91 | VIT_C_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which Vitamin C pills or tablets were taken. | |||||||||||||
|
92 | VIT_C_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take Vitamin Cs? | |||||||||||
|
93 | VIT_C_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time Vitamin C pills or tablets were taken. | |||||||||||||
|
94 | VIT_D_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken Vitamin D pills or tablets at least twice a week for more than a month? | |||||||||||||
|
95 | VIT_D_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take Vitamin D pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
96 | VIT_D_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which Vitamin D pills or tablets were taken. | |||||||||||||
|
97 | VIT_D_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take Vitamin Ds? | |||||||||||
|
98 | VIT_D_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time Vitamin D pills or tablets were taken. | |||||||||||||
|
99 | VIT_E_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken Vitamin E pills or tablets at least twice a week for more than a month? | |||||||||||||
|
100 | VIT_E_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take Vitamin E pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
101 | VIT_E_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which Vitamin E pills or tablets were taken. | |||||||||||||
|
102 | VIT_E_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take Vitamin Es? | |||||||||||
|
103 | VIT_E_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time Vitamin E pills or tablets were taken. | |||||||||||||
|
104 | SELENIUM_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken selenium pills or tablets at least twice a week for more than a month? | |||||||||||||
|
105 | SELENIUM_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take selenium pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
106 | SELENIUM_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which selenium pills or tablets were taken. | |||||||||||||
|
107 | SELENIUM_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take selenium? | |||||||||||
|
108 | SELENIUM_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time selenium pills or tablets were taken. | |||||||||||||
|
109 | ZINC_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken zinc pills or tablets at least twice a week for more than a month? | |||||||||||||
|
110 | ZINC_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take zinc pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
111 | ZINC_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which zinc pills or tablets were taken. | |||||||||||||
|
112 | ZINC_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take zinc? | |||||||||||
|
113 | ZINC_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time zinc pills or tablets were taken. | |||||||||||||
|
114 | COD_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken cod liver oil/other fish oil pills or tablets at least twice a week for more than a month? | |||||||||||||
|
115 | COD_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take cod liver oil/other fish oil pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
116 | COD_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which cod liver oil/other fish oil pills or tablets were taken. | |||||||||||||
|
117 | COD_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take cod liver oil/other fish oil? | |||||||||||
|
118 | COD_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time cod liver oil/other fish oil pills or tablets were taken. | |||||||||||||
|
119 | LYCOPENE_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken lycopene pills or tablets at least twice a week for more than a month? | |||||||||||||
|
120 | LYCOPENE_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take lycopene pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
121 | LYCOPENE_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which lycopene pills or tablets were taken. | |||||||||||||
|
122 | LYCOPENE_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take lycopene? | |||||||||||
|
123 | LYCOPENE_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time lycopene pills or tablets were taken. | |||||||||||||
|
124 | GINGKO_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken gingko biloba pills or tablets at least twice a week for more than a month? | |||||||||||||
