CDE Detailed Report
Disease: Huntington's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ-U) - Pesticides (Work)
Displaying 1 - 50 of 360
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ-U) - Pesticides (Work)
Displaying 1 - 50 of 360
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C08994 | Risk Factor Questionnaire (RFQ-U) - work dieldrin product use 26 35 age indicator | RFQWrkDieldrnProdUse2635AgeInd | The indicator whether participant/subject used dieldrin products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used dieldrin products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use dieldrin products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09109 | Risk Factor Questionnaire (RFQ-U) - work lindane product use 46 55 age indicator | RFQWrkLindanProdUse4655AgeInd | The indicator whether participant/subject used lindane products at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used lindane products at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use lindane products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09205 | Risk Factor Questionnaire (RFQ-U) - work paraquat diquat product use 66 onward age indicator | RFQWrkPrqtDiqtProdUs66OnAgeInd | The indicator whether participant/subject used paraquat or diquat products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used paraquat or diquat products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use paraquat or diquat products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09026 | Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 36 45 age indicator | RFQOthrWrkPstcdExpos3645AgeInd | The indicator whether participant/subject worked some other field with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject worked some other field with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During this period of life, did you work in some other field with exposure to pesticides? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09141 | Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 56 65 age text | RFQOthrWrkPstcdExpos5665AgeTxt | The description of work in some other field with pesticide exposure from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of work in some other field with pesticide exposure from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If Yes, please specify the other kind of work where you were exposed to pesticides | Alphanumeric |
Pesticide Work–56-65 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C08962 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 26 35 age text | RFQFrmRnchPstExpsAnml2635AgTxt | The description of any pesticides used on livestock/farm animals while working in farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of any pesticides used on livestock/farm animals while working in farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If Yes, please specify what pesticides were used on livestock/farm animal(s) | Alphanumeric |
Pesticide Work – 26 -35 years old. Answer only if previous question was answered 'Yes'. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09077 | Risk Factor Questionnaire (RFQ-U) - other agricultural application work 46 55 age indicator | RFQOtherAgricultWrk4655AgeInd | The indicator whether participant/subject worked in agricultural applications other than farming or ranching from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in agricultural applications other than farming or ranching from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During this period of life, did you work in other agricultural applications (for example, aerial spraying)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09246 | Risk Factor Questionnaire (RFQ-U) - work protective equipment usual indicator | RFQWkProtectEquipUsualInd | The indicator of whether the participant/subject wore protective equipment other than gloves more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator of whether the participant/subject wore protective equipment other than gloves more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If you personally mixed or applied pesticides, did you use any other type of protective equipment more than half the time? | Yes;No;Never mix/apply | Yes;No;Never mix/apply | Alphanumeric |
Additional Pesticide Information section. If 'No', skip to Question 7. If 'Never mix/apply', skip to Question 7. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09173 | Risk Factor Questionnaire (RFQ-U) - work rodenticide use 56 65 age indicator | RFQWrkRodnticdUse5665AgeInd | The indicator whether participant/subject used rodenticides at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used rodenticides at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use rodenticides (pesticides used to kill rat or mice)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09184 | Risk Factor Questionnaire (RFQ-U) - work pesticide exposure other 66 onward age indicator | RFQWrkPstcdExposOthr66OnAgeInd | The indicator whether work exposure to pesticides from age 66 onward was other than through mixed or applied pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether work exposure to pesticides from age 66 onward was other than through mixed or applied pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | Were you exposed to pesticides in some other way? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09005 | Risk Factor Questionnaire (RFQ-U) - work fumigant use 26 35 age indicator | RFQWrkFumigantUse2635AgeInd | The indicator whether participant/subject used fumigants at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used fumigants at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use fumigants (gas used to kill insects or fungus or plants)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09120 | Risk Factor Questionnaire (RFQ-U) - work methyl bromide use 46 55 age indicator | RFQWrkMethBromUse4655AgeInd | The indicator whether participant/subject used methyl bromide at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used methyl bromide at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use methyl bromide? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09216 | Risk Factor Questionnaire (RFQ-U) - work other fungicide use 66 onward age indicator | RFQWrkOthrFungicdUse66OnAgeInd | The indicator whether participant/subject used other fungicides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used other fungicides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use other fungicide(s)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09225 | Risk Factor Questionnaire (RFQ-U) - work parathion product use 66 onward age indicator | RFQWrkParathiProdUs66POnAgeInd | The indicator whether participant/subject used parathion products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used parathion products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use parathion products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09037 | Risk Factor Questionnaire (RFQ-U) - work other herbicide use 36 45 age text | RFQWrkOthrHrbicdUse3645AgeTxt | The description of any other herbicides used at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The description of any other herbicides used at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | If yes, please specify other herbicide(s) | Alphanumeric |
Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09152 | Risk Factor Questionnaire (RFQ-U) - work fungicide use 56 65 age indicator | RFQWrkFungicdUse5665AgeInd | The indicator whether participant/subject used fungicides at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used fungicides at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use fungicides (pesticides used to kill fungus, mold, or rot)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08973 | Risk Factor Questionnaire (RFQ-U) - work herbicide use 26 35 age indicator | RFQWrkHerbicdUse2635AgeInd | The indicator whether participant/subject used herbicides at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used herbicides at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use herbicides (pesticides used to kill weeds or plants)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09088 | Risk Factor Questionnaire (RFQ-U) - broadleaf herbicide exposure 46 55 age indicator | RFQBdlfHerbicdExpos4655AgeInd | The indicator whether participant/subject used broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use 2,4-D products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 46-55 years old |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09195 | Risk Factor Questionnaire (RFQ-U) - pest control work 66 onward age indicator | RFQPestCtrlWrk66OnAgeInd | The indicator whether participant/subject worked in pest control or as an exterminator from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in pest control or as an exterminator from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During this period of life, did you work in pest control / as exterminator? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09016 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 36 45 age indicator | RFQFrmRnchExposCrop3645AgeInd | The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | If Yes, when farming or ranching during this period of life, were you exposed to or did you use pesticides on crops? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09131 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 56 65 age text | RFQFarmRnchExposCrop5665AgeTxt | The description of any pesticides used on crops while working in farming or ranching from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of any pesticides used on crops while working in farming or ranching from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If Yes, please specify what pesticides were used on crops | Alphanumeric |
Pesticide Work–56-65 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09067 | Risk Factor Questionnaire (RFQ-U) - work other pesticide 36 45 age text | RFQWrkOthrPesticd3645AgeTxt | The description of any other pesticides used at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The description of any other pesticides used at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | If yes, please specify other pesticide(s) | Alphanumeric |
Pesticide Work -36-46 years old. Answer only if previous question was answered 'Yes'. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09236 | Risk Factor Questionnaire (RFQ-U) - work other fumigant 66 onward age text | RFQWrkOthrFumignt66OnAgeTxt | The description of any other fumigants used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of any other fumigants used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If yes, please specify other fumigant(s) | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09048 | Risk Factor Questionnaire (RFQ-U) - work aldrin product use 36 45 age indicator | RFQWrkAldrinProdUse3645AgeInd | The indicator whether participant/subject used aldrin products at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used aldrin products at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use aldrin products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09163 | Risk Factor Questionnaire (RFQ-U) - work chlorpyrifos terbufos use 56 65 age indicator | RFQWrkTerbufosUse5665AgeInd | The indicator whether participant/subject used chlorpyrifos or terbufos at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used chlorpyrifos or terbufos at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use chlorpyrifos or terbufos? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08984 | Risk Factor Questionnaire (RFQ-U) - work Cu compound use 26 35 age indicator | RFQWrkCuCmpndUse2635AgeInd | The indicator whether participant/subject used copper compounds at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used copper compounds at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use copper compounds? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09099 | Risk Factor Questionnaire (RFQ-U) - work maneb mancozeb product use 46 55 age indicator | RFQWrkManebProdUse4655AgeInd | The indicator whether participant/subject used maneb or mancozeb products at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used maneb or mancozeb products at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use maneb or mancozeb products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08995 | Risk Factor Questionnaire (RFQ-U) - work lindane product use 26 35 age indicator | RFQWrkLindanProdUse2635AgeInd | The indicator whether participant/subject used lindane products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used lindane products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use lindane products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09110 | Risk Factor Questionnaire (RFQ-U) - work oil use 46 55 age indicator | RFQWrkOilUse4655AgeInd | The indicator whether participant/subject used oil at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used oil at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use oil? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09206 | Risk Factor Questionnaire (RFQ-U) - work trifluralin use 66 onward age indicator | RFQWrkTrifluralinUse66OnAgeInd | The indicator whether participant/subject used trifluralin at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used trifluralin at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use trifluralin? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09027 | Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 36 45 age text | RFQOthrWrkPstcdExpos3645AgeTxt | The description of work in some other field with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The description of work in some other field with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | If Yes, please specify the other kind of work where you were exposed to pesticides | Alphanumeric |
Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09142 | Risk Factor Questionnaire (RFQ-U) - number years pesticide exposure work 56 65 age count | RFQTotlYrPstcdExpsWrk5665AgeCt | The total number of years during which participant/subject held a job with pesticide exposure from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The total number of years during which participant/subject held a job with pesticide exposure from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During this period, how many total years did you have jobs where you mixed, applied, or were exposed in some other way to pesticides? | Numeric Values |
Pesticide Work–56-65 years old. If zero years, skip to Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Free-Form Entry |
year | |||||||||
