CDE Detailed Report

Disease: Huntington's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB)

Displaying 1 - 50 of 58
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C08557 Risk Factor Questionnaire (RFQ) - taken Amlodipine Norvasc reason RFQTknAmlodipineNorvascRsn Reason took Amlodipine or Norvasc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Reason took Amlodipine or Norvasc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Why did you take Amlodipine or Norvasc? Alphanumeric

Only answer if yes for 'CCB Q1', otherwise leave rest of form blank.

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C17710 Risk Factor Questionnaire (RFQ) - age started regularly taking CCB medication period 1 value RFQAgeStrtRegTkCCBMedcnPer1Val Age when the participant started regularly taking CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant started regularly taking CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values 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 3.00 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08568 Risk Factor Questionnaire (RFQ) - age year started CCB medications value RFQAgeYrStrtCCBMedctnVal Age/year the participant started regularly taking CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant started regularly taking CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) At what age (or year) did you start regularly taking any of the medicines listed in question 1? Numeric Values

Age or Year

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08547 Risk Factor Questionnaire (RFQ) - years not regularly taking aspirin value RFQYrNtRegTkAsprnVal Years in total that the participant did NOT regularly take aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Years in total that the participant did NOT regularly take aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) During this time, approximately how many years total did you NOT regularly take aspirin? Numeric Values

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08579 Risk Factor Questionnaire (RFQ) - age year stopped other CCB medications value RFQAgeYrStpOthrCCBMdcnVal Age/year the participant stopped regularly taking other CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant stopped regularly taking other CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) At what age (or year) did you stop regularly taking any of the medicines listed in question 5? Numeric Values

Only answer for Age or Year; not both. Age should be answered in years. Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08558 Risk Factor Questionnaire (RFQ) - taken Felodipine Plendil indicator RFQTknFelodipinePlendilInd Taken Felodipine or Plendil as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Taken Felodipine or Plendil as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever taken Felodipine or Plendil? No;Yes No;Yes Alphanumeric

If No, Skip to Question 1e

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17711 Risk Factor Questionnaire (RFQ) - age started regularly taking CCB medication period 2 value RFQAgeStrtRegTkCCBMedcnPer2Val Age when the participant started regularly taking CCB medication period 2 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant started regularly taking CCB medication period 2 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values 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 3.00 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08537 Risk Factor Questionnaire (RFQ) - regularly taken ibuprofen based non-aspirin 6 months indicator RFQRegTknIbuBsdNnasprn6MonInd Has the participant regularly taken ibuprofen-based non-aspirin medications, at least two pills per week for 6 months or longer as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Has the participant regularly taken ibuprofen-based non-aspirin medications, at least two pills per week for 6 months or longer as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever regularly taken ibuprofen-based non-aspirin medications, that is, at least two pills per week for 6 months or longer? No;Yes No;Yes Alphanumeric

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08569 Risk Factor Questionnaire (RFQ) - age year stopped CCB medications value RFQAgeYrStpCCBMedctnVal Age/year the participant stopped regularly taking CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant stopped regularly taking CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) At what age (or year) did you stop regularly taking any of the medicines listed in question 1? Numeric Values

Only answer for Age or Year; not both. Age should be answered in years. Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08548 Risk Factor Questionnaire (RFQ) - aspirin pills per week value RFQAsprnPillsWeekVal Pills per week that the participant took during the time they were regularly taking aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Pills per week that the participant took during the time they were regularly taking aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) During the time you were regularly taking aspirin, on average, about how many pills per week did you take? Numeric Values

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08580 Risk Factor Questionnaire (RFQ) - years not regularly taking other CCB medication indicator RFQYrNtRegTkOthrCCBMdcnInd Periods of a year or more when the participant did NOT regularly take other CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Periods of a year or more when the participant did NOT regularly take other CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Were there periods of a year or more when you did NOT regularly take any of the medicines listed in question 5? No;Yes No;Yes 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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08559 Risk Factor Questionnaire (RFQ) - taken Felodipine Plendil reason RFQTknFelodipinePlendilRsn Reason took Felodipine or Plendil as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Reason took Felodipine or Plendil as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Why did you take Felodipine or Plendil? Alphanumeric

Only answer if yes for 'CCB Q1', otherwise leave rest of form blank.