|
125 | GINGKO_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take gingko biloba pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
126 | GINGKO_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which gingko biloba pills or tablets were taken. | |||||||||||||
|
127 | GINGKO_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take gingko biloba? | |||||||||||
|
128 | GINGKO_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time gingko biloba pills or tablets were taken. | |||||||||||||
|
129 | SAW_PALM_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken saw palmetto pills or tablets at least twice a week for more than a month? | |||||||||||||
|
130 | SAW_PALM_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take saw palmetto pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
131 | SAW_PALM_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which saw palmetto pills or tablets were taken. | |||||||||||||
|
132 | SAW_PALM_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take saw palmetto? | |||||||||||
|
133 | SAW_PALM_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time saw palmetto pills or tablets were taken. | |||||||||||||
|
134 | GARLIC_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken garlic pills or tablets at least twice a week for more than a month? | |||||||||||||
|
135 | GARLIC_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take garlic pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
136 | GARLIC_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which garlic pills or tablets were taken. | |||||||||||||
|
137 | GARLIC_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take garlic? | |||||||||||
|
138 | GARLIC_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time garlic pills or tablets were taken. | |||||||||||||
|
139 | CHON_SULF_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken Chondroitin sulfate pills or tablets at least twice a week for more than a month? | |||||||||||||
|
140 | CHON_SULF_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take Chondroitin sulfate pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
141 | CHON_SULF_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which Chondroitin sulfate pills or tablets were taken. | |||||||||||||
|
142 | CHON_SULF_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take Chondroitin sulfate? | |||||||||||
|
143 | CHON_SULF_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time cod liver oil/other fish oil pills or tablets were taken. | |||||||||||||
|
144 | GLUCOSAMINE_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you taken glucosamine pills or tablets at least twice a week for more than a month? | |||||||||||||
|
145 | GLUCOSAMINE_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take glucosamine pills or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
146 | GLUCOSAMINE_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency in which glucosamine pills or tablets were taken. | |||||||||||||
|
147 | GLUCOSAMINE_LEN_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how many months or years in total did you take glucosamine? | |||||||||||
|
148 | GLUCOSAMINE_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time glucosamine pills or tablets were taken. | |||||||||||||
|
149 | ST_JOHNS_WORT_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you ever taken St. John’s Wort pills, capsules or tablets at least twice a week for more than a month? | |||||||||||||
|
150 | ST_JOHNS_WORT_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take St. John’s Wort pills, capsules or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
151 | ST_JOHNS_WORT_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency St. John’s Wort pills, capsules or tablets were taken. | |||||||||||||
|
152 | ST_JOHNS_WORT_LEN_FU | number (4,0) | Required:false | ||||||||
Since your last interview, how long, in total, have you taken St. John’s Wort pills, capsules or tablets? | |||||||||||
|
153 | ST_JOHNS_WORT_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time St. John’s Wort pills, capsules or tablets were taken. | |||||||||||||
|
154 | OTHER_PILL_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you ever taken other pills at least twice a week for more than a month? | |||||||||||||
|
155 | OTHER_PILL_SPECIFY | string (200) | Required:false |
