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 Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
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

C09052 Risk Factor Questionnaire (RFQ-U) - work lindane product use 36 45 age indicator RFQWrkLindanProdUse3645AgeInd The indicator whether participant/subject used lindane 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 lindane 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 lindane 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

C09097 Risk Factor Questionnaire (RFQ-U) - work chlorathalonil use 46 55 age indicator RFQWrkChlorathalUse4655IAgend The indicator whether participant/subject used chlorathalonil 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 chlorathalonil 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 chlorothalonil? 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

C08988 Risk Factor Questionnaire (RFQ-U) - work other fungicide use 26 35 age indicator RFQWrkOthrFungicdUse2635IAgend The indicator whether participant/subject used other fungicides 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 other fungicides 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 other fungicide(s)? 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

C09193 Risk Factor Questionnaire (RFQ-U) - landscaping work 66 onward age indicator RFQLandscapeWrk66OnAgeInd The indicator whether participant/subject worked in landscaping/gardening/groundskeeping from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in landscaping/gardening/groundskeeping 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 landscaping / gardening / grounds keeping? 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

C09129 Risk Factor Questionnaire (RFQ-U) - farm ranch work 56 65 age indicator RFQFarmRanchWrk5665AgeInd The indicator whether participant/subject worked 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 worked in 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 farming or ranching? No;Yes No;Yes Alphanumeric

Pesticide Work–56-65 years old. If 'No', skip to Question 3.

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

Single Pre-Defined Value Selected

C09020 Risk Factor Questionnaire (RFQ-U) - other agricultural application work 36 45 age indicator RFQOtherAgricultWrk3645AgeInd The indicator whether participant/subject worked in agricultural applications other than 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 worked in agricultural applications other than farming or ranching 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 other agricultural applications (for example, aerial spraying)? 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

C09065 Risk Factor Questionnaire (RFQ-U) - work other fumigant 36 45 age text RFQWrkOthrFumignt3645AgeTxt The description of any other fumigants 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 fumigants 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 fumigant(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

C08956 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure other 26 35 age indicator RFQWrkExposOthr2635AgeInd The indicator whether work exposure to pesticides from age 26 to 35 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 26 to 35 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 – 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

C09076 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 46 55 age text RFQFarmRnchExpsAniml4655AgeTxt The description of any pesticides used on livestock/farm animals while working in farming or ranching from age 46 to 55 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 46 to 55 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–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

C08967 Risk Factor Questionnaire (RFQ-U) - pest control work 26 35 age indicator RFQPestCtrlWrk2635AgeInd The indicator whether participant/subject worked in pest control or as an exterminator from age 26 to 35 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 26 to 35 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 – 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

C09172 Risk Factor Questionnaire (RFQ-U) - work other insecticide use 56 65 age text RFQWrkOthrInscticdUse5665AgTxt The description of any other insecticides used at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any other insecticides used at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please specify other insecticide(s) 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

C09237 Risk Factor Questionnaire (RFQ-U) - work other pesticide use 66 onward age indicator RFQWrkOthrPestcdUs66OnAgeInd The indicator whether participant/subject used another type of pesticide at work from age 66 onward 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 66 onward 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–56-65 years old. If 'No', 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

Single Pre-Defined Value Selected

C09108 Risk Factor Questionnaire (RFQ-U) - work dieldrin product use 46 55 age indicator RFQWrkDieldrnProdUse4655AgeInd The indicator whether participant/subject used dieldrin 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 dieldrin 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 dieldrin 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

C08999 Risk Factor Questionnaire (RFQ-U) - work rotenone product use 26 35 age indicator RFQWrkRotenonProdUse2635AgeInd The indicator whether participant/subject used rotenone 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 rotenone 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 rotenone 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

C09204 Risk Factor Questionnaire (RFQ-U) - work metolachlor alachlor acetochlor product use 66 onward age indicator RFQWrkMetAlAcProdUs66OnAgeInd The indicator whether participant/subject used metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor or acetochlor 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

C09140 Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 56 65 age indicator RFQOthrWrkPstcdExpos5665AgeInd The indicator whether participant/subject worked some other field with pesticide exposure from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked some other field with pesticide exposure 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 some other field with exposure to pesticides? 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

C09031 Risk Factor Questionnaire (RFQ-U) - broadleaf herbicide exposure 36 45 age indicator RFQBdlfHerbicdExpos3645AgeInd The indicator whether participant/subject used broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) 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 broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) 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 2,4-D 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

C09042 Risk Factor Questionnaire (RFQ-U) - work maneb mancozeb product use 36 45 age indicator RFQWrkManebProdUse3645AgeInd The indicator whether participant/subject used maneb or mancozeb 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 maneb or mancozeb 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 maneb or mancozeb 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

C09087 Risk Factor Questionnaire (RFQ-U) - work herbicide use 46 55 age indicator RFQWrkHerbicdUse4655AgeInd The indicator whether participant/subject used herbicides 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 herbicides 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 herbicides (pesticides used to kill weeds or plants)? 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

C08978 Risk Factor Questionnaire (RFQ-U) - work trifluralin use 26 35 age indicator RFQWrkTrifluralinUse2635AgeInd The indicator whether participant/subject used trifluralin 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 trifluralin 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 trifluralin? 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

