Colon epi follow-up non-core

Module: colon-epi-followup

Module Contents

  1. colon-epi-followup-ncore


1CENTER_NOnumber (2,0)Required:true
Center identification number.
Allowable Values
11Sinai Health Systems (formerly Cancer Care Ontario)
12Cedars-Sinai & Cleveland Clinic (formerly USC Consortium)
13University of Melbourne
14University of Hawaii Cancer Center
15Mayo Clinic
16Fred Hutch, Seattle
17UCSF: University of California at San Francisco (formerly CPIC, originally Northern California (NCCC))


2PERSON_ID (*PK)string (12)Required:true
Number that uniquely identifies an individual. *PERSON_ID + FU_ID are the primary key for the table.

3FU_ID (*PK)number (1,0)Required:true
Follow-up questionnaire that participant completed. *PERSON_ID + FU_ID are the primary key for the table.
Allowable Values
1 1st Follow-up
2 2nd Follow-up
3 3rd Follow-up
4 4th Follow-up


4FU_TYPEnumber (1,0)Required:true
Version of follow-up questionnaire administered.
Allowable Values
1FUP1 QX administered at Phase II
2FUP1 QX administered at Phase III
3FUP Epi QX administered at Phase III
4FUP Epi QX administered at Phase IV
5FUP2 Epi QX administered at Phase III
6FUP Epi QX administered at Phase V

5CMPLDATE_FUstring (8)Required:true
Date participant completed follow-up questionnaire
Date Value Check
The date must follow to the following format:

Format YYYYMMDD. Must consist of valid date.
Components of date should be right justified and zero filled.
MM = 01 – 12, 88, 99
DD = 01 – 31, 88, 99
YYYY = Minimum year – system date year, 8888, 9999
Use 88, 8888 for not currently known, in progress to obtain information.
Use 99, 9999 for not known.
If century is known, but year is unknown then give an estimate of year or code YYYY = 9999.
If MM = 99 then DD must = 99.
If century is known, but year is unknown then give an estimate of year or code YYYY = 9999.
If YYYY = 9999 then MM and DD must = 99.

The following special parameters are used:



6AGE_EPI_FUnumber (3,0)Required:true
Age at the time follow-up questionnaire completed
Allowable Values
22 to 120 or 999Range
999UNKNOWN/REFUSED


7SEXnumber (1,0)Required:false
Participant’s gender.
Allowable Values
1Male
2Female
9Unknown


8SUN_EXPnumber (1,0)Required:true
pseudo entry question (not asked) to use for validations if sun exposure questions were asked
Allowable Values
1Yes
2No


9SUN_EXP_WKDAY_40_FUnumber (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?
Allowable Values
1Less than 1 hour
21 to 2 hours
33 to 4 hours
4More than 4 hours
8Not asked/dropped
9Don’t know


10SUN_EXP_WKND_40_FUnumber (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?
Allowable Values
1Less than 1 hour
21 to 2 hours
33 to 4 hours
4More than 4 hours
8Not asked/dropped
9Don’t know


11SUNSCREEN_40_FUnumber (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.?
Allowable Values
1Never
2Sometimes
3Always
8Not asked/dropped
9Don’t know


12SUN_EXP_40_CITY1_FUstring (200)Required:false
In your 40s and 50s (age: 40-59 years), which is the first city where lived for at least 1 year?

13SUN_EXP_40_COUNTRY1_FUnumber (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?

14SUN_EXP_40_YR1_FUnumber (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?
Allowable Values
1 to 20 or 99Range
99Unknown


15SUN_EXP_40_CITY2_FUstring (200)Required:false
In your 40s and 50s (age: 40-59 years), which is the second city where lived for at least 1 year?

16SUN_EXP_40_COUNTRY2_FUnumber (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?

17SUN_EXP_40_YR2_FUnumber (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?
Allowable Values
1 to 20 or 99Range
99Unknown


18SUN_EXP_40_CITY3_FUstring (200)Required:false
In your 40s and 50s (age: 40-59 years), which is the third city where lived for at least 1 year?

19SUN_EXP_40_COUNTRY3_FUnumber (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?

