CDE Detailed Report
Disease: Parkinson's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ) - Toxicants
Displaying 1 - 50 of 106
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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 | |||||||||
| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| C08744 | Risk Factor Questionnaire (RFQ) - use contact adhesives indicator | RFQUseContactAdhesivesInd | Ever use contact adhesives as part of the Risk Factor Questionnaire for Toxicants | Ever use contact adhesives as part of the Risk Factor Questionnaire for Toxicants | Did or do you use contact adhesives (rubber cement)? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q8 |
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 |
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| C08776 | Risk Factor Questionnaire (RFQ) - stopped weld braze or flame cut metals value | RFQStpWldBrzdFlmCtMtlVal | Age/year the participant stopped welding, brazing, or flame cutting metals as part of the Risk Factor Questionnaire for Toxicants | Age/year the participant stopped welding, brazing, or flame cutting metals as part of the Risk Factor Questionnaire for Toxicants | If Yes answered for 27a- 27c, at what age or year did you stop welding, brazing, or flame cutting metals? | 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 |
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| C08808 | Risk Factor Questionnaire (RFQ) - year not regularly working around metal dust or metal fumes indicator | RFQYrNtRegWrkArndMtlDstFmInd | Periods of a year or more when the participant did not regularly working around metal dust or metal fumes as part of the Risk Factor Questionnaire for Toxicants | Periods of a year or more when the participant did not regularly working around metal dust or metal fumes as part of the Risk Factor Questionnaire for Toxicants | Were there periods of a year or more when you did NOT regularly work around metal dust or metal fumes? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Question 48 |
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 |
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| C10470 | Risk Factor Questionnaire (RFQ) - current weld braze flame cut metals indicator | RFQCrrntlyWldBrzdFlmCtMtlInd | Currently welding, brazing, or flame cutting metals as part of the Risk Factor Questionnaire for Toxicants | Currently welding, brazing, or flame cutting metals as part of the Risk Factor Questionnaire for Toxicants | If Yes answered for 27a- 27c, at what age or year did you stop welding, brazing, or flame cutting metals? | Currently Weld, Braze, or Flame Cut Metal selected/checked;"Currently Weld, Braze, or Flame Cut Metal" NOT selected/checked | Currently Weld, Braze, or Flame Cut Metal selected/checked;"Currently Weld, Braze, or Flame Cut Metal" 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 |
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| C08755 | Risk Factor Questionnaire (RFQ) - use chloroform indicator | RFQUseChloroformInd | Ever use chloroform as part of the Risk Factor Questionnaire for Toxicants | Ever use chloroform as part of the Risk Factor Questionnaire for Toxicants | Did or do you use chloroform? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q13 |
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 |
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| C08787 | Risk Factor Questionnaire (RFQ) - ever weld cut braze titanium based alloy indicator | RFQEvrWldCtBrzTitnmBsdAlloyInd | Has the participant ever weld, cut, braze titanium based alloy as part of the Risk Factor Questionnaire for Toxicants | Has the participant ever weld, cut, braze titanium based alloy as part of the Risk Factor Questionnaire for Toxicants | Did or do you weld, cut, or braze titanium based alloy? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q36 |
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 |
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| C08734 | Risk Factor Questionnaire (RFQ) - started using adhesives value | RFQStrtUseAdhesivesVal | Age/year the participant started using adhesives as part of the Risk Factor Questionnaire for Toxicants | Age/year the participant started using adhesives as part of the Risk Factor Questionnaire for Toxicants | If Yes, at what age or year did you first use glues or adhesives? | 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 |
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| C17724 | Risk Factor Questionnaire (RFQ) - age started regularly weld braze or flame cut metals period 3 value | RFQAgStrtRgWldBrzFmCtMtlPr3Val | Age when the participant started regularly weld, braze, or flame cut metals period 3 as part of the Risk Factor Questionnaire for Toxicants | Age when the participant started regularly weld, braze, or flame cut metals period 3 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 | |||||||||