| C08963 | Risk Factor Questionnaire (RFQ-U) - other agricultural application work 26 35 age indicator | RFQOtherAgricultWrk2635IAgend | The indicator whether participant/subject worked in agricultural applications other than farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in agricultural applications other than farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During this period of life, did you work in other agricultural applications (for example, aerial spraying)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09078 | Risk Factor Questionnaire (RFQ-U) - forestry work 46 55 age indicator | RFQForestryWrk4655IAgend | The indicator whether participant/subject worked in forestry from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in forestry from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During this period of life, did you work in forestry? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09247 | Risk Factor Questionnaire (RFQ-U) - work protective shoes use indicator | RFQWkProtectShoesUseInd | The indicator of whether the participant/subject wore chemical resistant boots or shoes more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator of whether the participant/subject wore chemical resistant boots or shoes more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If yes, did you use any of the following equipment Chemical resistant boots or shoes? | No;Yes | No;Yes | Alphanumeric |
Additional Pesticide Information section. If 'Yes', did you use any of the following equipment: |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09174 | Risk Factor Questionnaire (RFQ-U) - work other rodenticide use 56 65 age indicator | RFQWrkOthrRodntcdUse5665AgeInd | The indicator whether participant/subject used other rodenticides at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used other rodenticides at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use other rodenticide(s)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09185 | Risk Factor Questionnaire (RFQ-U) - work pesticide exposure other 66 onward age text | RFQWrkPstcdExposOthr66OnAgeTxt | The description of any work exposure to pesticides age 66 onward other than through mixed or applied pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of any work exposure to pesticides age 66 onward other than through mixed or applied pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If Yes, please specify how you were exposed | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
|||||||||
| C09006 | Risk Factor Questionnaire (RFQ-U) - work methyl bromide use 26 35 age indicator | RFQWrkMethBromUse2635AgeInd | The indicator whether participant/subject used methyl bromide at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used methyl bromide at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use methyl bromide? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09121 | Risk Factor Questionnaire (RFQ-U) - work other fumigant use 46 55 age indicator | RFQWrkOthrFumigntUse4655AgeInd | The indicator whether participant/subject used other fumigants at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used other fumigants at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use other fumigant(s)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09217 | Risk Factor Questionnaire (RFQ-U) - work other fungicide use 66 onward age text | RFQWrkOthrFungicdUse66OnAgeTxt | The description of any other fungicides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of any other fungicides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If yes, please specify other fungicide(s) | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
|||||||||
| C09057 | Risk Factor Questionnaire (RFQ-U) - work other insecticide use 36 45 age indicator | RFQWrkOthrInsctcdUse3645AgeInd | The indicator whether participant/subject used other insecticides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used other insecticides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use other insecticide(s)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09226 | Risk Factor Questionnaire (RFQ-U) - work permethrin other pyrethroid product use 66 onward age indicator | RFQPyrethrdProdUse66OnAgeInd | The indicator whether participant/subject used permethrin or other pyrethroid products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used permethrin or other pyrethroid products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use permethrin or other pyrethroid products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09038 | Risk Factor Questionnaire (RFQ-U) - work fungicide use 36 45 age indicator | RFQWrkFungicdUse3645AgeInd | The indicator whether participant/subject used fungicides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used fungicides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use fungicides (pesticides used to kill fungus, mold, or rot)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09153 | Risk Factor Questionnaire (RFQ-U) - work benomyl product use 56 65 age indicator | RFQWrkBenomylUse5665AgeInd | The indicator whether participant/subject used benomyl products at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used benomyl products at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use benomyl products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C08974 | Risk Factor Questionnaire (RFQ-U) - broadleaf herbicide exposure 26 35 age indicator | RFQBdlfHerbicdExpos2635AgeInd | The indicator whether participant/subject used broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use 2,4-D products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26-35 years old |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09089 | Risk Factor Questionnaire (RFQ-U) - work atrazine cyanazine product use 46 55 age indicator | RFQWrkAtraCyanProdUs4655AgeInd | The indicator whether participant/subject used atrazine or cyanazine products at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used atrazine or cyanazine products at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use atrazine or cyanazine products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09100 | Risk Factor Questionnaire (RFQ-U) - work S compound use 46 55 age indicator | RFQWrkSCmpndUse4655AgeInd | The indicator whether participant/subject used sulfur compounds at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used sulfur compounds at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use sulfur compounds? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09196 | Risk Factor Questionnaire (RFQ-U) - building maintenance work 66 onward age indicator | RFQBldgMaintWrk66OnAgeInd | The indicator whether participant/subject worked in building maintenance or as a janitor from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in building maintenance or as a janitor from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During this period of life, did you work in building maintenance / janitorial? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09017 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 36 45 age text | RFQFrmRnchExposCrop3645AgeTxt | The description of any pesticides used on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The description of any pesticides used on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | If Yes, please specify what pesticides were used on crops | Alphanumeric |
Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
|||||||||
| C09132 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 56 65 age indicator | RFQFarmRnchExpsAniml5665AgeInd | The indicator whether participant/subject exposed to pesticides used on livestock/farm animals while working in farming or ranching from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject exposed to pesticides used on livestock/farm animals while working in farming or ranching from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | When farming or ranching during this period of life, were you exposed to or did you use pesticides on livestock/farm animals? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 years old. |
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-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