20SUN_EXP_40_YR3_FUnumber (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?
Allowable Values
1 to 20 or 99Range
99Unknown


21SUN_EXP_40_CITY4_FUstring (200)Required:false
In your 40s and 50s (age: 40-59 years), which is the fourth city where lived for at least 1 year?

22SUN_EXP_40_COUNTRY4_FUnumber (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?

23SUN_EXP_40_YR4_FUnumber (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?
Allowable Values
1 to 20 or 99Range
99Unknown


24SUN_EXP_WKDAY_60_FUnumber (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?
Allowable Values
1Less than 1 hour
21 to 2 hours
33 to 4 hours
4More than 4 hours
8Not asked/dropped
9Don’t know


25SUN_EXP_WKND_60_FUnumber (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?
Allowable Values
1Less than 1 hour
21 to 2 hours
33 to 4 hours
4More than 4 hours
8Not asked/dropped
9Don’t know


26SUNSCREEN_60_FUnumber (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.?
Allowable Values
1Never
2Sometimes
3Always
8Not asked/dropped
9Don’t know


27SUN_EXP_60_CITY1_FUstring (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?

28SUN_EXP_60_COUNTRY1_FUnumber (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?

29SUN_EXP_60_YR1_FUnumber (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?
Allowable Values
1 to 20 or 99Range
99Unknown


30SUN_EXP_60_CITY2_FUstring (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?

31SUN_EXP_60_COUNTRY2_FUnumber (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?

32SUN_EXP_60_YR2_FUnumber (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?
Allowable Values
1 to 20 or 99Range
99Unknown


33SUN_EXP_60_CITY3_FUstring (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?

34SUN_EXP_60_COUNTRY3_FUnumber (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?

35SUN_EXP_60_YR3_FUnumber (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?
Allowable Values
1 to 20 or 99Range
99Unknown


36SUN_EXP_60_CITY4_FUstring (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?

37SUN_EXP_60_COUNTRY4_FUnumber (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?

38SUN_EXP_60_YR4_FUnumber (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?
Allowable Values
1 to 20 or 99Range
99Unknown


39Q_CRC_OPINIONnumber (1,0)Required:true
pseudo entry question (not asked) for next block of questions
Allowable Values
1Yes
2No


40Q_TEST_ADVISE_FUnumber (1,0)Required:false
Has a doctor, nurse or other health professional ever advised you to get a test to check for colorectal cancer?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


41Q_LOWER_RISK_FUnumber (1,0)Required:false
There is not much people can do to lower their chances of getting colorectal cancer
Allowable Values
1Strongly agree
2Somewhat agree
3Somewhat disagree
4Strongly disagree
8Not asked/dropped
9No opinion


42Q_PREVENT_CRC_FUnumber (1,0)Required:false
There are so many different recommendations about preventing colorectal cancer, it’s hard to know which ones to follow
Allowable Values
1Strongly agree
2Somewhat agree
3Somewhat disagree
4Strongly disagree
8Not asked/dropped
9No opinion


43Q_CAUSE_CRC_FUnumber (1,0)Required:false
It seems like almost everything causes colorectal cancer
Allowable Values
1Strongly agree
2Somewhat agree
3Somewhat disagree
4Strongly disagree
8Not asked/dropped
9No opinion


44Q_SCREEN_FAMILY_SUPPORT_FUnumber (1,0)Required:false
I get encouragement from my family members to have a colorectal cancer screening test
Allowable Values
1Strongly agree
2Somewhat agree
3Somewhat disagree
4Strongly disagree
8Not asked/dropped
9No opinion


45Q_SCREEN_FRIEND_SUPPORT_FUnumber (1,0)Required:false
I get encouragement from my friends to have a colorectal cancer screening test
Allowable Values
1Rarely or never
2Sometimes
3Often
4All the time
8Not asked/dropped
9No opinion


46Q_WORRY_FRQ_FUnumber (1,0)Required:false
How often do you worry about colorectal cancer?
Allowable Values
1Rarely or never
2Sometimes
3Often
4All the time
8Not asked/dropped
9No opinion


47CHOLESTROL_FUnumber (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
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


48CHOLESTROL_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


49CHOLESTROL_INT_FUnumber (1,0)Required:false
Interval in which Cholesterol lowering drugs (statins) was taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


