Module: colon-epi-followup
Module Contents
- colon-epi-followup-ncore
- 1.CENTER_NO
- 2.PERSON_ID (*PK)
- 3.FU_ID (*PK)
- 4.FU_PHASE
- 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.PAPSMEAR_FU
- 168.PAPSMEAR_NO_FU
- 169.PAPSMEAR_LST_AGE_FU
- 170.PAP_PROBLEM_FU
- 171.PAP_FAMHX_FU
- 172.PAP_ROUTINE_FU
- 173.PAP_FU_PROB_FU
- 174.PAP_OTHER_FU
- 175.PAP_OTH_TEXT_FU
- 176.MAMMO_FU
- 177.MAMMO_NO_FU
- 178.MAMMO_LST_AGE_FU
- 179.MAM_PROBLEM_FU
- 180.MAM_FAMHX_FU
- 181.MAM_ROUTINE_FU
- 182.MAM_FU_PROB_FU
- 183.MAM_OTHER_FU
- 184.MAM_OTH_TEXT_FU
- 185.PSA_FU
- 186.PSA_NO_FU
- 187.PSA_LST_AGE_FU
- 188.PSA_PROBLEM_FU
- 189.PSA_FAMHX_FU
- 190.PSA_ROUTINE_FU
- 191.PSA_FU_PROB_FU
- 192.PSA_OTHER_FU
- 193.PSA_OTH_TEXT_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_PHASE | number (1,0) | Required:true | ||||||||||||
| Funding phase during which the FU QNR was 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.? | |||||||||||||||
| |||||||||||||||
| 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 you 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 you 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? | |||||||||
| |||||||||
| 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 you 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 you lived for at least 1 year? | |||||||||
| |||||||||
| 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 you 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 you 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 you 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 you 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 you 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 for at least 1 year? | |||||||||
| |||||||||
| 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? | |||||||||||||||||
| |||||||||||||||||
| 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? | |||||||||||||||||
| |||||||||||||||||
| 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 you 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 you 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 you 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 you 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 you 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 you lived for at least 1 year? | |||||||||
| |||||||||
| 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 you 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 you 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 you lived for at least 1 year? | |||||||||
| |||||||||
| 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 you 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 you 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 you 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:true | ||||||||||
| Since the date of your last interview, have you ever taken Cholesterol lowering drugs (statins) [such as Lipitor, Mevacor, Altocor , Pravachol, Torvast, Lescol, Crestor, Zocor ] (do not include Zetia Ezetrol, and Ezemibe and/or Niacin), at least 2 times a week for more than a month? | |||||||||||||
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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:true | ||||||||||
| Since the date of your last interview, have you ever taken polyethylene glycol laxatives 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 a month? | |||||||||||||
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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 laxatives 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:true | ||||||||||
| 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. | |||||||||||
| |||||||||||
| 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? | |||||||||||||||
| |||||||||||||||
| 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? | |||||||||
| |||||||||
| 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. | |||||||||||
| |||||||||||
| 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 ? | |||||||||
| |||||||||
| 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. | |||||||||||
| |||||||||||
| 72 | ALT_MED_EVER_FU | number (1,0) | Required:true | ||||||||||
| 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? | |||||||||||||||
| |||||||||||||||
| 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? | |||||||||||||||
| |||||||||||||||
| 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? | |||||||||||||||
| |||||||||||||||
| 79 | VIT_A_FU | number (1,0) | Required:true | ||||||||||
| 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? | |||||||||||||
| |||||||||||||
| 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? | |||||||||
| |||||||||
| 81 | VIT_A_INT_FU | number (1,0) | Required:false | ||||||||
| Interval for frequency in which Vitamin A pills or tablets were taken. | |||||||||||
| |||||||||||
| 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? | |||||||||
| |||||||||
| 83 | VIT_A_TIME_FU | number (1,0) | Required:false | ||||||||
| Interval for total time Vitamin A pills or tablets were taken. | |||||||||||