List other pills, capsules or tablets taken since the date of your last questionnaire (see label on page 1 for date), when you were taking the pills at least 2 times a week for more than a month: |
156 | OTHER_PILL_FRQ_FU | number (4,0) | Required:false | ||||||||
Since the date of your last interview, how often did you take other pills, capsules or tablets when you were using it at least 2 times a week for more than a month? | |||||||||||
|
157 | OTHER_PILL_INT_FU | number (1,0) | Required:false | ||||||||||
Interval for frequency other pills, capsules or tablets were taken. | |||||||||||||
|
158 | OTHER_PILL_LEN_FU | number (4,0) | Required:false | ||||||||
Since your last interview, how long, in total, have you taken other pills, capsules or tablets? | |||||||||||
|
159 | OTHER_PILL_TIME_FU | number (1,0) | Required:false | ||||||||||
Interval for total time other pills, capsules or tablets were taken. | |||||||||||||
|
160 | BODY_MEASURE | number (1,0) | Required:true | ||||||
pseudo entry question (not asked) for next block of questions | |||||||||
|
161 | HIP_CIRCUM_FU | number (4,0) | Required:false | ||||||||
What are your current hip circumference (measurements)? | |||||||||||
|
162 | HIP_CIRCUM_UNIT_FU | number (1,0) | Required:false | ||||||
What is the unit of measure used for hip circumference? | |||||||||
|
163 | WAIST_CIRCUM_FU | number (4,0) | Required:false | ||||||||
What are your current waist circumference (measurements)? | |||||||||||
|
164 | WAIST_CIRCUM_UNIT_FU | number (1,0) | Required:false | ||||||
What is the unit of measure used for waist circumference? | |||||||||
|
165 | TEETH_MISSING_FU | number (1,0) | Required:false | ||||||||||
Not counting wisdom teeth, by the age of 16, did you have any permanent teeth that never formed at all, that is, permanent teeth that were missing? | |||||||||||||
|
166 | TEETH_MISSING_CNT_FU | number (2,0) | Required:false | ||||||||
How many permanent teeth failed to form? | |||||||||||
|
167 | CHEMO_RAD_FU | number(2N) | Required:YES, if applicable |
SINCE your last interview have you had chemotherapy and/or radiotherapy for bowel or colon cancer? | |||
168 | CHEMO_FU | number(2N) | Required:YES, if applicable |
SINCE your last interview what types of therapy have you received? Chemotherapy | |||
169 | RAD_FU | number(2N) | Required:YES, if applicable |
SINCE your last interview what types of therapy have you received? Radiotherapy | |||
170 | CHEMO_EVER_FU | number(2N) | Required:YES, if applicable |
Have you EVER received chemotherapy? | |||
171 | RAD_EVER_FU | number(2N) | Required:YES, if applicable |
Have you EVER received radiotherapy? | |||
172 | PAPSMEAR_FU | number (1,0) | Required:false | ||||||||||
Have you ever had a pap smear? | |||||||||||||
|
173 | PAP_PROBLEM_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your pap smear include “to investigate a new problem”? This question is asked as: What were the reasons for the test? [SELECT ALL THAT APPLY] 1 TO INVESTIGATE A NEW PROBLEM 2 FAMILY HISTORY OF CANCER 3 ROUTINE EXAM OR CHECK-UP 4 FOLLOW-UP OF A PREVIOUS PROBLEM 6 OTHER, SPECIFY: ________________ 9 DON’T KNOW * Note, it is not always possible to distinguish between “NO” responses and “UNKNOWN/REFUSED”– only that the reason was not selected as affirmative. | |||||||||||||
|
174 | PAP_FAMHX_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your pap smear include “family history of cancer”? * For actual question format see PAP_PROBLEM_FU above. | |||||||||||||
|
175 | PAP_ROUTINE_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your pap smear include “routine/yearly exam or check-up”? * For actual question format see PAP_PROBLEM_FU above. | |||||||||||||
|
176 | PAP_FU_PROB_FU | number (1,0) | Required:false | ||||||||
Does the reason for your pap smear include “follow-up of a previous problem”? | |||||||||||
|
177 | PAP_OTHER_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your pap smear include “other reasons”? * For actual question format see PAP_PROBLEM_FU above. | |||||||||||||
|
178 | PAP_OTH_TEXT_FU | string (200) | Required:false |
What are the specific reasons for your pap smear? |
179 | PAPSMEAR_NO_FU | number (2,0) | Required:false | ||||||||
On how many separate occasions have you had a pap smear? | |||||||||||
|
180 | PAPSMEAR_LST_AGE_FU | number (3,0) | Required:false | ||||||
When did you have your most recent pap smear? Sites collect as either AGE AT ___ , YEAR OF ___, or NUMBER OF YEARS SINCE ___. Response is transformed as necessary to transmit as age at test. | |||||||||