50CHOLESTROL_LEN_FUnumber (4,0)Required:false
Since your last interview, how many months or years in total did you take Cholesterol lowering drugs (statins) ?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


51CHOLESTROL_TIME_FUnumber (1,0)Required:false
Interval for total time Cholesterol lowering drugs (statins) was taken.
Allowable Values
1Number of Months
2Number of Years
8Not asked
9Unknown


52LAXATIVE_FUnumber (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
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


53LAXATIVE_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


54LAXATIVE_INT_FUnumber (1,0)Required:false
Interval in which polyethylene glycol laxative was taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


55LAXATIVE_LEN_FUnumber (4,0)Required:false
Since your last interview, how many months or years in total did you take polyethylene glycol laxative ?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


56LAXATIVE_TIME_FUnumber (1,0)Required:false
Interval for total time polyethylene glycol laxative was taken.
Allowable Values
1Number of Months
2Number of Years
8Not asked
9Unknown


57DIABETES_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


58DIAB_MED_TYPE_FUnumber (1,0)Required:false
Since the date of your last questionnaire , what type of medication to control diabetes did you take?
Allowable Values
1Pills
2Insulin Injections
3Both Pills and Insulin Injections
4Insulin Pump
5Both Pills and Insulin Pump
6Both Insulin Injections + Insulin Pump
7Both Pills, Insulin Injections, + Insulin Pump
8Not Asked
9Unknown


59DIAB_ORAL_LEN_FUnumber (4,0)Required:false
Since your last interview, how many months or years in total did you take oral medication to control diabetes ?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


60DIAB_ORAL_TIME_FUnumber (1,0)Required:false
Interval for total time oral medication to control diabetes was taken.
Allowable Values
1Number of Months
2Number of Years
8Not Asked
9Unknown


61DIAB_INS_INJ_LEN_FUnumber (4,0)Required:false
Since your last interview, how many months or years in total did you take insulin injections to control diabetes ?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


62DIAB_INS_INJ_TIME_FUnumber (1,0)Required:false
Interval for total time insulin injections to control diabetes was taken.
Allowable Values
1Number of Months
2Number of Years
8Not Asked
9Unknown


63DIAB_INS_PUMP_LEN_FUnumber (4,0)Required:false
Since your last interview, how many months or years in total did you use insulin pump to control diabetes ?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


64DIAB_INS_PUMP_TIME_FUnumber (1,0)Required:false
Interval for total time insulin pump to control diabetes was used.
Allowable Values
1Number of Months
2Number of Years
8Not Asked
9Unknown


65HORMON_MEDS_FUnumber (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)
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


66HORMON_MEDS_TYPE_FUnumber (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?
Allowable Values
1Estrogen alone
2Estrogen + Progesterone
3Estrogen + Testosterone
4Other
9Don’t know/Refused


67HORMON_MEDS_TYPE_SPECIFY_FUstring (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]

68HORMON_MEDS_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


69HORMON_MEDS_INT_FUnumber (1,0)Required:false
(For females only) Interval in which hormonal medication for menopausal symptoms or disease prevention was taken.
Allowable Values
1Per Day
2Per Week
8Not Asked
9Unknown


70HORMON_MEDS_LEN_FUnumber (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 ?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


71HORMON_MEDS_TIME_FUnumber (1,0)Required:false
(For females only) Interval for total time hormonal medication for menopausal symptoms or disease prevention was taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


72ALT_MED_EVER_FUnumber (1,0)Required:false
Have you EVER used an alternative health care provider, such as a homeopath, chiropractor, acupuncturist?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


73ALT_MED_PROV1_SPECIFY_FUstring (200)Required:FALSE
Type of alternative health care provider (specify)

74ALT_MED_PROV1_TIME_FUnumber (1,0)Required:false
When was your last treatment provided by the alternative health care provider?
Allowable Values
1In the past month
2In the past year
3More than 1 year ago
4More than 5 years ago
8not asked
9Don’t know/refused


75ALT_MED_PROV2_SPECIFY_FUstring (200)Required:false
Type of alternative health care provider (specify)

