CDE Detailed Report

Disease: Parkinson's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - Toxicants

Displaying 1 - 50 of 106
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
C08803 Risk Factor Questionnaire (RFQ) - ever used another metal or alloy indicator RFQEvrUseOthrMetalAlloyInd Has the participant ever used another metal or alloy as part of the Risk Factor Questionnaire for Toxicants Has the participant ever used another metal or alloy as part of the Risk Factor Questionnaire for Toxicants Did or do you use another metal or alloy? No;Yes No;Yes Alphanumeric

If 'No' skip to Q46

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08739 Risk Factor Questionnaire (RFQ) - age stopped regularly using adhesives period 3 value RFQPer3AgeStpRegUseAdhesiveVal Age when the participant stopped regularly using adhesives period 3 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped regularly using adhesives period 3 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use glues or adhesives? Numeric Values

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C17729 Risk Factor Questionnaire (RFQ) - age stopped regularly working around metal dust or metal fumes period 2 value RFQAgStpRgWrkArdMtlDstFmPr2Val Age when the participant stopped regularly working around metal dust or metal fumes period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped regularly working around metal dust or metal fumes period 2 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT solder? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08771 Risk Factor Questionnaire (RFQ) - ever weld braze or flame cut metals 100 days indicator RFQWldedBrzdFlmCtMtl100DaysInd Has the participant ever welded, brazed, or flame cut metals at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants Has the participant ever welded, brazed, or flame cut metals at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants In your lifetime, have you welded, brazed, or flame cut metals 100 or more days at work or at home? No;Yes No;Yes Alphanumeric

If 'No' skip to Question 28

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08782 Risk Factor Questionnaire (RFQ) - ever weld cut braze mild steel indicator RFQEvrWldCtBrzMildSteelInd Has the participant ever weld, cut, braze mild steel as part of the Risk Factor Questionnaire for Toxicants Has the participant ever weld, cut, braze mild steel as part of the Risk Factor Questionnaire for Toxicants Did or do you weld, cut, or braze mild steel? No;Yes No;Yes Alphanumeric

If 'No' skip to Q31

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08816 Risk Factor Questionnaire (RFQ) - chemical or fume 1 worked around text RFQChemFume1WrkArndTxt Text description of first chemical or fume was worked around as part of the Risk Factor Questionnaire for Toxicants Text description of first chemical or fume was worked around as part of the Risk Factor Questionnaire for Toxicants If Yes, specify other solvent-based adhesives used. 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) - Toxicants Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08750 Risk Factor Questionnaire (RFQ) - year not regularly using solvents or degreasers indicator RFQYrNtRegUseSlvntsDgrsrsInd Periods of a year or more when the participant did not regularly use solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants Periods of a year or more when the participant did not regularly use solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants Were there periods of a year or more when you did NOT regularly use solvents or degreasers? No;Yes No;Yes Alphanumeric

If 'No' skip to Question 11

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08793 Risk Factor Questionnaire (RFQ) - ever weld flame cut braze another metal text RFQEvrWldFlmCtBrzOthrMetalTxt Text description of which other metal was welded, flame cut, or brazed as part of the Risk Factor Questionnaire for Toxicants Text description of which other metal was welded, flame cut, or brazed as part of the Risk Factor Questionnaire for Toxicants If Yes, specify other metal welded, flame cut, or brazed 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) - Toxicants Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C17719 Risk Factor Questionnaire (RFQ) - age started regularly using solvents or degreasers period 1 value RFQAgStrtRgUseSlvntDgrsrPr1Val Age when the participant started regularly using solvents or degreasers period 1 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly using solvents or degreasers period 1 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use solvents or degreasers? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08761 Risk Factor Questionnaire (RFQ) - use freon indicator RFQUseFreonInd Ever use avgas or jet fuel as part of the Risk Factor Questionnaire for Toxicants Ever use avgas or jet fuel as part of the Risk Factor Questionnaire for Toxicants Did or do you use Freon? No;Yes No;Yes Alphanumeric

