CDE Detailed Report

Disease: Huntington's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ-U) - Pesticides (Work)

Displaying 151 - 200 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
C08954 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure 26 35 age indicator RFQWrkExpos2635AgeInd The indicator whether there was work exposure to pesticides from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether there was work exposure to pesticides 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 a job where you mixed or applied pesticides, or were exposed in some other way? No;Yes No;Yes Alphanumeric

Pesticide Work - 26 -35 years old. If 'No', skip to Question 2.

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

C09123 Risk Factor Questionnaire (RFQ-U) - work other pesticide use 46 55 age indicator RFQWrkOthrPesticdUse4655AgeInd The indicator whether participant/subject used another type of pesticide 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 another type of pesticide 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 another type of pesticide(s)? No;Yes No;Yes Alphanumeric

Pesticide Work–46-55 years old. If 'No', skip to 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

C09050 Risk Factor Questionnaire (RFQ-U) - work DDT use 36 45 age indicator RFQWrkDDTUse3645IAgend The indicator whether participant/subject used DDT 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 DDT 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 DDT? 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

C09059 Risk Factor Questionnaire (RFQ-U) - work rodenticide use 36 45 age indicator RFQWrkRodnticdUse3645AgeInd The indicator whether participant/subject used rodenticides 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 rodenticides 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 rodenticides (pesticides used to kill rat or mice)? 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

C09228 Risk Factor Questionnaire (RFQ-U) - work other insecticide use 66 onward age indicator RFQWrkOthrInsctcdUs66OnAgeInd The indicator whether participant/subject used other insecticides 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 insecticides 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 insecticide(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

C08986 Risk Factor Questionnaire (RFQ-U) - work S compound use 26 35 age indicator RFQWrkSCmpndUse2635AgeInd The indicator whether participant/subject used sulfur 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 sulfur 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 sulfur 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

C09155 Risk Factor Questionnaire (RFQ-U) - work Cu compound use 56 65 age indicator RFQWrkCuCmpndUse5665AgeInd The indicator whether participant/subject used copper compounds 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 copper compounds 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 copper compounds? 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

C09102 Risk Factor Questionnaire (RFQ-U) - work other fungicide use 46 55 age indicator RFQWrkOthrFungicdUse4655AgeInd The indicator whether participant/subject used other fungicides 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 fungicides 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 fungicide(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

C09029 Risk Factor Questionnaire (RFQ-U) - days year work pesticide exposure 36 45 age frequency RFQDyYrWrkPstcdExps3645AgeFreq The number of days with pesticide exposure during years with job with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The number of days with pesticide exposure during years with job with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). During these years, about how many days per year did you mix, apply, or get exposed in some other way to pesticides? 1 - 10 days;11 - 30 days;31 - 90 days;More than 90 days 1 - 10 days;11 - 30 days;31 - 90 days;More than 90 days 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

C09198 Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 66 onward age text RFQOthrWrkPstcdExpos66OnAgeTxt The description of work in some other field with pesticide exposure from age 66 onward 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 66 onward 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–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

C08965 Risk Factor Questionnaire (RFQ-U) - landscaping work 26 35 age indicator RFQLandscapeWrk2635AgeInd The indicator whether participant/subject worked in landscaping/gardening/groundskeeping from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in landscaping/gardening/groundskeeping 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 landscaping / gardening / grounds keeping? 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

C09134 Risk Factor Questionnaire (RFQ-U) - other agricultural application work 56 65 age indicator RFQOtherAgricultWrk5665AgeInd The indicator whether participant/subject worked in agricultural applications other than 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 worked in agricultural applications other than farming or ranching from age 56 to 65 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–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

C09070 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure other 46 55 age indicator RFQWrkExposOthr4655AgeInd The indicator whether work exposure to pesticides from age 46 to 55 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 46 to 55 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–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

C09239 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure unusually high indicator RFQWkPestcdExposUnuslHighInd The indicator whether there was exposure to an unusually high amount of pesticides in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether there was exposure to an unusually high amount of pesticides in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). Were you ever exposed to unusually high amounts of pesticides at work, for example from a spill, when either you or someone else was using pesticides? No;Yes No;Yes Alphanumeric

Additional Pesticide Information section. If 'No', end questionnaire.