| |||||||||||
| 84 | VIT_B_FU | number (1,0) | Required:true | ||||||||||
| 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 B? | |||||||||
| |||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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:true | ||||||||||
| 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, 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:true | ||||||||
| What is 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:true | ||||||||
| What is 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:true | ||||||||||
| 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 | PAPSMEAR_FU | number (1,0) | Required:true | ||||||||||
| Have you ever had a pap smear? | |||||||||||||
| |||||||||||||
| 168 | PAPSMEAR_NO_FU | number (2,0) | Required:false | ||||||||
| On how many separate occasions have you had a pap smear? | |||||||||||
| |||||||||||
| 169 | PAPSMEAR_LST_AGE_FU | number (3,0) | Required:false | ||||||
| How old were you at your most recent pap smear? | |||||||||
| |||||||||
| 170 | PAP_PROBLEM_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your pap smear 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________________ * Note, it is not always possible to distinguish between “NO” responses and “UNKNOWN/REFUSED”– only that the reason was not selected as affirmative. | |||||||||||||
| |||||||||||||
| 171 | PAP_FAMHX_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your pap smear because of a family history of cancer? | |||||||||||||
| |||||||||||||
| 172 | PAP_ROUTINE_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your pap smear as part of a routine/yearly exam or check-up? | |||||||||||||
| |||||||||||||
| 173 | PAP_FU_PROB_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your pap smear to follow-up on a previous problem? | |||||||||||||
| |||||||||||||
| 174 | PAP_OTHER_FU | number (1,0) | Required:false | ||||||||||
| Was there another reason for your pap smear? | |||||||||||||
| |||||||||||||
| 175 | PAP_OTH_TEXT_FU | string (200) | Required:false |
| Was there another reason for your pap smear? Specify | |||
| 176 | MAMMO_FU | number (1,0) | Required:true | ||||||||||
| Have you ever had a mammogram? | |||||||||||||
| |||||||||||||
| 177 | MAMMO_NO_FU | number (2,0) | Required:false | ||||||
| On how many separate occasions have you had a mammogram? | |||||||||
| |||||||||
| 178 | MAMMO_LST_AGE_FU | number (3,0) | Required:false | ||||||
| How old were you at your most recent mammogram? | |||||||||
| |||||||||
| 179 | MAM_PROBLEM_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your mammogram, to investigate a new problem? This question is asked as: What were the reasons for your mammogram? [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 ________________ | |||||||||||||
| |||||||||||||
| 180 | MAM_FAMHX_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your mammogram, because of a family history of cancer? | |||||||||||||
| |||||||||||||
| 181 | MAM_ROUTINE_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your mammogram as part of a routine/yearly exam or check-up? | |||||||||||||
| |||||||||||||
| 182 | MAM_FU_PROB_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your mammogram to follow-up on a previous problem? | |||||||||||||
| |||||||||||||
| 183 | MAM_OTHER_FU | number (1,0) | Required:false | ||||||||||
| Was there another reason for your mammogram? | |||||||||||||
| |||||||||||||
| 184 | MAM_OTH_TEXT_FU | string (200) | Required:false |
| Was there another reason for your mammogram? Specify | |||
| 185 | PSA_FU | number (1,0) | Required:true | ||||||||||
| Have you ever had PSA (Prostate Specific Antigen) testing)? | |||||||||||||
| |||||||||||||
| 186 | PSA_NO_FU | number (2,0) | Required:false | ||||||
| On how many separate occasions have you had a PSA? | |||||||||
| |||||||||
| 187 | PSA_LST_AGE_FU | number (3,0) | Required:false | ||||||
| How old were you at your most recent PSA? | |||||||||
| |||||||||
| 188 | PSA_PROBLEM_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your PSA to investigate a new problem”? This question is asked as: What were the reasons for your PSA 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________________ | |||||||||||||
| |||||||||||||
| 189 | PSA_FAMHX_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your PSA because of a family history of cancer? | |||||||||||||
| |||||||||||||
| 190 | PSA_ROUTINE_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your PSA as part of a routine/yearly exam or check-up? | |||||||||||||
| |||||||||||||
| 191 | PSA_FU_PROB_FU | number (1,0) | Required:false | ||||||||||
| Was the reason for your PSA to follow-up on a previous problem? | |||||||||||||
| |||||||||||||
| 192 | PSA_OTHER_FU | number (1,0) | Required:false | ||||||||||
| Was there another reason for your PSA test? | |||||||||||||
| |||||||||||||
| 193 | PSA_OTH_TEXT_FU | string (200) | Required:false |
| Was there another reason for your PSA test? Specify | |||