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 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C08781 | Risk Factor Questionnaire (RFQ) - ever weld cut braze stainless steel indicator | RFQWldCtBrzStainlessSteelInd | Has the participant ever weld, cut, braze stainless steel as part of the Risk Factor Questionnaire for Toxicants | Has the participant ever weld, cut, braze stainless steel as part of the Risk Factor Questionnaire for Toxicants | Did or do you weld, cut, or braze stainless steel? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q30 |
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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| C08815 | Risk Factor Questionnaire (RFQ) - worked around other chemicals or fumes indicator | RFQWrkdArndOthrChmclsFumeInd | Has the participant ever worked around any other chemicals or fumes not discussed as part of the Risk Factor Questionnaire for Toxicants | Has the participant ever worked around any other chemicals or fumes not discussed as part of the Risk Factor Questionnaire for Toxicants | In your lifetime, have you ever worked around any other chemicals or fumes that we haven't discussed? | 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) - Toxicants | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08749 | Risk Factor Questionnaire (RFQ) - stopped using solvents or degreasers value | RFQStpUseSlvntsDgrsrsVal | Age/year the participant stopped using solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants | Age/year the participant stopped 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? | 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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| C08760 | Risk Factor Questionnaire (RFQ) - use avgas or jet fuel indicator | RFQUseAvgasJetFuelInd | Ever use Freon as part of the Risk Factor Questionnaire for Toxicants | Ever use Freon as part of the Risk Factor Questionnaire for Toxicants | Did or do you use avgas, jet fuel? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q18 |
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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| C08792 | Risk Factor Questionnaire (RFQ) - ever weld cut braze another metal indicator | RFQEvrWldCtBrzOthrMetalInd | Has the participant ever weld, cut, braze another metal as part of the Risk Factor Questionnaire for Toxicants | Has the participant ever weld, cut, braze another metal as part of the Risk Factor Questionnaire for Toxicants | Did or do you weld, cut, or braze another metal? | No;Yes | No;Yes | Alphanumeric |
If 'No' skip to Q41 |
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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| C17718 | Risk Factor Questionnaire (RFQ) - age started regularly using adhesives period 3 value | RFQAgeStrtRegUseAdhesvePr3Val | Age when the participant started regularly using adhesives period 3 as part of the Risk Factor Questionnaire for Toxicants | Age when the participant started 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 | 2013-08-30 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 |
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| 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 |
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| 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 | |||||||||
| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 |
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| 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 | |||||||||
| 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 |
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| 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 |
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| 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 | |||||||||
| 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 |
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| 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 |
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| 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 | |||||||||
| 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 |
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| 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 | |||||||||
| 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 |
||||||||
| 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 | |||||||||
| 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 |
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| 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 | |||||||||
| 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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| 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 | |||||||||
| 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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| 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 | |||||||||
| 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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| 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 | |||||||||
| 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 |
||||||||||
| 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 | |||||||||
| 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 |
||||||||||
| 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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| 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 |
||||||||
| 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 |