If 'No' skip to Q19

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08804 Risk Factor Questionnaire (RFQ) -other metal or alloy text RFQEvrWldFlmCtBrzOthrMtlTxt Text description of which other metal or alloy was used as part of the Risk Factor Questionnaire for Toxicants Text description of which other metal or alloy was used as part of the Risk Factor Questionnaire for Toxicants If Yes, specify other metal or alloy used 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) - Toxicants Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08740 Risk Factor Questionnaire (RFQ) - use water-based adhesives indicator RFQUseWaterBasedAdhesivesInd Ever use water-based adhesives as part of the Risk Factor Questionnaire for Toxicants Ever use water-based adhesives as part of the Risk Factor Questionnaire for Toxicants Did or do you use water-based adhesives (vinyl acrylic)? No;Yes No;Yes Alphanumeric

If 'No' skip to Q4

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17730 Risk Factor Questionnaire (RFQ) - age started regularly working around metal dust or metal fumes period 2 value RFQAgStrtRgWrkArdMtlDtFmPr2Val Age when the participant started regularly working around metal dust or metal fumes period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly working around metal dust or metal fumes period 2 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT solder? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08772 Risk Factor Questionnaire (RFQ) - ever welded indicator RFQEvrWeldedInd Has the participant ever welded as part of the Risk Factor Questionnaire for Toxicants Has the participant ever welded as part of the Risk Factor Questionnaire for Toxicants Have you welded? No;Yes No;Yes 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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08783 Risk Factor Questionnaire (RFQ) - ever weld cut braze galvanized or zinc-plated iron or steel indicator RFQWldCtBrzGlvzdZnpltIrnStlInd Has the participant ever weld, cut, braze galvanized or zinc-plated iron or steel as part of the Risk Factor Questionnaire for Toxicants Has the participant ever weld, cut, braze galvanized or zinc-plated iron or steel as part of the Risk Factor Questionnaire for Toxicants Did or do you weld, cut, or braze galvanized or zinc-plated iron or steel? No;Yes No;Yes Alphanumeric

If 'No' skip to Q32

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08817 Risk Factor Questionnaire (RFQ) - chemical or fume 2 worked around text RFQChemFume2WrkArndTxt Text description of second chemical or fume was worked around as part of the Risk Factor Questionnaire for Toxicants Text description of second chemical or fume was worked around as part of the Risk Factor Questionnaire for Toxicants If Yes, specify other solvent-based adhesives used. 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) - Toxicants Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08751 Risk Factor Questionnaire (RFQ) - age stopped regularly using solvents or degreasers period 1 value RFQAgStpRgUseSlvntDgrsrPer1Val Age when the participant stopped regularly using solvents or degreasers period 1 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped regularly using solvents or degreasers period 1 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use solvents or degreasers? Numeric Values

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08794 Risk Factor Questionnaire (RFQ) - soldered 100 days indicator RFQSoldered100DaysInd Has the participant ever soldered at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants Has the participant ever soldered at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants In your lifetime, have you soldered 100 or more days at work or at home? No;Yes No;Yes Alphanumeric

If 'No' skip to Q42

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17720 Risk Factor Questionnaire (RFQ) - age started regularly using solvents or degreasers period 2 value RFQAgStrtRgUseSlvntDgrsrPr2Val Age when the participant started regularly using solvents or degreasers period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly using solvents or degreasers period 2 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use solvents or degreasers? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08762 Risk Factor Questionnaire (RFQ) - use methylethyl ketone indicator RFQUseMEKInd Ever use methylethyl ketone (MEK) as part of the Risk Factor Questionnaire for Toxicants Ever use methylethyl ketone (MEK) as part of the Risk Factor Questionnaire for Toxicants Did or do you use methylethyl ketone (MEK)? No;Yes No;Yes Alphanumeric

