CDE Detailed Report
Disease: Parkinson's Disease
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ-U) - Pesticides (Work)
Displaying 1 - 50 of 360
Sub-Domain: Epidemiology/Environmental History
CRF: Risk Factor Questionnaire (RFQ-U) - Pesticides (Work)
Displaying 1 - 50 of 360
| CDE ID | CDE Name | Variable Name | Definition | Short Description | Question Text | Permissible Values | Description | Data Type | Disease Specific Instructions | Disease Specific Reference | Population | Classification (e.g., Core) | Version Number | Version Date | CRF Name (CRF Module / Guideline) | Sub Domain Name | Domain Name | Size | Input Restrictions | Min Value | Max Value | Measurement Type | External Id Loinc | External Id Snomed | External Id caDSR | External Id CDISC |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
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| C08994 | Risk Factor Questionnaire (RFQ-U) - work dieldrin product use 26 35 age indicator | RFQWrkDieldrnProdUse2635AgeInd | The indicator whether participant/subject used dieldrin products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used dieldrin products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use dieldrin products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| 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 |
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| 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 | |||||||||
| C09026 | Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 36 45 age indicator | RFQOthrWrkPstcdExpos3645AgeInd | The indicator whether participant/subject worked some other field with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject worked some other field with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During this period of life, did you work in some other field with exposure to pesticides? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| 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 |
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| C08962 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 26 35 age text | RFQFrmRnchPstExpsAnml2635AgTxt | The description of any pesticides used on livestock/farm animals while working in farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of any pesticides used on livestock/farm animals while working in farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If Yes, please specify what pesticides were used on livestock/farm animal(s) | Alphanumeric |
Pesticide Work – 26 -35 years old. Answer only if previous question was answered 'Yes'. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09244 | Risk Factor Questionnaire (RFQ-U) - work personal gloves usual type indicator | RFQWkPrsnalGloveUsualTypeInd | The indicator of what type of gloves participant/subject most often wore when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator of what type of gloves participant/subject most often wore when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | When you wore gloves, what type of gloves did you wear most of the time? | Chemical resistant gloves;Fabric or leather gloves;Rubber, plastic, or latex gloves;Other | Chemical resistant gloves;Fabric or leather gloves;Rubber, plastic, or latex gloves;Other | 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 |
Single Pre-Defined Value Selected |
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| 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 |
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| C09082 | Risk Factor Questionnaire (RFQ-U) - building maintenance work 46 55 age indicator | RFQBldgMaintWrk4655AgeInd | The indicator whether participant/subject worked in building maintenance or as a janitor from age 46 to 55 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 46 to 55 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–46-55 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| 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 |
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| C09005 | Risk Factor Questionnaire (RFQ-U) - work fumigant use 26 35 age indicator | RFQWrkFumigantUse2635AgeInd | The indicator whether participant/subject used fumigants at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used fumigants at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use fumigants (gas used to kill insects or fungus or plants)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| 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 |
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| C09223 | Risk Factor Questionnaire (RFQ-U) - work lindane product use 66 onward age indicator | RFQWrkLindanProdUse66OnAgeInd | The indicator whether participant/subject used lindane 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 lindane 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 lindane products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| 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 |
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| C09037 | Risk Factor Questionnaire (RFQ-U) - work other herbicide use 36 45 age text | RFQWrkOthrHrbicdUse3645AgeTxt | The description of any other herbicides used at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The description of any other herbicides used at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | If yes, please specify other herbicide(s) | Alphanumeric |
Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09146 | Risk Factor Questionnaire (RFQ-U) - work atrazine cyanazine product use 56 65 age indicator | RFQWrkAtraCynProdUse5665AgeInd | The indicator whether participant/subject used atrazine or cyanazine 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 atrazine or cyanazine 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 atrazine or cyanazine 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 |
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| C08973 | Risk Factor Questionnaire (RFQ-U) - work herbicide use 26 35 age indicator | RFQWrkHerbicdUse2635AgeInd | The indicator whether participant/subject used herbicides at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used herbicides at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use herbicides (pesticides used to kill weeds or plants)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09255 | Risk Factor Questionnaire (RFQ-U) - work sought medical care indicator | RFQWkSeekMedCareInd | The indicator of seeking medical attention after exposure to pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator of seeking medical attention after exposure to pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | Did you ever seek medical care for these symptoms? | No;Yes | No;Yes | 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 |
