CDE Detailed Report

Disease: content
Sub-Domain: Epidemiology/Environmental History
CRF: welcome

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
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

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

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

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

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

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

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

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

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

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
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

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

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

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
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

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

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

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

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
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

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

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

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

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

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

C17726 Risk Factor Questionnaire (RFQ) - age started regularly soldering period 2 value RFQAgStrtRgSolderingPr2Val Age when the participant started regularly soldering period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started 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 2013-08-30 17:06:52.8 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08768 Risk Factor Questionnaire (RFQ) - use turpentine indicator RFQUseTurpentineInd Ever use turpentine as part of the Risk Factor Questionnaire for Toxicants Ever use turpentine as part of the Risk Factor Questionnaire for Toxicants Did or do you use turpentine? No;Yes No;Yes Alphanumeric

If 'No' skip to Q26

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

C08800 Risk Factor Questionnaire (RFQ) - age stopped regularly soldering period 3 value RFQAgStpRgSolderingPr3Val Age when the participant stopped regularly soldering period 3 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped regularly soldering 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 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
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

C08747 Risk Factor Questionnaire (RFQ) - used solvents or degreasers 100 days indicator RFQUsedSlvntsDgrsrs100DaysInd Has the participant ever used solvents or degreasers for at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants Has the participant ever used solvents or degreasers for at least 100 days at work or home as part of the Risk Factor Questionnaire for Toxicants In your lifetime, have you used solvents or degreasers 100 or more days at work or at home? No;Yes No;Yes Alphanumeric

If 'No' skip to Question 10

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

C08779 Risk Factor Questionnaire (RFQ) - age stopped regularly weld braze or flame cut metals period 2 value RFQAgStpRgWldBrzFlmCtMtlPr2Val Age when the participant stopped regularly weld, braze, or flame cut metals period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped 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 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08813 Risk Factor Questionnaire (RFQ) - metal dust or fume 2 worked around text RFQMetalDustFume2WrkArndTxt Text description of second metal dust or metal fume was worked around as part of the Risk Factor Questionnaire for Toxicants Text description of second 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

C08758 Risk Factor Questionnaire (RFQ) - use trichloroethylene or PERC indicator RFQUseTrichloroethylenePERCInd Ever use trichloroethylene or PERC (perchloroethylene) as part of the Risk Factor Questionnaire for Toxicants Ever use trichloroethane as part of the Risk Factor Questionnaire for Toxicants Did or do you use trichloroethylene or PERC (perchloroethylene)? No;Yes No;Yes Alphanumeric

If 'No' skip to Q16

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

C08790 Risk Factor Questionnaire (RFQ) - ever weld cut braze copper indicator RFQEvrWldCtBrzCopperInd Has the participant ever weld, cut, braze copper as part of the Risk Factor Questionnaire for Toxicants Has the participant ever weld, cut, braze copper as part of the Risk Factor Questionnaire for Toxicants Did or do you weld, cut, or braze copper? No;Yes No;Yes Alphanumeric

If 'No' skip to Q39

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

C17716 Risk Factor Questionnaire (RFQ) - age started regularly using adhesives period 1 value RFQAgeStrtRegUseAdhesvePer1Val Age when the participant started regularly using adhesives period 1 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly using adhesives period 1 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
C17727 Risk Factor Questionnaire (RFQ) - age started regularly soldering period 3 value RFQAgStrtRgSolderingPr3Val Age when the participant started regularly soldering period 3 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly soldering 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
C08769 Risk Factor Questionnaire (RFQ) - use other solvent indicator RFQUseOthrSolventInd Ever use another solvent as part of the Risk Factor Questionnaire for Toxicants Ever use another solvent as part of the Risk Factor Questionnaire for Toxicants Did or do you use another solvent? No;Yes No;Yes Alphanumeric

If 'No' skip to Question 27

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

C08801 Risk Factor Questionnaire (RFQ) - ever used tin-lead indicator RFQEvrUseTinLeadInd Has the participant ever used tin-lead as part of the Risk Factor Questionnaire for Toxicants Has the participant ever used tin-lead as part of the Risk Factor Questionnaire for Toxicants Did or do you use tin-lead? No;Yes No;Yes Alphanumeric

If 'No' skip to Q44

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

C08737 Risk Factor Questionnaire (RFQ) - age stopped regularly using adhesives period 1 value RFQPer1AgeStpRegUseAdhesiveVal Age when the participant stopped regularly using adhesives period 1 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped regularly using adhesives period 1 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
C08748 Risk Factor Questionnaire (RFQ) - started using solvents or degreasers value RFQStrtUseSlvntsDgrsrsVal Age/year the participant started using solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants Age/year the participant started using solvents or degreasers as part of the Risk Factor Questionnaire for Toxicants If Yes, at what age or year did you first use 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

C08780 Risk Factor Questionnaire (RFQ) - age stopped regularly weld braze or flame cut metals period 3 value RFQAgStpRgWldBrzFlmCtMtlPr3Val Age when the participant stopped regularly weld, braze, or flame cut metals period 3 as part of the Risk Factor Questionnaire for Toxicants Age when the participant stopped 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 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ) - Toxicants Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

year
C08814 Risk Factor Questionnaire (RFQ) - metal dust or fume 3 worked around text RFQMetalDustFume3WrkArndTxt Text description of third metal dust or metal fume was worked around as part of the Risk Factor Questionnaire for Toxicants Text description of third 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

C08759 Risk Factor Questionnaire (RFQ) - use acids alkalis or alcohols indicator RFQUseAcidsAlkalisAlcInd Ever use acids, alkalis or alcohols as part of the Risk Factor Questionnaire for Toxicants Ever use acids, alkalis or alcohols as part of the Risk Factor Questionnaire for Toxicants Did or do you use acids, alkalis or alcohols? No;Yes No;Yes Alphanumeric

If 'No' skip to Q17

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

C08791 Risk Factor Questionnaire (RFQ) - ever weld cut braze aluminum indicator RFQEvrWldCtBrzAluminumInd Has the participant ever weld, cut, braze aluminum as part of the Risk Factor Questionnaire for Toxicants Has the participant ever weld, cut, braze aluminum as part of the Risk Factor Questionnaire for Toxicants Did or do you weld, cut, or braze aluminum? No;Yes No;Yes Alphanumeric

If 'No' skip to Q40

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

C17717 Risk Factor Questionnaire (RFQ) - age started regularly using adhesives period 2 value RFQAgeStrtRegUseAdhesvePr2Val Age when the participant started regularly using adhesives period 2 as part of the Risk Factor Questionnaire for Toxicants Age when the participant started regularly using adhesives period 2 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
CSV