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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| C08966 | Risk Factor Questionnaire (RFQ-U) - greenhouse work 26 35 age indicator | RFQGreenhseWrk2635AgeInd | The indicator whether participant/subject worked in a nursery/greenhouse from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in a nursery/greenhouse from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During this period of life, did you work in a nursery / greenhouse? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09111 | Risk Factor Questionnaire (RFQ-U) - work parathion product use 46 55 age indicator | RFQWrkParathiProdUse4655AgeInd | The indicator whether participant/subject used parathion 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 parathion 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 parathion products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09207 | Risk Factor Questionnaire (RFQ-U) - work other herbicide use 66 onward age indicator | RFQWrkOthrHrbicdUse66OnAgeInd | The indicator whether participant/subject used other herbicides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used other herbicides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use other herbicide(s)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C08998 | Risk Factor Questionnaire (RFQ-U) - work permethrin other pyrethroid product use 26 35 age indicator | RFQWrkPyrethProdUse2635AgeInd | The indicator whether participant/subject used permethrin or other pyrethroid products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used permethrin or other pyrethroid products at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use permethrin or other pyrethroid products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09143 | Risk Factor Questionnaire (RFQ-U) - days year work pesticide exposure 56 65 age frequency | RFQDayYrWrkPstcdExps5665AgeFrq | The number of days with pesticide exposure during years with job with pesticide exposure from age 56 to 65 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 56 to 65 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–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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| C09079 | Risk Factor Questionnaire (RFQ-U) - landscaping work 46 55 age indicator | RFQLandscapeWrk4655AgeInd | The indicator whether participant/subject worked in landscaping/gardening/groundskeeping from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in landscaping/gardening/groundskeeping 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 landscaping / gardening / grounds keeping? | 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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| 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 |
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| C09030 | Risk Factor Questionnaire (RFQ-U) - work herbicide use 36 45 age indicator | RFQWrkHerbicdUse3645AgeInd | The indicator whether participant/subject used herbicides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used herbicides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use herbicides (pesticides used to kill weeds or plants)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09175 | Risk Factor Questionnaire (RFQ-U) - work other rodenticide use 56 65 age text | RFQWrkOthrRodntcdUse5665AgeTxt | The description of any other rodenticides 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 rodenticides 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 rodenticide(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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| C09186 | Risk Factor Questionnaire (RFQ-U) - farm ranch work 66 onward age indicator | RFQFarmRanchWrk66OnAgeInd | The indicator whether participant/subject worked 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 worked in farming or ranching 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 farming or ranching? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. 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 |
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| C08977 | Risk Factor Questionnaire (RFQ-U) - work paraquat diquat product use 26 35 age indicator | RFQWrkQuatProdUse2635AgeInd | The indicator whether participant/subject used paraquat or diquat 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 paraquat or diquat 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 paraquat or diquat 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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| C09122 | Risk Factor Questionnaire (RFQ-U) - work other fumigant 46 55 age text | RFQWrkOthrFumignt4655AgeTxt | The description of any other fumigants 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 fumigants 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 fumigant(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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| C09058 | Risk Factor Questionnaire (RFQ-U) - work other insecticide use 36 45 age text | RFQWrkOthrInsctcdUse3645AgeTxt | The description of any other insecticides 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 insecticides 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 insecticide(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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| 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 |
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| C09009 | Risk Factor Questionnaire (RFQ-U) - work other pesticide use 26 35 age indicator | RFQWrkOthrPesticdUse2635AgeInd | The indicator whether participant/subject used another type of pesticide at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used another type of pesticide at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use another type of pesticide(s)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work - 26 -35 years old. If 'No', skip to Pesticide Work -36-45 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09154 | Risk Factor Questionnaire (RFQ-U) - work chlorathalonil use 56 65 age indicator | RFQWrkChlorathalUse5665AgeInd | The indicator whether participant/subject used chlorathalonil 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 chlorathalonil 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 chlorothalonil? | 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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| C09090 | Risk Factor Questionnaire (RFQ-U) - work metolachlor alachlor acetochlor product use 46 55 age indicator | RFQWrkMetAlaAceChlPrdUs4655Ind | The indicator whether participant/subject used metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor or acetochlor products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09041 | Risk Factor Questionnaire (RFQ-U) - work Cu compound use 36 45 age indicator | RFQWrkCuCmpndUse3645AgeInd | The indicator whether participant/subject used copper compounds at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used copper compounds at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use copper compounds? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09101 | Risk Factor Questionnaire (RFQ-U) - work ziram product use 46 55 age indicator | RFQWrkZiramProdUse4655AgeInd | The indicator whether participant/subject used ziram 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 ziram 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 ziram products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| 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 |
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| C09197 | Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 66 onward age indicator | RFQOthrWrkPstcdExpos66OnAgeInd | The indicator whether participant/subject worked some other field with pesticide exposure from age 66 onward 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 66 onward 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–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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| 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 |
