of0
 
CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Huntington's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Item count: 54 (54 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C08842
Risk Factor Questionnaire (RFQ-U) - pesticide exposure lifetime indicator
RFQPestcdExposLifetmInd
The indicator whether there was exposure to pesticides over the course of a participant's/subject's lifetime as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During your lifetime, did you or someone else ever use chemicals to kill insects, other pests, plants, weeds, mold, or mildew in or around any house or apartment where you lived?
Yes;No;
Yes;No;
Alphanumeric
If 'No', end questionnaire.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHIntro
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Q1
 
Single Pre-Defined Value Selected
       
C08843
Risk Factor Questionnaire (RFQ-U) - insecticide exposure birth 25 age indicator
RFQInsectcdExposBrth25AgeInd
The indicator whether there was exposure to insecticides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – Birth-25 years old. If no, skip to Question 2.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHA1
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Birth-Age 25 Q2
 
Single Pre-Defined Value Selected
       
C08844
Risk Factor Questionnaire (RFQ-U) - insecticide exposure birth 25 age frequency
RFQInsectcdExposBrth25AgeFreq
The frequency of exposure to insecticides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If Yes, how often were insecticides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – Birth-25 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHA2
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Birth-Age 25 Q2a
 
Single Pre-Defined Value Selected
       
C08845
Risk Factor Questionnaire (RFQ-U) - fungicide exposure birth 25 age indicator
RFQFungicdExposBrth25AgeInd
The indicator whether there was exposure to fungicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – Birth-25 years old. If no, skip to Question 3.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHA3
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Birth-Age 25 Q3
 
Single Pre-Defined Value Selected
       
C08846
Risk Factor Questionnaire (RFQ-U) - fungicide exposure birth 25 age frequency
RFQFungicdExposBrth25AgeFreq
The frequency of exposure to fungicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If yes, how often were fungicides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – Birth-25 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHA4
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Birth-Age 25 Q3a
 
Single Pre-Defined Value Selected
       
C08847
Risk Factor Questionnaire (RFQ-U) - herbicide exposure birth 25 age indicator
RFQHerbicdExposBrth25AgeInd
The indicator whether there was exposure to herbicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were herbicides used to kill weeds or plants?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – Birth-25 years old. If 'No' skip to Pesticide Home – 26 - 35 years old, if applicable.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHA5
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Birth-Age 25 Q4
 
Single Pre-Defined Value Selected
       
C08848
Risk Factor Questionnaire (RFQ-U) - herbicide exposure birth 25 age frequency
RFQHerbicdExposBrth25AgeFreq
The frequency of exposure to herbicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If yes, how often were herbicides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – Birth-25 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHA6
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Birth-Age 25 Q4a
 
Single Pre-Defined Value Selected
       
C08849
Risk Factor Questionnaire (RFQ-U) - insecticide exposure 26 35 age indicator
RFQInsectcdExpos2635AgeInd
The indicator whether there was exposure to insecticides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 26-35 years old. If 'No' skip to Q2.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHB1
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 26-35 Q1
 
Single Pre-Defined Value Selected
       
C08850
Risk Factor Questionnaire (RFQ-U) - insecticide exposure 26 35 age frequency
RFQInsectcdExpos2635AgeFreq
The frequency of exposure to insecticides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If Yes, how often were insecticides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – 26-35 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHB2
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 26-35 Q1a
 
Single Pre-Defined Value Selected
       
C08851
Risk Factor Questionnaire (RFQ-U) - fungicide exposure 26 35 age indicator
RFQFungicdExpos2635AgeInd
The indicator whether there was exposure to fungicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 26-35 years old. If 'No' skip to Q3.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHB3
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 26-35 Q2
 
Single Pre-Defined Value Selected
       
C08852
Risk Factor Questionnaire (RFQ-U) - fungicide exposure 26 35 age frequency
RFQFungicdExpos2635AgeFreq
The frequency of exposure to fungicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If yes, how often were fungicides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – 26-35 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHB4
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 26-35 Q2a
 
Single Pre-Defined Value Selected
       
C08853
Risk Factor Questionnaire (RFQ-U) - herbicide exposure 26 35 age indicator
RFQHerbicdExpos2635AgeInd
The indicator whether there was exposure to herbicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were herbicides used to kill weeds or plants?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 26-35 years old. If 'No' skip to Pesticide Home – 36-45 years old, if applicable.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHB5
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 26-35 Q3
 
Single Pre-Defined Value Selected
       
C08854
Risk Factor Questionnaire (RFQ-U) - herbicide exposure 26 35 age frequency
RFQHerbicdExpos2635AgeFreq
The frequency of exposure to herbicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If yes, how often were herbicides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – 26-35 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHB6
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 26-35 Q3a
 