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08997 Risk Factor Questionnaire (RFQ-U) - work parathion product use 26 35 age indicator RFQWrkParathiProdUse2635AgeInd The indicator whether participant/subject used parathion 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 parathion 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 parathion 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

C09166 Risk Factor Questionnaire (RFQ-U) - work lindane product use 56 65 age indicator RFQWrkLindanProdUse5665AgeInd The indicator whether participant/subject used lindane 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 lindane 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 lindane 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

C09008 Risk Factor Questionnaire (RFQ-U) - work other fumigant 26 35 age text RFQWrkOthrFumignt2635AgeTxt The description of any other fumigants used at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The description of any other fumigants used at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). If yes, please specify other fumigant(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

C09177 Risk Factor Questionnaire (RFQ-U) - work methyl bromide use 56 65 age indicator RFQWrkMethBromUse5665AgeInd The indicator whether participant/subject used methyl bromide 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 methyl bromide 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 methyl bromide? 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

C09113 Risk Factor Questionnaire (RFQ-U) - work rotenone product use 46 55 age indicator RFQWrkRotenoneProdUs4655AgeInd The indicator whether participant/subject used rotenone 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 rotenone 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 rotenone 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

C09040 Risk Factor Questionnaire (RFQ-U) - work chlorathalonil use 36 45 age indicator RFQWrkChlorathalUse3645AgeInd The indicator whether participant/subject used chlorathalonil 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 chlorathalonil 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 chlorothalonil? 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

C09209 Risk Factor Questionnaire (RFQ-U) - work fungicide use 66 onward age indicator RFQWrkFungicdUse66OnAgeInd The indicator whether participant/subject used 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 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 fungicides (pesticides used to kill fungus, mold, or rot)? 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

C09218 Risk Factor Questionnaire (RFQ-U) - work insecticide use 66 onward age indicator RFQWrkInscticdUse66OnAgeInd The indicator whether participant/subject used insecticides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used insecticides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use insecticides (pesticides used to kill insects)? 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

C08976 Risk Factor Questionnaire (RFQ-U) - work metolachlor alachlor acetochlor product use 26 35 age indicator RFQWrkChlorProdUse2635AgeInd The indicator whether participant/subject used metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor or acetochlor 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

C09145 Risk Factor Questionnaire (RFQ-U) - broadleaf herbicide exposure 56 65 age indicator RFQBdlfHerbicdExpos5665AgeInd The indicator whether participant/subject used broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) 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 broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) 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 2,4-D 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

C09081 Risk Factor Questionnaire (RFQ-U) - pest control work 46 55 age indicator RFQPestCtrlWrk4655AgeInd The indicator whether participant/subject worked in pest control or as an exterminator from age 46 to 55 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 46 to 55 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–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

C09250 Risk Factor Questionnaire (RFQ-U) - work cartridge respirator or gas mask use indicator RFQWkRespratrMaskUseInd The indicator of whether the participant/subject wore a cartridge respirator or gas mask 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 a cartridge respirator or gas mask 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 Cartridge respirator, gas mask? 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

C09092 Risk Factor Questionnaire (RFQ-U) - work trifluralin use 46 55 age indicator RFQWrkTrifluralinUse4655AgeInd The indicator whether participant/subject used trifluralin 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 trifluralin 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 trifluralin? 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

C09019 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 36 45 age text RFQFrmRnchExposAniml3645AgeTxt The description of any pesticides used on livestock/farm animals 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 livestock/farm animals 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 livestock/farm animal(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

C09188 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 66 onward age text RFQFarmRnchExposCrop66OnAgeTxt The description of any pesticides used on crops while working in farming or ranching from age 66 onward 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 66 onward 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–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

C08955 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure mixed applied 26 35 age indicator RFQWrkExposMxdAppld2635AgeInd The indicator whether work exposure to pesticides from age 26 to 35 was 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 26 to 35 was through mixed or applied pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). How were you exposed to pesticides Mixed or applied? Mixed;Applied Mixed;Applied 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

C09124 Risk Factor Questionnaire (RFQ-U) - work other pesticide 46 55 age text RFQWrkOthrPesticd4655AgeTxt The description of any other pesticides used at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any other pesticides used at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please specify other pesticide(s) 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 255

Free-Form Entry

C09051 Risk Factor Questionnaire (RFQ-U) - work dieldrin product use 36 45 age indicator RFQWrkDieldrnProdUse3645AgeInd The indicator whether participant/subject used dieldrin 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 dieldrin 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 dieldrin 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

C09060 Risk Factor Questionnaire (RFQ-U) - work other rodenticide use 36 45 age indicator RFQWrkOthrRodntcdUse3645AgeInd The indicator whether participant/subject used other rodenticides 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 rodenticides 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 rodenticide(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