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| C09133 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 56 65 age text | RFQFarmRnchExpsAniml5665AgeTxt | The description of any pesticides used on livestock/farm animals while working in farming or ranching from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of any pesticides used on livestock/farm animals while working in farming or ranching from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If Yes, please specify what pesticides were used on livestock/farm animal(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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| C09069 | Risk Factor Questionnaire (RFQ-U) - work pesticide exposure mixed applied 46 55 age indicator | RFQWrkExposMxdAppld4655AgeInd | The indicator whether work exposure to pesticides from age 46 to 55 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 46 to 55 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–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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| 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 |
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| 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 |
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| C09165 | Risk Factor Questionnaire (RFQ-U) - work dieldrin product use 56 65 age indicator | RFQWrkDieldrnProdUse5665AgeInd | The indicator whether participant/subject used dieldrin 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 dieldrin 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 dieldrin 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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| 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 |
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| 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 |
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| C09112 | Risk Factor Questionnaire (RFQ-U) - work permethrin other pyrethroid product use 46 55 age indicator | RFQWrkPermPyrthPrdUs4655AgeInd | The indicator whether participant/subject used permethrin or other pyrethroid 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 permethrin or other pyrethroid 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 permethrin or other pyrethroid products? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
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| C09208 | Risk Factor Questionnaire (RFQ-U) - work other herbicide use 66 onward age text | RFQWrkOthrHrbicdUse66OnAgeTxt | The description of any other herbicides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of any other herbicides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If yes, please specify other herbicide(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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| 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 |
||||||||
| C09144 | Risk Factor Questionnaire (RFQ-U) - work herbicide use 56 65 age indicator | RFQWrkHerbicdUse5665AgeInd | The indicator whether participant/subject used herbicides 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 herbicides 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 herbicides (pesticides used to kill weeds or plants)? | 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 |
||||||||
| C09080 | Risk Factor Questionnaire (RFQ-U) - greenhouse work 46 55 age indicator | RFQGreenhseWrk4655AgeInd | The indicator whether participant/subject worked in a nursery/greenhouse from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject worked in a nursery/greenhouse 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 a nursery / greenhouse? | 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 |
||||||||
| C09249 | Risk Factor Questionnaire (RFQ-U) - work disposable coverall use indicator | RFQWkDisposbleCoverallUseInd | The indicator of whether the participant/subject wore disposable coveralls 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 disposable coveralls 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 Disposable coveralls? | 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 |
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| 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 |
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| C09176 | Risk Factor Questionnaire (RFQ-U) - work fumigant use 56 65 age indicator | RFQWrkFumigantUse5665AgeInd | The indicator whether participant/subject used 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 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 fumigants (gas used to kill insects or fungus or plants)? | 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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| C09187 | Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 66 onward age indicator | RFQFarmRnchExposCrop66OnAgeInd | The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If Yes, 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–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 |
||||||||
| 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 |
||||||||
| C09123 | Risk Factor Questionnaire (RFQ-U) - work other pesticide use 46 55 age indicator | RFQWrkOthrPesticdUse4655AgeInd | The indicator whether participant/subject used another type of pesticide at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used another type of pesticide at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use another type of pesticide(s)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. If 'No', skip to Pesticide Work 56-65 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09059 | Risk Factor Questionnaire (RFQ-U) - work rodenticide use 36 45 age indicator | RFQWrkRodnticdUse3645AgeInd | The indicator whether participant/subject used rodenticides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | The indicator whether participant/subject used rodenticides at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). | During these years, did you use rodenticides (pesticides used to kill rat or mice)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work -36-45 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09228 | Risk Factor Questionnaire (RFQ-U) - work other insecticide use 66 onward age indicator | RFQWrkOthrInsctcdUs66OnAgeInd | The indicator whether participant/subject used other insecticides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used other insecticides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use other insecticide(s)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–66 years and above. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| 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 |
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| C09155 | Risk Factor Questionnaire (RFQ-U) - work Cu compound use 56 65 age indicator | RFQWrkCuCmpndUse5665AgeInd | The indicator whether participant/subject used copper compounds at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used copper compounds at work from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use copper compounds? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–56-65 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| C09091 | Risk Factor Questionnaire (RFQ-U) - work paraquat diquat product use 46 55 age indicator | RFQWrkPrqtDiqtProdUs4655AgeInd | The indicator whether participant/subject used paraquat or diquat 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 paraquat or diquat 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 paraquat or diquat 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 |
||||||||
| 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 |
||||||||
| C09102 | Risk Factor Questionnaire (RFQ-U) - work other fungicide use 46 55 age indicator | RFQWrkOthrFungicdUse4655AgeInd | The indicator whether participant/subject used other fungicides at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The indicator whether participant/subject used other fungicides at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | During these years, did you use other fungicide(s)? | No;Yes | No;Yes | Alphanumeric |
Pesticide Work–46-55 years old. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History |
Single Pre-Defined Value Selected |
||||||||
| 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 |
||||||||
| C09198 | Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 66 onward age text | RFQOthrWrkPstcdExpos66OnAgeTxt | The description of work in some other field with pesticide exposure from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | The description of work in some other field with pesticide exposure from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). | If Yes, please specify the other kind of work where you were exposed to pesticides | Alphanumeric |
Pesticide Work–66 years and above. |
Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. | Adult | Supplemental | 3.00 | 2013-07-18 09:11:50.26 | Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) | Epidemiology/Environmental History | Participant History and Family History | 255 |
Free-Form Entry |
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| 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 |