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C17712 Risk Factor Questionnaire (RFQ) - age started regularly taking CCB medication period 3 value RFQAgeStrtRegTkCCBMedcnPer3Val Age when the participant started regularly taking CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant started regularly taking CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values 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 3.00 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08538 Risk Factor Questionnaire (RFQ) - age year started ibuprofen based medication value RFQAgeYrStrtTakIbuBasedMedVal Age/year the participant started regularly taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant started regularly taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, at what age (or in what year) did you start regularly taking an ibuprofen-based medication? Numeric Values

Only answer for Age or Year; not both. Age should be answered in years Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08570 Risk Factor Questionnaire (RFQ) - year not regularly taking CCB medication indicator RFQYrNtRegTkCCBMedctnInd Periods of a year or more when the participant did NOT regularly take CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Periods of a year or more when the participant did NOT regularly take CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Were there periods of a year or more when you did NOT regularly take any of the medicines listed in question 1? No;Yes No;Yes Alphanumeric

If No, Skip to Question 5a

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08549 Risk Factor Questionnaire (RFQ) - regularly taken anti-inflammatory medication indicator RFQRegTknAntinflamMedInd Has the participant regularly taken anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Has the participant regularly taken anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever regularly taken other anti-inflammatory medications? No;Yes No;Yes Alphanumeric

If No, skip to Question 8

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08581 Risk Factor Questionnaire (RFQ) - age stopped regularly taking other CCB medication period 1 value RFQPr1AgeStpRgTkOthrCCBMdcnVal Age when the participant stopped regularly taking other CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant stopped regularly taking other CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question 5? Numeric Values

Enter the 'Start Age' and 'Stop Age' for each period Age should be answered in years Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08560 Risk Factor Questionnaire (RFQ) - taken Nifedipine Procardia Adalat Afeditab Nifediac Nifedical indicator RFQTknNfpnPcdaAdtAtbNfcNfclInd Taken Nifedipine or Procardia, Adalat, Afeditab, Nifediac, or Nifedical as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Taken Nifedipine or Procardia, Adalat, Afeditab, Nifediac, or Nifedical as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever taken Nifedipine or Procardia, Adalat, Afeditab, Nifediac, Nifedical? No;Yes No;Yes Alphanumeric

If No, Skip to Question 1g

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17713 Risk Factor Questionnaire (RFQ) - age started regularly taking other CCB medication period 1 value RFQAgeStrtRgTkOtrCCBMdcPer1Val Age when the participant started regularly taking other CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant started regularly taking other CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values 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 3.00 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08539 Risk Factor Questionnaire (RFQ) - age year stop taking ibuprofen based medication value RFQAgeYrStopTakIbuBasedMedVal Age/year the participant stopped regularly taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant stopped regularly taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, at what age (or in what year) did you stop regularly taking an ibuprofen-based medication? Numeric Values

Only answer for Age or Year; not both. Age should be answered in years Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08571 Risk Factor Questionnaire (RFQ) - age stopped regularly taking CCB medication period 1 value RFQPer1AgeStpRegTkCCBMedctnVal Age when the participant stopped regularly taking CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant stopped regularly taking CCB medication period 1 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values

Enter the 'Start Age' and 'Stop Age' for each period Age should be answered in years Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08550 Risk Factor Questionnaire (RFQ) - age year started taking anti-inflammatory medications value RFQAgeYrStrtTakAntinflamMedVal Age/year the participant started regularly taking anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant started regularly taking anit-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, at what age (or in what year) did you start regularly taking other anti-inflammatory medications? Numeric Values

Age or Year

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08582 Risk Factor Questionnaire (RFQ) - age stopped regularly taking other CCB medication period 2 value RFQPr2AgeStpRgTkOthrCCBMdcnVal Age when the participant stopped regularly taking other CCB medication period 2 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant stopped regularly taking other CCB medication period 2 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question 5? Numeric Values

Enter the 'Start Age' and 'Stop Age' for each period Age should be answered in years Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08561 Risk Factor Questionnaire (RFQ) - taken Nifedipine Procardia Adalat Afeditab Nifediac Nifedical reason RFQTknNfpnPcdaAdtAtbNfcNfclRsn Reason took Nifedipine or Procardia, Adalat, Afeditab, Nifediac, or Nifedical as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Reason took Nifedipine or Procardia, Adalat, Afeditab, Nifediac, or Nifedical as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Why did you take Nifedipine or Procardia, Adalat, Afeditab, Nifediac, Nifedical? Alphanumeric

Only answer if yes for 'CCB Q1', otherwise leave rest of form blank.

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C17714 Risk Factor Questionnaire (RFQ) - age started regularly taking other CCB medication period 2 value RFQAgeStrtRgTkOtrCCBMdcPer2Val Age when the participant started regularly taking other CCB medication period 2 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant started regularly taking other CCB medication period 2 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values 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 3.00 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08540 Risk Factor Questionnaire (RFQ) - year not regularly taking ibuprofen based medication indicator RFQYrNtRegTakgIbuBasedMedInd Periods of a year or more when the participant did NOT regularly take an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Periods of a year or more when the participant did NOT regularly take an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Were there periods of a year or more when you did NOT regularly take an ibuprofen-based medication No;Yes No;Yes Alphanumeric