If 'No' skip to Q20

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08805 Risk Factor Questionnaire (RFQ) - worked around metal dust or fumes 100 days indicator RFQWrkdArndMtlDstFms100DaysInd Has the participant ever worked around metal dust or metal fumes for at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants Has the participant ever worked around metal dust or metal fumes for at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants In your lifetime, have you worked around metal dust or metal fumes 100 or more days at work or at home? No;Yes No;Yes Alphanumeric

If 'No' skip to Question 47

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08741 Risk Factor Questionnaire (RFQ) - use holt melt adhesives indicator RFQUseHoltMeltAdhesivesInd Ever use holt melt adhesives as part of the Risk Factor Questionnaire for Toxicants Ever use holt melt adhesives as part of the Risk Factor Questionnaire for Toxicants Did or do you use holt melt adhesives? No;Yes No;Yes Alphanumeric

If 'No' skip to Q5

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17731 Risk Factor Questionnaire (RFQ) - age stopped regularly working around metal dust or metal fumes period 3 value RFQAgStpRgWrkArdMtlDstFmPr3Val Age when the participant stopped regularly working around metal dust or metal fumes period 3 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped regularly working around metal dust or metal fumes period 3 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT solder? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08773 Risk Factor Questionnaire (RFQ) - ever brazed indicator RFQEvrBrazedInd Has the participant ever brazed as part of the Risk Factor Questionnaire for Toxicants Has the participant ever brazed as part of the Risk Factor Questionnaire for Toxicants Have you brazed? No;Yes No;Yes 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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08784 Risk Factor Questionnaire (RFQ) - ever weld cut braze cadmium-plated steel indicator RFQEvrWldCtBrzCadmPltdStlInd Has the participant ever weld, cut, braze cadmium-plated steel as part of the Risk Factor Questionnaire for Toxicants Has the participant ever weld, cut, braze cadmium-plated steel as part of the Risk Factor Questionnaire for Toxicants Did or do you weld, cut, or braze cadium-plated steel? No;Yes No;Yes Alphanumeric

If 'No' skip to Q33

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08818 Risk Factor Questionnaire (RFQ) - chemical or fume 3 worked around text RFQChemFume3WrkArndTxt Text description of third chemical or fume was worked around as part of the Risk Factor Questionnaire for Toxicants Text description of third chemical or fume was worked around as part of the Risk Factor Questionnaire for Toxicants If Yes, specify other solvent-based adhesives used. 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) - Toxicants Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08752 Risk Factor Questionnaire (RFQ) - age stopped regularly using solvents or degreasers period 2 value RFQAgStpRgUseSlvntDgrsrPer2Val Age when the participant stopped regularly using solvents or degreasers period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped regularly using solvents or degreasers period 2 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use solvents or degreasers? Numeric Values

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08795 Risk Factor Questionnaire (RFQ) - First soldered value RFQ1stSolderedVal Age/year the participant first soldered as part of the Risk Factor Questionnaire for Toxicants Age/year the participant first soldered as part of the Risk Factor Questionnaire for Toxicants If Yes, at what age or year did you first solder? 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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C17721 Risk Factor Questionnaire (RFQ) - age started regularly using solvents or degreasers period 3 value RFQAgStrtRgUseSlvntDgrsrPr3Val Age when the participant started regularly using solvents or degreasers period 3 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly using solvents or degreasers period 3 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use solvents or degreasers? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08763 Risk Factor Questionnaire (RFQ) - use kerosene indicator RFQUseKeroseneInd Ever use kerosene as part of the Risk Factor Questionnaire for Toxicants Ever use kerosene as part of the Risk Factor Questionnaire for Toxicants Did or do you use kerosene? No;Yes No;Yes Alphanumeric

If 'No' skip to Q21

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08806 Risk Factor Questionnaire (RFQ) - First worked around metal dust or fumes value RFQ1stWrkdArndMtlDstFmVal Age/year the participant first worked around metal dust or fumes as part of the Risk Factor Questionnaire for Toxicants Age/year the participant first worked around metal dust or fumes as part of the Risk Factor Questionnaire for Toxicants If Yes, at what age or year did you first work around metal dust or metal fumes? Numeric Values