Single Pre-Defined Value Selected
       
C08855
Risk Factor Questionnaire (RFQ-U) - insecticide exposure 36 45 age indicator
RFQInsectcdExpos3645AgeInd
The indicator whether there was exposure to insecticides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 36-45 years old. If 'No' skip to Q2.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHC1
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 36-45 Q1
 
Single Pre-Defined Value Selected
       
C08856
Risk Factor Questionnaire (RFQ-U) - insecticide exposure 36 45 age frequency
RFQInsectcdExpos3645AgeFreq
The frequency of exposure to insecticides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If Yes, how often were insecticides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – 36-45 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHC2
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 36-45 Q1a
 
Single Pre-Defined Value Selected
       
C08857
Risk Factor Questionnaire (RFQ-U) - fungicide exposure 36 45 age indicator
RFQFungicdExpos3645AgeInd
The indicator whether there was exposure to fungicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 36-45 years old. If 'No' skip to Q3.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHC3
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 36-45 Q2
 
Single Pre-Defined Value Selected
       
C08858
Risk Factor Questionnaire (RFQ-U) - fungicide exposure 36 45 age frequency
RFQFungicdExpos3645AgeFreq
The frequency of exposure to fungicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If Yes, how often were fungicides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – 36-45 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHC4
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 36-45 Q2a
 
Single Pre-Defined Value Selected
       
C08859
Risk Factor Questionnaire (RFQ-U) - herbicide exposure 36 45 age indicator
RFQHerbicdExpos3645AgeInd
The indicator whether there was exposure to herbicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were herbicides used to kill weeds or plants?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 36-45 years old. If 'No' skip to Pesticide Home – 46-55 years old, if applicable.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHC5
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 36-45 Q3
 
Single Pre-Defined Value Selected
       
C08860
Risk Factor Questionnaire (RFQ-U) - herbicide exposure 36 45 age frequency
RFQHerbicdExpos3645AgeFreq
The frequency of exposure to herbicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If yes, how often were herbicides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – 36-45 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHC6
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 36-45 Q3a
 
Single Pre-Defined Value Selected
       
C08861
Risk Factor Questionnaire (RFQ-U) - insecticide exposure 46 55 age indicator
RFQInsectcdExpos4655AgeInd
The indicator whether there was exposure to insecticides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 46-55 years old. If 'No' skip to Q2.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHD1
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 46-55 Q1
 
Single Pre-Defined Value Selected
       
C08862
Risk Factor Questionnaire (RFQ-U) - insecticide exposure 46 55 age frequency
RFQInsectcdExpos4655AgeFreq
The frequency of exposure to insecticides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If Yes, how often were insecticides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – 46-55 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHD2
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 46-55 Q1a
 
Single Pre-Defined Value Selected
       
C08863
Risk Factor Questionnaire (RFQ-U) - fungicide exposure 46 55 age indicator
RFQFungicdExpos4655AgeInd
The indicator whether there was exposure to fungicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 46-55 years old. If 'No' skip to Q3.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHD3
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 46-55 Q2
 
Single Pre-Defined Value Selected
       
C08864
Risk Factor Questionnaire (RFQ-U) - fungicide exposure 46 55 age frequency
RFQFungicdExpos4655AgeFreq
The frequency of exposure to fungicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If Yes, how often were fungicides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – 46-55 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHD4
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 46-55 Q2a
 
Single Pre-Defined Value Selected
       
C08865
Risk Factor Questionnaire (RFQ-U) - herbicide exposure 46 55 age indicator
RFQHerbicdExpos4655AgeInd
The indicator whether there was exposure to herbicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were herbicides used to kill weeds or plants?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 46-55 years old. If 'No' skip to Pesticide Home – 56-65 years old, if applicable.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHD5
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 46-55 Q3
 
Single Pre-Defined Value Selected
       
C08866
Risk Factor Questionnaire (RFQ-U) - herbicide exposure 46 55 age frequency
RFQHerbicdExpos4655AgeFreq
The frequency of exposure to herbicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
If yes, how often were herbicides used?
Rarely;Occasionally;Often;Don't know;
Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know;
Alphanumeric
Pesticide Home – 46-55 years old.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHD6
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 46-55 Q3a
 
Single Pre-Defined Value Selected
       
C08867
Risk Factor Questionnaire (RFQ-U) - insecticide exposure 56 65 age indicator
RFQInsectcdExpos5665AgeInd
The indicator whether there was exposure to insecticides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home).
During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets?
Yes;No;
Yes;No;
Alphanumeric
Pesticide Home – 56-65 years old. If 'No' skip to Q2.
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD.
Adult
Supplemental
3.0
7/18/2013
PHE1
Risk Factor Questionnaire (RFQ-U) - Pesticides (Home)
Epidemiology/Environmental History
Participant History and Family History
RFQ-U Pesticides (Home) Age 56-65 Q1
 
Single Pre-Defined Value Selected
       
06-23-2017
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