76ALT_MED_PROV2_TIME_FUnumber (1,0)Required:false
When was your last treatment provided by the alternative health care provider?
Allowable Values
1In the past month
2In the past year
3More than 1 year ago
4More than 5 years ago
8not asked
9Don’t know/refused


77ALT_MED_PROV3_SPECIFY_FUstring (200)Required:false
Type of alternative health care provider (specify)

78ALT_MED_PROV3_TIME_FUnumber (1,0)Required:false
When was your last treatment provided by the alternative health care provider?
Allowable Values
1In the past month
2In the past year
3More than 1 year ago
4More than 5 years ago
8not asked
9Don’t know/refused


79VIT_A_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


80VIT_A_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


81VIT_A_INT_FUnumber (1,0)Required:false
Interval for frequency in which Vitamin A pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


82VIT_A_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take Vitamin As?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


83VIT_A_TIME_FUnumber (1,0)Required:false
Interval for total time Vitamin A pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


84VIT_B_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


85VIT_B_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


86VIT_B_INT_FUnumber (1,0)Required:false
Interval for frequency in which Vitamin B pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8Not asked
9Unknown


87VIT_B_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take Vitamin Bs?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


88VIT_B_TIME_FUnumber (1,0)Required:false
Interval for total time Vitamin B pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


89VIT_C_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


90VIT_C_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


91VIT_C_INT_FUnumber (1,0)Required:false
Interval for frequency in which Vitamin C pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8Not asked
9Unknown


92VIT_C_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take Vitamin Cs?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


93VIT_C_TIME_FUnumber (1,0)Required:false
Interval for total time Vitamin C pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


94VIT_D_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


95VIT_D_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


96VIT_D_INT_FUnumber (1,0)Required:false
Interval for frequency in which Vitamin D pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


97VIT_D_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take Vitamin Ds?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


98VIT_D_TIME_FUnumber (1,0)Required:false
Interval for total time Vitamin D pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


99VIT_E_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


100VIT_E_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


101VIT_E_INT_FUnumber (1,0)Required:false
Interval for frequency in which Vitamin E pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


102VIT_E_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take Vitamin Es?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


103VIT_E_TIME_FUnumber (1,0)Required:false
Interval for total time Vitamin E pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


104SELENIUM_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


105SELENIUM_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


106SELENIUM_INT_FUnumber (1,0)Required:false
Interval for frequency in which selenium pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


107SELENIUM_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take selenium?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


108SELENIUM_TIME_FUnumber (1,0)Required:false
Interval for total time selenium pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


109ZINC_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


110ZINC_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


111ZINC_INT_FUnumber (1,0)Required:false
Interval for frequency in which zinc pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


112ZINC_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take zinc?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


113ZINC_TIME_FUnumber (1,0)Required:false
Interval for total time zinc pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


114COD_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


115COD_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


116COD_INT_FUnumber (1,0)Required:false
Interval for frequency in which cod liver oil/other fish oil pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


117COD_LEN_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


118COD_TIME_FUnumber (1,0)Required:false
Interval for total time cod liver oil/other fish oil pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


119LYCOPENE_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


120LYCOPENE_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


121LYCOPENE_INT_FUnumber (1,0)Required:false
Interval for frequency in which lycopene pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


122LYCOPENE_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take lycopene?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


123LYCOPENE_TIME_FUnumber (1,0)Required:false
Interval for total time lycopene pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


124GINGKO_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


125GINGKO_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


126GINGKO_INT_FUnumber (1,0)Required:false
Interval for frequency in which gingko biloba pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


127GINGKO_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take gingko biloba?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


128GINGKO_TIME_FUnumber (1,0)Required:false
Interval for total time gingko biloba pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


129SAW_PALM_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


130SAW_PALM_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


131SAW_PALM_INT_FUnumber (1,0)Required:false
Interval for frequency in which saw palmetto pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


132SAW_PALM_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take saw palmetto?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


133SAW_PALM_TIME_FUnumber (1,0)Required:false
Interval for total time saw palmetto pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


134GARLIC_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


135GARLIC_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


136GARLIC_INT_FUnumber (1,0)Required:false
Interval for frequency in which garlic pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