If No, skip to Question 4

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08572 Risk Factor Questionnaire (RFQ) - age stopped regularly taking CCB medication period 2 value RFQPer2AgeStpRegTkCCBMedctnVal Age when the participant stopped regularly taking CCB medication period 2 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant stopped regularly taking CCB medication period 2 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values

Enter the 'Start Age' and 'Stop Age' for each period Age should be answered in years Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08551 Risk Factor Questionnaire (RFQ) - age year stop taking other anti-inflammatory medications value RFQAgeYrStpTkOthrAntinflMedVal Age/year the participant stopped regularly taking other anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant stopped regularly taking anit-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, at what age (or in what year) did you stop regularly taking other anti-inflammatory medications? Numeric Values

Age or Year

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08583 Risk Factor Questionnaire (RFQ) - age stopped regularly taking other CCB medication period 3 value RFQPr3AgeStpRgTkOthrCCBMdcnVal Age when the participant stopped regularly taking other CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant stopped regularly taking other CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question 5? Numeric Values

Enter the 'Start Age' and 'Stop Age' for each period Age should be answered in years Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08562 Risk Factor Questionnaire (RFQ) - taken Nicardipine Cardene Carden SR indicator RFQTknNcrdpneCrdeneCrdenSRInd Taken Nicardipine or Cardene, Carden SR as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Taken Nicardipine or Cardene, Carden SR as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever taken Nicardipine or Cardene, Carden SR? No;Yes No;Yes Alphanumeric

If No, Skip to Question 1i

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17715 Risk Factor Questionnaire (RFQ) - age started regularly taking other CCB medication period 3 value RFQAgeStrtRgTkOtrCCBMdcPer3Val Age when the participant started regularly taking other CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant started regularly taking other CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values 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 3.00 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08541 Risk Factor Questionnaire (RFQ) - years not regularly taking ibuprofen based medication value RFQYrNtRegTakgIbuBasedMedVal Years in total that the participant did NOT regularly take ibuprofen-based medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Years in total that the participant did NOT regularly take ibuprofen-based medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) During this time, approximately how many years total did you NOT regularly take ibuprofen-based medication? Numeric Values

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08573 Risk Factor Questionnaire (RFQ) - age stopped regularly taking CCB medication period 3 value RFQPer3AgeStpRegTkCCBMedctnVal Age when the participant stopped regularly taking CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age when the participant stopped regularly taking CCB medication period 3 as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, what ages were you when you did NOT take any of the medicines listed in question1? Numeric Values

Enter the 'Start Age' and 'Stop Age' for each period Age should be answered in years Year should be answered in the 4-digit format

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08552 Risk Factor Questionnaire (RFQ) - year not regularly taking anti-inflammatory medications indicator RFQYrNtRegTkgAntinflamMedInd Periods of a year or more when the participant did NOT regularly take anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Periods of a year or more when the participant did NOT regularly take anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Were there periods of a year or more when you did NOT regularly take other anti-inflammatory medications? No;Yes No;Yes Alphanumeric

If No, skip to Calcium Channel Blockers section.

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C10462 Risk Factor Questionnaire (RFQ) - currently taking ibuprofen based medication indicator RFQCurntTakIbuBasedMedInd Indicator of whether the participant is currently taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Indicator of whether the participant is currently taking an ibuprofen-based medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Currently Take Currently Take Alphanumeric

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08563 Risk Factor Questionnaire (RFQ) - taken Nicardipine Cardene Carden SR reason RFQTknNcrdpneCrdeneCrdenSRRsn Reason took Nicardipine or Cardene, Carden SR as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Reason took Nicardipine or Cardene, Carden SR as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Why did you take Nicardipine or Cardene, Carden SR? Alphanumeric

Only answer if yes for 'CCB Q1', otherwise leave rest of form blank.

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08542 Risk Factor Questionnaire (RFQ) - ibuprofen based medication pills per week value RFQIbuBasedMedPillsWeekVal Pills per week that the participant took during the time they were regularly taking ibuprofen-based medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Pills per week that the participant took during the time they were regularly taking ibuprofen-based medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) During the time you were regularly taking an ibuprofen-based medication, on average, about how many pills per week did you take? Numeric Values

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08574 Risk Factor Questionnaire (RFQ) - taken Verapamil Calan Covera-HS Isoptin Verelan indicator RFQTknVpmlClnCvrHSIsptnVrlnInd Taken Verapamil or Calan, Covera-HS, Isoptin, Verelan as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Taken Verapamil or Calan, Covera-HS, Isoptin, Verelan as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever taken Verapamil or Calan, Covera-HS, Isoptin, Verelan? No;Yes No;Yes Alphanumeric

If No, Skip to Question 5b

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08553 Risk Factor Questionnaire (RFQ) - year not regularly taking anti-inflammatory medications value RFQYrNtRegTkgAntinflamMedVal Years in total that the participant did NOT regularly take anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Years in total that the participant did NOT regularly take anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) During this time, approximately how many years total did you NOT regularly take other anti-inflammatory medications? Numeric Values