C09183 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure mixed applied 66 onward age indicator RFQWrkPstcdExpsMxApld66OnAgInd The indicator whether work exposure to pesticides from age 66 onward 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 66 onward 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–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

C09248 Risk Factor Questionnaire (RFQ-U) - work protective apron use indicator RFQWkProtectApronUseInd The indicator of whether the participant/subject wore a chemical resistant apron 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 chemical resistant apron 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 apron? 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

C09119 Risk Factor Questionnaire (RFQ-U) - work fumigant use 46 55 age indicator RFQWrkFumigantUse4655AgeInd The indicator whether participant/subject used 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 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 fumigants (gas used to kill insects or fungus or plants)? 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

C09010 Risk Factor Questionnaire (RFQ-U) - work other pesticide 26 35 age text RFQWrkOthrPesticd2635AgeTxt The description of any other pesticides 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 pesticides 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 pesticide(s) Alphanumeric

Pesticide Work – 26 -36 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

C09215 Risk Factor Questionnaire (RFQ-U) - work ziram product use 66 onward age indicator RFQWrkZiramProdUse66OnAgeInd The indicator whether participant/subject used ziram 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 ziram 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 ziram 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

C09151 Risk Factor Questionnaire (RFQ-U) - work other herbicide use 56 65 age text RFQWrkOthrHrbicdUse5665AgeTxt The description of any other herbicides used at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any other herbicides used at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please specify other herbicide(s) 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

C09162 Risk Factor Questionnaire (RFQ-U) - work aldrin product use 56 65 age indicator RFQWrkAldrinProdUse5665AgeInd The indicator whether participant/subject used aldrin 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 aldrin 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 aldrin 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

C09227 Risk Factor Questionnaire (RFQ-U) - work rotenone product use 66 onward age indicator RFQWrkRotenneProdUs66OnAgeInd The indicator whether participant/subject used rotenone 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 rotenone 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 rotenone 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

C09053 Risk Factor Questionnaire (RFQ-U) - work oil use 36 45 age indicator RFQWrkOilUse3645AgeInd The indicator whether participant/subject used oil 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 oil 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 oil? 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

C09098 Risk Factor Questionnaire (RFQ-U) - work Cu compound use 46 55 age indicator RFQWrkCuCmpndUse4655AgeInd The indicator whether participant/subject used copper 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 copper 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 copper 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

C08989 Risk Factor Questionnaire (RFQ-U) - work other fungicide use 26 35 age text RFQWrkOthrFungicdUse2635AgeTxt The description of any other fungicides used at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any other fungicides used at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please specify other fungicide(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

C09194 Risk Factor Questionnaire (RFQ-U) - greenhouse work 66 onward age indicator RFQGreenhseWrk66OnAgeInd The indicator whether participant/subject worked in a nursery/greenhouse from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in a nursery/greenhouse 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 a nursery / greenhouse? 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

C09130 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 56 65 age indicator RFQFarmRnchExposCrop5665AgeInd The indicator whether participant/subject exposed to pesticides 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 indicator whether participant/subject exposed to pesticides 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, 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–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

C09021 Risk Factor Questionnaire (RFQ-U) - forestry work 36 45 age indicator RFQForestryWrk3645AgeInd The indicator whether participant/subject worked in forestry from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The indicator whether participant/subject worked in forestry 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 forestry? 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

C09066 Risk Factor Questionnaire (RFQ-U) - work other pesticide use 36 45 age indicator RFQWrkOthrPesticdUse3645AgeInd The indicator whether participant/subject used another type of pesticide 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 another type of pesticide 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 another type of pesticide(s)? No;Yes No;Yes Alphanumeric

Pesticide Work -36-45 years old. If 'No', skip to 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

C08957 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure other 26 35 age text RFQWrkExposOthr2635AgeTxt The description of any work exposure to pesticides age 26 to 35 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 26 to 35 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 – 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

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

C08968 Risk Factor Questionnaire (RFQ-U) - building maintenance work 26 35 age indicator RFQBldgMaintWrk2635AgeInd The indicator whether participant/subject worked in building maintenance or as a janitor from age 26 to 35 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 26 to 35 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 – 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

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

C09238 Risk Factor Questionnaire (RFQ-U) - work other pesticide 66 onward age text RFQWrkOthrPesticd66OnAgeTxt The description of any other pesticides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any other pesticides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please specify other pesticide(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

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

C09000 Risk Factor Questionnaire (RFQ-U) - work other insecticide use 26 35 age indicator RFQWrkOthrInscticdUs2635AgeInd The indicator whether participant/subject used other insecticides 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 other insecticides 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 other insecticide(s)? 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

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

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

C09032 Risk Factor Questionnaire (RFQ-U) - work atrazine cyanazine product use 36 45 age indicator RFQWrkAtraCynProdUse3645AgeInd The indicator whether participant/subject used atrazine or cyanazine 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 atrazine or cyanazine 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 atrazine or cyanazine 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

C09043 Risk Factor Questionnaire (RFQ-U) - work S compound use 36 45 age indicator RFQWrkSCmpndUse3645AgeInd The indicator whether participant/subject used sulfur 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 sulfur 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 sulfur 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

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

C08979 Risk Factor Questionnaire (RFQ-U) - work other herbicide use 26 35 age indicator RFQWrkOthrHrbicdUse2635AgeInd The indicator whether participant/subject used other 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 other 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 other herbicide(s)? 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

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

CSV