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08742 Risk Factor Questionnaire (RFQ) - use Elmer carpenter or wood glue indicator RFQUseElmerCarpntrWoodGlueInd Ever use Elmer's, carpenter's, or wood glue as part of the Risk Factor Questionnaire for Toxicants Ever use Elmer's, carpenter's, or wood glue as part of the Risk Factor Questionnaire for Toxicants Did or do you use Elmer's, carpenter's, or wood glue? No;Yes No;Yes Alphanumeric

If 'No' skip to Q6

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17732 Risk Factor Questionnaire (RFQ) - age started regularly working around metal dust or metal fumes period 3 value RFQAgStrtRgWrkArdMtlDtFmPr3Val Age when the participant started regularly working around metal dust or metal fumes period 3 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly working around metal dust or metal fumes period 3 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT solder? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08774 Risk Factor Questionnaire (RFQ) - ever flame cut metals indicator RFQEvrFlameCutMetalInd Has the participant ever flame cut metals as part of the Risk Factor Questionnaire for Toxicants Has the participant ever flame cut metals as part of the Risk Factor Questionnaire for Toxicants Have you flame cut metal? No;Yes No;Yes 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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08785 Risk Factor Questionnaire (RFQ) - ever weld cut braze lead-plated or leaded steel indicator RFQEvrWldCtBrzLdPltdLdSteelInd Has the participant ever weld, cut, braze lead-plated or leaded steel as part of the Risk Factor Questionnaire for Toxicants Has the participant ever weld, cut, braze lead-plated or leaded steel as part of the Risk Factor Questionnaire for Toxicants Did or do you weld, cut, or braze lead-plated or leaded steel? No;Yes No;Yes Alphanumeric

If 'No' skip to Q34

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C10468 Risk Factor Questionnaire (RFQ) - currently using adhesives indicator RFQCrrntlyUsingAdhesivesInd Currently using adhesives as part of the Risk Factor Questionnaire for Toxicants Currently using adhesives as part of the Risk Factor Questionnaire for Toxicants If Yes, at what age or year did you stop using glues or adhesives? Currently Use selected/checked;"Currently Use" NOT selected/checked Currently Use selected/checked;"Currently Use" NOT selected/checked 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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08753 Risk Factor Questionnaire (RFQ) - age stopped regularly using solvents or degreasers period 3 value RFQAgStpRgUseSlvntDgrsrPer3Val Age when the participant stopped regularly using solvents or degreasers period 3 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped regularly using solvents or degreasers period 3 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT use solvents or degreasers? Numeric Values

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08796 Risk Factor Questionnaire (RFQ) - Stopped soldering value RFQAgeYrStpSolderingVal Age/year the participant stopped soldering as part of the Risk Factor Questionnaire for Toxicants Age/year the participant stopped soldering as part of the Risk Factor Questionnaire for Toxicants If Yes, at what age or year did you stop soldering? 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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C17722 Risk Factor Questionnaire (RFQ) - age started regularly weld braze or flame cut metals period 1 value RFQAgStrtRgWldBrzFmCtMtlPr1Val Age when the participant started regularly weld, braze, or flame cut metals period 1 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly weld, braze, or flame cut metals period 1 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT weld, braze, or flame cut metals? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08764 Risk Factor Questionnaire (RFQ) - use mineral spirits naptha or paint thinner indicator RFQUseMinSprtsNapthaPntThnrInd Ever use mineral spirits, naptha, or paint thinner as part of the Risk Factor Questionnaire for Toxicants Ever use mineral spirits, naptha, or paint thinner as part of the Risk Factor Questionnaire for Toxicants Did or do you use mineral spirits, naptha, paint thinner? No;Yes No;Yes Alphanumeric

If 'No' skip to Q22

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08807 Risk Factor Questionnaire (RFQ) - Stopped working around metal dust or fumes value RFQStpWrkgArndMtlDstFmVal Age/year the participant stopped working around metal dust or fumes as part of the Risk Factor Questionnaire for Toxicants Age/year the participant stopped working around metal dust or fumes as part of the Risk Factor Questionnaire for Toxicants If Yes, at what age or year did you stop working around metal dust or metal fumes? Numeric Values