137GARLIC_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take garlic?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


138GARLIC_TIME_FUnumber (1,0)Required:false
Interval for total time garlic pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


139CHON_SULF_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


140CHON_SULF_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


141CHON_SULF_INT_FUnumber (1,0)Required:false
Interval for frequency in which Chondroitin sulfate pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


142CHON_SULF_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take Chondroitin sulfate?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


143CHON_SULF_TIME_FUnumber (1,0)Required:false
Interval for total time cod liver oil/other fish oil pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


144GLUCOSAMINE_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


145GLUCOSAMINE_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


146GLUCOSAMINE_INT_FUnumber (1,0)Required:false
Interval for frequency in which glucosamine pills or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


147GLUCOSAMINE_LEN_FUnumber (4,0)Required:false
Since the date of your last interview, how many months or years in total did you take glucosamine?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


148GLUCOSAMINE_TIME_FUnumber (1,0)Required:false
Interval for total time glucosamine pills or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


149ST_JOHNS_WORT_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


150ST_JOHNS_WORT_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


151ST_JOHNS_WORT_INT_FUnumber (1,0)Required:false
Interval for frequency St. John’s Wort pills, capsules or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


152ST_JOHNS_WORT_LEN_FUnumber (4,0)Required:false
Since your last interview, how long, in total, have you taken St. John’s Wort pills, capsules or tablets?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


153ST_JOHNS_WORT_TIME_FUnumber (1,0)Required:false
Interval for total time St. John’s Wort pills, capsules or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


154OTHER_PILL_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked/dropped
9Unknown/Refused


155OTHER_PILL_SPECIFYstring (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:

156OTHER_PILL_FRQ_FUnumber (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?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


157OTHER_PILL_INT_FUnumber (1,0)Required:false
Interval for frequency other pills, capsules or tablets were taken.
Allowable Values
1Per Day
2Per Week
8not asked
9Unknown


158OTHER_PILL_LEN_FUnumber (4,0)Required:false
Since your last interview, how long, in total, have you taken other pills, capsules or tablets?
Allowable Values
1 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


159OTHER_PILL_TIME_FUnumber (1,0)Required:false
Interval for total time other pills, capsules or tablets were taken.
Allowable Values
1Number of Months
2Number of Years
8not asked
9Unknown


160BODY_MEASUREnumber (1,0)Required:true
pseudo entry question (not asked) for next block of questions
Allowable Values
1Yes
2No


161HIP_CIRCUM_FUnumber (4,0)Required:false
What are your current hip circumference (measurements)?
Allowable Values
10 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


162HIP_CIRCUM_UNIT_FUnumber (1,0)Required:false
What is the unit of measure used for hip circumference?
Allowable Values
1Centimeters
2Inches


163WAIST_CIRCUM_FUnumber (4,0)Required:false
What are your current waist circumference (measurements)?
Allowable Values
10 to 900 or 8888, 9999Range
8888Not Asked
9999Unknown


164WAIST_CIRCUM_UNIT_FUnumber (1,0)Required:false
What is the unit of measure used for waist circumference?
Allowable Values
1Centimeters
2Inches


165TEETH_MISSING_FUnumber (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?
Allowable Values
1Yes
2No
8Not asked
9Unknown/Refused


166TEETH_MISSING_CNT_FUnumber (2,0)Required:false
How many permanent teeth failed to form?
Allowable Values
1 to 28 or 88, 99Range
88Not asked
99Unknown


167CHEMO_RAD_FUnumber(2N)Required:YES, if applicable
SINCE your last interview have you had chemotherapy and/or radiotherapy for bowel or colon cancer?

168CHEMO_FUnumber(2N)Required:YES, if applicable
SINCE your last interview what types of therapy have you received? Chemotherapy

169RAD_FUnumber(2N)Required:YES, if applicable
SINCE your last interview what types of therapy have you received? Radiotherapy

170CHEMO_EVER_FUnumber(2N)Required:YES, if applicable
Have you EVER received chemotherapy?

171RAD_EVER_FUnumber(2N)Required:YES, if applicable
Have you EVER received radiotherapy?