C09229 Risk Factor Questionnaire (RFQ-U) - work other insecticide use 66 onward age text RFQWrkOthrInsctcdUs66OnAgeTxt The description of any other insecticides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any other insecticides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please specify other insecticide(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

C08987 Risk Factor Questionnaire (RFQ-U) - work ziram product use 26 35 age indicator RFQWrkZiramProdUse2635AgeInd The indicator whether participant/subject used ziram 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 ziram 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 ziram 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

C09156 Risk Factor Questionnaire (RFQ-U) - work maneb mancozeb product use 56 65 age indicator RFQWrkManebProdUse5665AgeInd The indicator whether participant/subject used maneb or mancozeb 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 maneb or mancozeb 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 maneb or mancozeb 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

C09103 Risk Factor Questionnaire (RFQ-U) - work other fungicide use 46 55 age text RFQWrkOthrFungicdUse4655AgeTxt The description of any other fungicides used at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any other fungicides used at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please specify other fungicide(s) 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 255

Free-Form Entry

C09030 Risk Factor Questionnaire (RFQ-U) - work herbicide use 36 45 age indicator RFQWrkHerbicdUse3645AgeInd The indicator whether participant/subject used herbicides 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 herbicides 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 herbicides (pesticides used to kill weeds or plants)? 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

C09199 Risk Factor Questionnaire (RFQ-U) - number years pesticide exposure work 66 onward age count RFQTotlYrPstcdExpoWrk66OnAgeCt The total number of years during which participant/subject held a job with pesticide exposure from age 66 onward 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 66 onward 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–66 years and above. If zero, skip to Additional Pesticide Information section.

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
C08966 Risk Factor Questionnaire (RFQ-U) - greenhouse work 26 35 age indicator RFQGreenhseWrk2635AgeInd The indicator whether participant/subject worked in a nursery/greenhouse from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in a nursery/greenhouse 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 a nursery / greenhouse? 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

C09135 Risk Factor Questionnaire (RFQ-U) - forestry work 56 65 age indicator RFQForestryWrk5665AgeInd The indicator whether participant/subject worked in forestry from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in forestry from age 56 to 65 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–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

C09071 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure other 46 55 age text RFQWrkExposOthr4655AgeTxt The description of any work exposure to pesticides age 46 to 55 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 46 to 55 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–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 255

Free-Form Entry

C09240 Risk Factor Questionnaire (RFQ-U) - pesticide exposure unusually high text RFQPestcdExposUnuslHighTxt The description of any exposure to an unusually high amount of pesticides in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any exposure to an unusually high amount of pesticides in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please explain Alphanumeric

Additional Pesticide Information section.

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

C08998 Risk Factor Questionnaire (RFQ-U) - work permethrin other pyrethroid product use 26 35 age indicator RFQWrkPyrethProdUse2635AgeInd The indicator whether participant/subject used permethrin or other pyrethroid 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 permethrin or other pyrethroid 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 permethrin or other pyrethroid 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

C09167 Risk Factor Questionnaire (RFQ-U) - work oil use 56 65 age indicator RFQWrkOilUse5665AgeInd The indicator whether participant/subject used oil 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 oil 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 oil? 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

C09009 Risk Factor Questionnaire (RFQ-U) - work other pesticide use 26 35 age indicator RFQWrkOthrPesticdUse2635AgeInd The indicator whether participant/subject used another type of pesticide 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 another type of pesticide 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 another type of pesticide(s)? No;Yes No;Yes Alphanumeric

Pesticide Work - 26 -35 years old. If 'No', skip to 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

C09178 Risk Factor Questionnaire (RFQ-U) - work other fumigant use 56 65 age indicator RFQWrkOthrFumigntUse5665AgeInd The indicator whether participant/subject used other fumigants 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 fumigants 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 fumigant(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

C09114 Risk Factor Questionnaire (RFQ-U) - work other insecticide use 46 55 age indicator RFQWrkOthrInsctcdUse4655AgeInd The indicator whether participant/subject used other insecticides 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 insecticides 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 insecticide(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

C09041 Risk Factor Questionnaire (RFQ-U) - work Cu compound use 36 45 age indicator RFQWrkCuCmpndUse3645AgeInd The indicator whether participant/subject used copper compounds 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 copper compounds 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 copper compounds? 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

C09210 Risk Factor Questionnaire (RFQ-U) - work benomyl product use 66 onward age indicator RFQWrkBenomylUse66OnAgeInd The indicator whether participant/subject used benomyl 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 benomyl 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 benomyl 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

CSV