|
181 | MAMMO_FU | number (1,0) | Required:false | ||||||||||
Have you ever had a mammogram? | |||||||||||||
|
182 | MAM_PROBLEM_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your mammogram include “to investigate a new problem”? This question is asked as: What were the reasons for the test? [SELECT ALL THAT APPLY] 1 TO INVESTIGATE A NEW PROBLEM 2 FAMILY HISTORY OF CANCER 3 ROUTINE EXAM OR CHECK-UP 4 FOLLOW-UP OF A PREVIOUS PROBLEM 6 OTHER, SPECIFY: ________________ 9 DON’T KNOW * Note, it is not always possible to distinguish between “NO” responses and “UNKNOWN/REFUSED”– only that the reason was not selected as affirmative. | |||||||||||||
|
183 | MAM_FAMHX_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your mammogram include “family history of cancer”? * For actual question format see MAM_PROBLEM_FU above. | |||||||||||||
|
184 | MAM_ROUTINE_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your mammogram include “routine/yearly exam or check-up”? * For actual question format see MAM_PROBLEM_FU above. | |||||||||||||
|
185 | MAM_FU_PROB_FU | number (1,0) | Required:false | ||||||||
Does the reason for your mammogram include “follow-up of a previous problem”? | |||||||||||
|
186 | MAM_OTHER_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your mammogram include “other reasons”? * For actual question format see MAM_PROBLEM_FU above. | |||||||||||||
|
187 | MAM_OTH_TEXT_FU | string (200) | Required:false |
What are the specific reasons for your mammogram? |
188 | MAMMO_NO_FU | number (2,0) | Required:false | ||||||
On how many separate occasions have you had a mammogram? | |||||||||
|
189 | MAMMO_LST_AGE_FU | number (3,0) | Required:false | ||||||
When did you have your most recent mammogram? Sites collect as either AGE AT ___ , YEAR OF ___, or NUMBER OF YEARS SINCE ___. Response is transformed as necessary to transmit as age at test. | |||||||||
|
190 | PSA_FU | number (1,0) | Required:false | ||||||||||
Have you ever had a PSA (Prostate Specific Antigen testing)? | |||||||||||||
|
191 | PSA_PROBLEM_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your PSA include “to investigate a new problem”? This question is asked as: What were the reasons for the test? [SELECT ALL THAT APPLY] 1 TO INVESTIGATE A NEW PROBLEM 2 FAMILY HISTORY OF CANCER 3 ROUTINE EXAM OR CHECK-UP 4 FOLLOW-UP OF A PREVIOUS PROBLEM 6 OTHER, SPECIFY: ________________ 9 DON’T KNOW * Note, it is not always possible to distinguish between “NO” responses and “UNKNOWN/REFUSED”– only that the reason was not selected as affirmative. | |||||||||||||
|
192 | PSA_FAMHX_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your PSA include “family history of cancer”? * For actual question format see PSA_PROBLEM_FU above. | |||||||||||||
|
193 | PSA_ROUTINE_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your PSA include “routine/yearly exam or check-up”? * For actual question format see PSA_PROBLEM_FU above. | |||||||||||||
|
194 | PSA_FU_PROB_FU | number (1,0) | Required:false | ||||||||
Does the reason for your PSA include “follow-up of a previous problem”? | |||||||||||
|
195 | PSA_OTHER_FU | number (1,0) | Required:false | ||||||||||
Does the reason for your PSA include “other reasons”? * For actual question format see PSA_PROBLEM_FU above. | |||||||||||||
|
196 | PSA_OTH_TEXT_FU | string (200) | Required:false |
What are the specific reasons for your PSA? |
197 | PSA_NO_FU | number (2,0) | Required:false | ||||||
On how many separate occasions have you had a PSA? | |||||||||
|
198 | PSA_LST_AGE_FU | number (3,0) | Required:false | ||||||
When did you have your most recent pap smear? Sites collect as either AGE AT ___ , YEAR OF ___, or NUMBER OF YEARS SINCE ___. Response is transformed as necessary to transmit as age at test. | |||||||||
|
199 | CIG_FU | number (1,0) | Required:false | ||||||||||
Since the date of your last interview, have you ever smoked at least one cigarette a day for 3 months or longer? *Not asked by Hawaii or Australia | |||||||||||||
|
200 | CIG_CURR_FU | number (1,0) | Required:false | ||||||||||
Do you currently smoke? | |||||||||||||
|
201 | CIG_STOP_AGE_FU | number (3,0) | Required:false | ||||||
When did you stop or quit smoking? Sites collect as either AGE AT ___ , YEAR OF ___, or NUMBER OF YEARS SINCE ___. Response is transformed as necessary to transmit as age at test. | |||||||||
|