| C08766 | Risk Factor Questionnaire (RFQ) - use Stoddard solvent indicator | RFQUseStoddardSolventInd | Ever use Stoddard solvent as part of the Risk Factor Questionnaire for Toxicants | Ever use Stoddard solvent as part of the Risk Factor Questionnaire for Toxicants | Did or do you use Stoddard solvent? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q24 |
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 |
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| C08798 | Risk Factor Questionnaire (RFQ) - age stopped regularly soldering period 1 value | RFQAgStpRgSolderingPr1Val | Age when the participant stopped regularly soldering period 1 as part of the Risk Factor Questionnaire for Toxicants | Age when the participant stopped regularly soldering period 1 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 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ) - Toxicants | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
year | |||||||||
| C08745 | Risk Factor Questionnaire (RFQ) - use other solvent-based adhesives indicator | RFQUseOthrSlvntBsdAdhesivesInd | Ever use other solvent-based adhesives as part of the Risk Factor Questionnaire for Toxicants | Ever use other solvent-based adhesives as part of the Risk Factor Questionnaire for Toxicants | Did or do you use other solvent-based adhesives? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q9 |
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 |
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| C08777 | Risk Factor Questionnaire (RFQ) - year not regularly weld braze or flame cut metals indicator | RFQYrNtRegWldBrzFlmCtMtlInd | Periods of a year or more when the participant did not regularly weld, braze, or flame cut metals as part of the Risk Factor Questionnaire for Toxicants | Periods of a year or more when the participant did not regularly weld, braze, or flame cut metals as part of the Risk Factor Questionnaire for Toxicants | Were there periods of a year or more when you did NOT regularly weld, braze, or flame cut metals? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q29 |
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 |
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| C08809 | Risk Factor Questionnaire (RFQ) - age stopped regularly working around metal dust or metal fumes period 1 value | RFQAgStpRgWrkArdMtlDstFmPr1Val | Age when the participant stopped regularly working around metal dust or metal fumes period 1 as part of the Risk Factor Questionnaire for Toxicants | Age when the participant stopped regularly working around metal dust or metal fumes period 1 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 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ) - Toxicants | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
year | |||||||||
| C10471 | Risk Factor Questionnaire (RFQ) - currently soldering indicator | RFQCrrntlySolderInd | Currently soldering as part of the Risk Factor Questionnaire for Toxicants | Currently soldering as part of the Risk Factor Questionnaire for Toxicants | If Yes, at what age or year did you stop soldering? | Current Solder selected/checked;"Current Solder" NOT selected/checked | Current Solder selected/checked;"Current Solder" 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 |
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| C08756 | Risk Factor Questionnaire (RFQ) - use methylene chloride indicator | RFQUseMethyleneChlorideInd | Ever use methylene chloride as part of the Risk Factor Questionnaire for Toxicants | Ever use methylene chloride as part of the Risk Factor Questionnaire for Toxicants | Did or do you use methylene chloride? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q14 |
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 |
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| C08788 | Risk Factor Questionnaire (RFQ) - ever weld cut braze brass or bronze indicator | RFQEvrWldCtBrzBrassBronzeInd | Has the participant ever weld, cut, braze brass or bronze as part of the Risk Factor Questionnaire for Toxicants | Has the participant ever weld, cut, braze brass or bronze as part of the Risk Factor Questionnaire for Toxicants | Did or do you weld, cut, or braze brass or bronze? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q37 |
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 |
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| C08735 | Risk Factor Questionnaire (RFQ) - stopped using adhesives value | RFQStpUseAdhesivesVal | Age/year the participant stopped using adhesives as part of the Risk Factor Questionnaire for Toxicants | Age/year the participant stopped 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? | 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 |