Single Pre-Defined Value Selected |
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| C09093 | Risk Factor Questionnaire (RFQ-U) - work other herbicide use 46 55 age indicator | RFQWrkOthrHrbicdUse4655IAgend | The indicator whether participant/subject used other 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 other 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 other herbicide(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 |
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| C09189 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 66 onward age indicator | RFQFarmRnchExpoAniml66OnAgeInd | The indicator whether participant/subject exposed to pesticides used on livestock/farm animals while working in farming or ranching from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject exposed to pesticides used on livestock/farm animals while working in farming or ranching from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | When farming or ranching during this period of life, were you exposed to or did you use pesticides on livestock/farm animals? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09016 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 36 45 age indicator | RFQFrmRnchExposCrop3645AgeInd | The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | If Yes, when farming or ranching during this period of life, were you exposed to or did you use pesticides on crops? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09125 | Risk Factor Questionnaire (RFQ-U) - work pesticide exposure 56 65 age indicator | RFQWrkPstExpos5665AgeInd | The indicator whether there was work exposure to pesticides from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether there was work exposure to pesticides 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 a job where you mixed or applied pesticides, or were exposed in some other way? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 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 |
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| C09234 | Risk Factor Questionnaire (RFQ-U) - work methyl bromide use 66 onward age indicator | RFQWrkMethBromUse66OnAgeInd | The indicator whether participant/subject used methyl bromide at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used methyl bromide at work from age 66 onward 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–66 years and above. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09048 | Risk Factor Questionnaire (RFQ-U) - work aldrin product use 36 45 age indicator | RFQWrkAldrinProdUse3645AgeInd | The indicator whether participant/subject used aldrin products at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used aldrin products at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use aldrin products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09061 | Risk Factor Questionnaire (RFQ-U) - work other rodenticide use 36 45 age text | RFQWrkOthrRodntcdUse3645AgeTxt | The description of any other rodenticides 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 rodenticides 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 rodenticide(s) | Alphanumeric |
Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09157 | Risk Factor Questionnaire (RFQ-U) - work S compound use 56 65 age indicator | RFQWrkSCmpndUse5665AgeInd | The indicator whether participant/subject used sulfur 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 sulfur 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 sulfur 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 |
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| C08984 | Risk Factor Questionnaire (RFQ-U) - work Cu compound use 26 35 age indicator | RFQWrkCuCmpndUse2635AgeInd | The indicator whether participant/subject used copper compounds at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used copper compounds at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use copper compounds? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09168 | Risk Factor Questionnaire (RFQ-U) - work parathion product use 56 65 age indicator | RFQWrkParathiProdUse5665AgeInd | The indicator whether participant/subject used parathion 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 parathion 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 parathion 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 |
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| C08995 | Risk Factor Questionnaire (RFQ-U) - work lindane product use 26 35 age indicator | RFQWrkLindanProdUse2635AgeInd | The indicator whether participant/subject used lindane products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used lindane products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use lindane products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09104 | Risk Factor Questionnaire (RFQ-U) - work insecticide use 46 55 age indicator | RFQWrkInscticdUse4655AgeInd | The indicator whether participant/subject used 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 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 insecticides (pesticides used to kill insects)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09200 | Risk Factor Questionnaire (RFQ-U) - days year work pesticide exposure 66 onward age frequency | RFQDayYrWrkPstcdExpo66OnAgeFrq | The number of days with pesticide exposure during years with job with pesticide exposure from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The number of days with pesticide exposure during years with job with pesticide exposure from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (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–66 years and above. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09027 | Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 36 45 age text | RFQOthrWrkPstcdExpos3645AgeTxt | The description of work in some other field with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The description of work in some other field with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | If Yes, please specify the other kind of work where you were exposed to pesticides | Alphanumeric |
Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09136 | Risk Factor Questionnaire (RFQ-U) - landscaping work 56 65 age indicator | RFQLandscapeWrk5665AgeInd | The indicator whether participant/subject worked in landscaping/gardening/groundskeeping from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in landscaping/gardening/groundskeeping 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 landscaping / gardening / grounds keeping? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08963 | Risk Factor Questionnaire (RFQ-U) - other agricultural application work 26 35 age indicator | RFQOtherAgricultWrk2635IAgend | The indicator whether participant/subject worked in agricultural applications other than farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in agricultural applications other than farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During this period of life, did you work in other agricultural applications (for example, aerial spraying)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09245 | Risk Factor Questionnaire (RFQ-U) - personal gloves other type text | RFQPrsnalGloveOthrTypeTxt | The description of gloves participant/subject most often wore, if otherwise unspecified, when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of gloves participant/subject most often wore, if otherwise unspecified, when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If other, please specify type of glove(s) you wore most of the time | 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 |
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| C09072 | Risk Factor Questionnaire (RFQ-U) - farm ranch work 46 55 age indicator | RFQFarmRanchWrk4655AgeInd | The indicator whether participant/subject worked in 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 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 farming or ranching? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 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 |
||||||||
| C09083 | Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 46 55 age indicator | RFQOthrPstcdExposWrk4655AgeInd | The indicator whether participant/subject worked some other field with pesticide exposure from age 46 to 55 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 46 to 55 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–46-55 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09179 | Risk Factor Questionnaire (RFQ-U) - work other fumigant 56 65 age text | RFQWrkOthrFumignt5665AgeTxt | The description of any other fumigants 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 fumigants 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 fumigant(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 |
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| C09006 | Risk Factor Questionnaire (RFQ-U) - work methyl bromide use 26 35 age indicator | RFQWrkMethBromUse2635AgeInd | The indicator whether participant/subject used methyl bromide at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used methyl bromide at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use methyl bromide? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09115 | Risk Factor Questionnaire (RFQ-U) - work other insecticide use 46 55 age text | RFQWrkOthrInsctcdUse4655AgeTxt | The description of any other insecticides 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 insecticides 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 insecticide(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 |
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| C09224 | Risk Factor Questionnaire (RFQ-U) - work oil use 66 onward age indicator | RFQWrkOilUse66OnAgeInd | The indicator whether participant/subject used oil at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used oil at work from age 66 onward 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–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 |
||||||||
| C09211 | Risk Factor Questionnaire (RFQ-U) - work chlorathalonil use 66 onward age indicator | RFQWrkChlorathalUse66OnAgeInd | The indicator whether participant/subject used chlorathalonil at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used chlorathalonil at work from age 66 onward 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–66 years and above. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09038 | Risk Factor Questionnaire (RFQ-U) - work fungicide use 36 45 age indicator | RFQWrkFungicdUse3645AgeInd | The indicator whether participant/subject used fungicides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used fungicides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use fungicides (pesticides used to kill fungus, mold, or rot)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09147 | Risk Factor Questionnaire (RFQ-U) - work metolachlor alachlor acetochlor product use 56 65 age indicator | RFQWrkChlorProdUse5665AgeInd | The indicator whether participant/subject used metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor or acetochlor products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C08974 | Risk Factor Questionnaire (RFQ-U) - broadleaf herbicide exposure 26 35 age indicator | RFQBdlfHerbicdExpos2635AgeInd | The indicator whether participant/subject used broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used broadleaf herbicide products containing 2,4-Dichlorophenoxyacetic acid (2,4-D) at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use 2,4-D products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26-35 years old |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09094 | Risk Factor Questionnaire (RFQ-U) - work other herbicide use 46 55 age text | RFQWrkOthrHrbicdUse4655AgeTxt | The description of any other herbicides 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 herbicides 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 herbicide(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 |
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| C09190 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 66 onward age text | RFQFarmRnchExposAnim66OnAgeTxt | The description of any pesticides used on livestock/farm animals 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 livestock/farm animals 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 livestock/farm animal(s) | Alphanumeric |
Pesticide Work–66 years and above. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09017 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 36 45 age text | RFQFrmRnchExposCrop3645AgeTxt | The description of any pesticides used on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The description of any pesticides used on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | If Yes, please specify what pesticides were used on crops | Alphanumeric |
Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| C09126 | Risk Factor Questionnaire (RFQ-U) - work pesticide exposure mixed applied 56 65 age indicator | RFQWrkPstExpsMxdAppld5665AgInd | The indicator whether work exposure to pesticides from age 56 to 65 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 56 to 65 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–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 |