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08743 Risk Factor Questionnaire (RFQ) - use superglue indicator RFQUseSuperglueInd Ever use Superglue as part of the Risk Factor Questionnaire for Toxicants Ever use Superglue as part of the Risk Factor Questionnaire for Toxicants Did or do you use Superglue (cyanoacrylate)? No;Yes No;Yes Alphanumeric

If 'No' skip to Q7

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08775 Risk Factor Questionnaire (RFQ) - first weld braze or flame cut metals value RFQ1stWldBrzdFlmCtMtlVal Age/year the participant first welded, brazed, or flame cut metals as part of the Risk Factor Questionnaire for Toxicants Age/year the participant first welded, brazed, or flame cut metals as part of the Risk Factor Questionnaire for Toxicants If Yes answered for 27a - 27c, at what age or year did you first weld, braze, or flame cut metal? 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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08786 Risk Factor Questionnaire (RFQ) - ever weld cu, braze chromium plated steel indicator RFQEvrWldCtBrzChrmumPltdStlInd Has the participant ever weld, cut, braze chromium plated steel as part of the Risk Factor Questionnaire for Toxicants Has the participant ever weld, cut, braze chromium plated steel as part of the Risk Factor Questionnaire for Toxicants Did or do you weld, cut, or braze chromium plated steel? No;Yes No;Yes Alphanumeric

If 'No' skip to Q35

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C10469 Risk Factor Questionnaire (RFQ) - currently using solvents degreasers indicator RFQCrrntlyUsingSlvntsDgrsrsInd Currently using solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants Currently using solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants If Yes, at what age or year did you stop using solvents or degreasers? Currently Use selected/checked;"Currently Use" NOT selected/checked Currently Use selected/checked;"Currently Use" NOT selected/checked 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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08754 Risk Factor Questionnaire (RFQ) - use carbon tetrachloride indicator RFQUseCarbonTetrachlorideInd Ever use carbon tetrachloride as part of the Risk Factor Questionnaire for Toxicants Ever use carbon tetracholride as part of the Risk Factor Questionnaire for Toxicants Did or do you use carbon tetrachloride? No;Yes No;Yes Alphanumeric

If 'No' skip to Q12

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08797 Risk Factor Questionnaire (RFQ) - year not regularly solder indicator RFQYrNtRegSolderInd Periods of a year or more when the participant did not regularly solder as part of the Risk Factor Questionnaire for Toxicants Periods of a year or more when the participant did not regularly solder as part of the Risk Factor Questionnaire for Toxicants Were there periods of a year or more when you did NOT regularly solder? No;Yes No;Yes Alphanumeric

If 'No' skip to Q43

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08733 Risk Factor Questionnaire (RFQ) - used adhesives 100 days indicator RFQUsedAdhesives100DaysInd Has the participant ever used adhesives at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants Has the participant ever used adhesives at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants In your lifetime, have you used glues or adhesives 100 or more days at work or at home? No;Yes No;Yes Alphanumeric

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 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C17723 Risk Factor Questionnaire (RFQ) - age started regularly weld braze or flame cut metals period 2 value RFQAgStrtRgWldBrzFmCtMtlPr2Val Age when the participant started regularly weld, braze, or flame cut metals period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly weld, braze, or flame cut metals period 2 as part of the Risk Factor Questionnaire for Toxicants If Yes, what ages were you when you did NOT weld, braze, or flame cut metals? Numeric Values

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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08765 Risk Factor Questionnaire (RFQ) - use n-hexane indicator RFQUseNHexaneInd Ever use n-hexane as part of the Risk Factor Questionnaire for Toxicants Ever use n-hexane as part of the Risk Factor Questionnaire for Toxicants Did or do you use n-hexane? No;Yes No;Yes Alphanumeric

If 'No' skip to Q23

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) - Toxicants Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

CSV