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C10463 Risk Factor Questionnaire (RFQ) - currently taking aspirin indicator RFQCurntTakAsprnInd Indicator whther the participant currently takes aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Indicator whther the participant currently takes aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Currently Take Currently Take Alphanumeric

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08564 Risk Factor Questionnaire (RFQ) - taken Isradipine Dynacirc indicator RFQTknIsradipineDynacircInd Taken Isradipine or Dynacirc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Taken Isradipine or Dynacirc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever taken Isradipine or Dynacirc? No;Yes No;Yes Alphanumeric

If No, Skip to Question 1k

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08543 Risk Factor Questionnaire (RFQ) - regularly taken aspirin 6 months indicator RFQRegTknAsprn6MonInd Has the participant regularly taken aspirin medications, at least two pills per week for 6 months or longer? as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Has the participant regularly taken aspirin medications, at least two pills per week for 6 months or longer? as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever regularly taken aspirin, that is, at least two pills per week for 6 months or longer? No;Yes No;Yes Alphanumeric

If No, skip to Question 5

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08575 Risk Factor Questionnaire (RFQ) - taken Verapamil Calan Covera-HS Isoptin Verelan reason RFQTknVpmlClnCvrHSIsptnVrlnRsn Reason took Verapamil or Calan, Covera-HS, Isoptin, Verelan as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Reason took Verapamil or Calan, Covera-HS, Isoptin, Verelan as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Why did you take Verapamil or Calan, Covera-HS, Isoptin, Verelan? Alphanumeric

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08554 Risk Factor Questionnaire (RFQ) - anti-inflammatory medication pills per week value RFQAntinflamMedPillsWeekVal Pills per week that the participant took during the time they were regularly taking anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Pills per week that the participant took during the time they were regularly taking anti-inflammatory medications as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Pills per Week Numeric Values

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C10464 Risk Factor Questionnaire (RFQ) - currently taking anti-inflammatory medication indicator RFQCurntTakgAntinflamMedInd Indicator of whether the participant is currently taking another anti-inflammatory medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Indicator of whether the participant is currently taking another anti-inflammatory medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Currently Take Currently Take Alphanumeric

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08565 Risk Factor Questionnaire (RFQ) - taken Isradipine Dynacirc reason RFQTknIsradipineDynacircRsn Reason took Isradipine or Dynacirc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Reason tookIsradipine or Dynacirc as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Why did you take Isradipine or Dynacirc? Alphanumeric

Only answer if yes for 'CCB Q1', otherwise leave rest of form blank.

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08544 Risk Factor Questionnaire (RFQ) - age year started aspirin value RFQAgeYrStrtAsprnVal Age/year the participant started regularly taking aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Age/year the participant started regularly taking aspirin as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) If Yes, at what age (or in what year) did you start regularly taking aspirin? Numeric Values

Age or Year

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08576 Risk Factor Questionnaire (RFQ) - taken Diltiazem Cardizem Cartia Dilacor Tiazac Dilt-CD Diltia XT indicator RFQTkDlzmCdmCtaDcrTzcDCDDXTInd Taken Diltiazem or Cardizem, Cartia, Dilacor, Tiazac, Dilt-CD, Diltia XT as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Taken Diltiazem or Cardizem, Cartia, Dilacor, Tiazac, Dilt-CD, Diltia XT as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Have you ever taken Diltiazem or Cardizem, Cartia, Dilacor, Tiazac, Dilt-CD, Diltia XT? No;Yes No;Yes Alphanumeric

If No, Skip to Question 6

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08555 Risk Factor Questionnaire (RFQ) - treatment hypertension cardiovascular headache Raynauds issue indicator RFQTreatmtHtnCVHdachRIssInd Treatment for high BP, heart problems, angina, chest pain, irregular heartbeat, palpitations, recurrent headache, migraine or Raynaud's as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Treatment for high BP, heart problems, angina, chest pain, irregular heartbeat, palpitations, recurrent headache, migraine or Raynaud's as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and CCBs Have you ever been treated for high BP, heart problems, angina, chest pain, irregular heartbeat, palpitations, recurrent headache, migraine or Raynaud's? No;Yes No;Yes Alphanumeric

If No, Skip to 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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C10465 Risk Factor Questionnaire (RFQ) - currently taking CCB medication indicator RFQCurntTakCCBMedctnInd Indicator whther the participant currently takes CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Indicator whther the participant currently takes CCB medication as part of the Risk Factor Questionnaire for Nonsteroidal Anti-Inflammatory Drugs (NSAIDS) and Calcium Channel Blockers (CCB) Currently Take Currently Take Alphanumeric

No instructions available

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - NSAIDS and Calcium Channel Blockers (CCB) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

CSV