172PAPSMEAR_FUnumber (1,0)Required:false
Have you ever had a pap smear?
Allowable Values
1Yes
2No
8Not asked
9Unknown/Refused


173PAP_PROBLEM_FUnumber (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.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


174PAP_FAMHX_FUnumber (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.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


175PAP_ROUTINE_FUnumber (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.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


176PAP_FU_PROB_FUnumber (1,0)Required:false
Does the reason for your pap smear include “follow-up of a previous problem”?
Allowable Values
1YES
2NO (not selected, NULL)*
9UNKNOWN/REFUSED*


177PAP_OTHER_FUnumber (1,0)Required:false
Does the reason for your pap smear include “other reasons”? * For actual question format see PAP_PROBLEM_FU above.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


178PAP_OTH_TEXT_FUstring (200)Required:false
What are the specific reasons for your pap smear?

179PAPSMEAR_NO_FUnumber (2,0)Required:false
On how many separate occasions have you had a pap smear?
Allowable Values
1 to 10 or 88 or 99Range
88Not asked
99(Unknown/Refused)


180PAPSMEAR_LST_AGE_FUnumber (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.
Allowable Values
888Not asked
999(Unknown/Refused)


181MAMMO_FUnumber (1,0)Required:false
Have you ever had a mammogram?
Allowable Values
1Yes
2No
8Not asked
9Unknown/Refused


182MAM_PROBLEM_FUnumber (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.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


183MAM_FAMHX_FUnumber (1,0)Required:false
Does the reason for your mammogram include “family history of cancer”? * For actual question format see MAM_PROBLEM_FU above.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


184MAM_ROUTINE_FUnumber (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.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


185MAM_FU_PROB_FUnumber (1,0)Required:false
Does the reason for your mammogram include “follow-up of a previous problem”?
Allowable Values
1YES
2NO (not selected, NULL)*
9UNKNOWN/REFUSED*


186MAM_OTHER_FUnumber (1,0)Required:false
Does the reason for your mammogram include “other reasons”? * For actual question format see MAM_PROBLEM_FU above.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


187MAM_OTH_TEXT_FUstring (200)Required:false
What are the specific reasons for your mammogram?

188MAMMO_NO_FUnumber (2,0)Required:false
On how many separate occasions have you had a mammogram?
Allowable Values
88Not asked
99(Unknown/Refused)


189MAMMO_LST_AGE_FUnumber (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.
Allowable Values
888Not asked
999(Unknown/Refused)


190PSA_FUnumber (1,0)Required:false
Have you ever had a PSA (Prostate Specific Antigen testing)?
Allowable Values
1Yes
2No
8Not asked
9Unknown/Refused


191PSA_PROBLEM_FUnumber (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.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


192PSA_FAMHX_FUnumber (1,0)Required:false
Does the reason for your PSA include “family history of cancer”? * For actual question format see PSA_PROBLEM_FU above.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


193PSA_ROUTINE_FUnumber (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.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


194PSA_FU_PROB_FUnumber (1,0)Required:false
Does the reason for your PSA include “follow-up of a previous problem”?
Allowable Values
1YES
2NO (not selected, NULL)*
9UNKNOWN/REFUSED*


195PSA_OTHER_FUnumber (1,0)Required:false
Does the reason for your PSA include “other reasons”? * For actual question format see PSA_PROBLEM_FU above.
Allowable Values
1YES
2NO (not selected, NULL)*
8Not Asked
9UNKNOWN/REFUSED*


196PSA_OTH_TEXT_FUstring (200)Required:false
What are the specific reasons for your PSA?

197PSA_NO_FUnumber (2,0)Required:false
On how many separate occasions have you had a PSA?
Allowable Values
88Not asked
99(Unknown/Refused)


198PSA_LST_AGE_FUnumber (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.
Allowable Values
888Not asked
999(Unknown/Refused)


199CIG_FUnumber (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
Allowable Values
1Yes
2No
8Not asked
9Unknown/Refused


200CIG_CURR_FUnumber (1,0)Required:false
Do you currently smoke?
Allowable Values
1Yes
2No
8Not asked
9Unknown/Refused


201CIG_STOP_AGE_FUnumber (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.
Allowable Values
888Not asked
999(Unknown/Refused)