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| C17725 | Risk Factor Questionnaire (RFQ) - age started regularly soldering period 1 value | RFQAgStrtRgSolderingPr1Val | Age when the participant started regularly soldering period 1 as part of the Risk Factor Questionnaire for Toxicants | Age when the participant started regularly soldering period 1 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 | |||||||||
| C08767 | Risk Factor Questionnaire (RFQ) - use toluol xylol xylene indicator | RFQUseToluolXylolXyleneInd | Ever use toluol/xylol/xylene as part of the Risk Factor Questionnaire for Toxicants | Ever use toluol/xylol/xylene as part of the Risk Factor Questionnaire for Toxicants | Did or do you use toluol/xylol/xylene? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q25 |
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 |
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| C08799 | Risk Factor Questionnaire (RFQ) - age stopped regularly soldering period 2 value | RFQAgStpRgSolderingPr2Val | Age when the participant stopped regularly soldering period 2 as part of the Risk Factor Questionnaire for Toxicants | Age when the participant stopped regularly soldering 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 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ) - Toxicants | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
year | |||||||||
| C08746 | Risk Factor Questionnaire (RFQ) - use other solvent-based adhesives text | RFQUseOthrSlvntBsdAdhsvesTxt | Text description of which other solvent-based adhesives used as part of the Risk Factor Questionnaire for Toxicants | Text description of which other solvent-based adhesives used 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 |
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| C08778 | Risk Factor Questionnaire (RFQ) - age stopped regularly weld braze or flame cut metals period 1 value | RFQAgStpRgWldBrzFlmCtMtlPr1Val | Age when the participant stopped regularly weld, braze, or flame cut metals period 1 as part of the Risk Factor Questionnaire for Toxicants | Age when the participant stopped 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 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ) - Toxicants | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
year | |||||||||
| C08812 | Risk Factor Questionnaire (RFQ) - metal dust or fume 1 worked around text | RFQMetalDustFume1WrkArndTxt | Text description of first metal dust or metal fume was worked around as part of the Risk Factor Questionnaire for Toxicants | Text description of first metal dust or metal fume was worked around as part of the Risk Factor Questionnaire for Toxicants | What specific types of metal dust or metal fumes did you work around? | 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 |
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| C10472 | Risk Factor Questionnaire (RFQ) - currently working around metal dust fumes indicator | RFQCrrntlyWrkgArndMtlDstFmInd | Currently working around metal dust or fumes as part of the Risk Factor Questionnaire for Toxicants | Currently 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? | Currently work around metal dust or metal fumes checked/selected;"Currently work around metal dust or metal fumes" NOT checked/selected | Currently work around metal dust or metal fumes checked/selected;"Currently work around metal dust or metal fumes" NOT checked/selected | 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 |
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| C08757 | Risk Factor Questionnaire (RFQ) - use trichloroethane indicator | RFQUseTrichloroethaneInd | Ever use trichloroethane as part of the Risk Factor Questionnaire for Toxicants | Ever use trichloroethylene or PERC (perchloroethylene) as part of the Risk Factor Questionnaire for Toxicants | Did or do you use trichloroethane? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q15 |
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 |
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| C08789 | Risk Factor Questionnaire (RFQ) - ever weld cut braze cast iron indicator | RFQEvrWldCtBrzCastIronInd | Has the participant ever weld, cut, braze cast iron as part of the Risk Factor Questionnaire for Toxicants | Has the participant ever weld, cut, braze cast iron as part of the Risk Factor Questionnaire for Toxicants | Did or do you weld, cut, or braze cast iron? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q38 |
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 |
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| C08736 | Risk Factor Questionnaire (RFQ) - year not regularly using adhesives indicator | RFQYrNtRegUseAdhesivesInd | Periods of a year or more when the participant did not regularly use adhesives as part of the Risk Factor Questionnaire for Toxicants | Periods of a year or more when the participant did not regularly use adhesives as part of the Risk Factor Questionnaire for Toxicants | Were there periods of a year or more when you did NOT regularly use glues or adhesives? | 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 |
