CDE Detailed Report

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

Displaying 51 - 100 of 360
CDE ID CDE Name Variable Name Definition Short Description Additional Notes (Question Text) Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C09096 Risk Factor Questionnaire (RFQ-U) - work benomyl product use 46 55 age indicator RFQWrkBenomylUse4655AgeInd The indicator whether participant/subject used benomyl 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 benomyl 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 benomyl 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

C09192 Risk Factor Questionnaire (RFQ-U) - forestry work 66 onward age indicator RFQForestryWrk66OnAgeInd The indicator whether participant/subject worked in forestry from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in forestry 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 forestry? 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

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

C09128 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure other 56 65 age text RFQWrkExposOthr5665AgeTxt The description of any work exposure to pesticides age 56 to 65 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 56 to 65 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–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

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

C09064 Risk Factor Questionnaire (RFQ-U) - work other fumigant use 36 45 age indicator RFQWrkOthrFumigntUse3645AgeInd The indicator whether participant/subject used other fumigants at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The indicator whether participant/subject used other fumigants at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). During these years, did you use other fumigant(s)? No;Yes No;Yes Alphanumeric

Pesticide Work -36-45 years old.

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

Single Pre-Defined Value Selected

C09075 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 46 55 age indicator RFQFarmRnchExpsAniml4655AgeInd The indicator whether participant/subject exposed to pesticides used on livestock/farm animals while working in farming or ranching from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject exposed to pesticides used on livestock/farm animals while working in farming or ranching from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). 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–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

C09171 Risk Factor Questionnaire (RFQ-U) - work other insecticide use 56 65 age indicator RFQWrkOthrInscticdUse5665AgInd The indicator whether participant/subject used other insecticides 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 insecticides 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 insecticide(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

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

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

C09107 Risk Factor Questionnaire (RFQ-U) - work DDT use 46 55 age indicator RFQWrkDDTUse4655AgeInd The indicator whether participant/subject used DDT 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 DDT 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 DDT? 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

C09203 Risk Factor Questionnaire (RFQ-U) - work atrazine cyanazine product use 66 onward age indicator RFQWrkAtraCyanProdUs66OnAgeInd The indicator whether participant/subject used atrazine or cyanazine 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 atrazine or cyanazine 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 atrazine or cyanazine 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

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

C09139 Risk Factor Questionnaire (RFQ-U) - building maintenance work 56 65 age indicator RFQBldgMaintWrk5665AgeInd The indicator whether participant/subject worked in building maintenance or as a janitor from age 56 to 65 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 56 to 65 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–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

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

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

C09049 Risk Factor Questionnaire (RFQ-U) - work chlorpyrifos terbufos use 36 45 age indicator RFQWrkTerbufosUse3645AgeInd The indicator whether participant/subject used chlorpyrifos or terbufos 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 chlorpyrifos or terbufos 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 chlorpyrifos or terbufos? 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

C09086 Risk Factor Questionnaire (RFQ-U) - days year work pesticide exposure 46 55 age frequency RFQDyYrWrkPstcdExps4655AgeFreq The number of days with pesticide exposure during years with job with pesticide exposure from age 46 to 55 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 46 to 55 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–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

C09182 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure 66 onward age indicator RFQWrkPstcdExpos66OnAgeInd The indicator whether there was work exposure to pesticides from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether there was work exposure to pesticides from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During this period of life, did you work in a job where you mixed or applied pesticides, or were exposed in some other way? No;Yes No;Yes Alphanumeric

Pesticide Work–66 years and above. 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

C08985 Risk Factor Questionnaire (RFQ-U) - work maneb mancozeb product use 26 35 age indicator RFQWrkManebProdUse2635AgeInd The indicator whether participant/subject used maneb or mancozeb 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 maneb or mancozeb 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 maneb or mancozeb 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

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

C09118 Risk Factor Questionnaire (RFQ-U) - work other rodenticide use 46 55 age text RFQWrkOthrRodntcdUse4655AgeTxt The description of any other rodenticides 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 rodenticides 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 rodenticide(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

C09214 Risk Factor Questionnaire (RFQ-U) - work S compound use 66 onward age indicator RFQWrkSCmpndUse66OnAgeInd The indicator whether participant/subject used sulfur compounds at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used sulfur compounds at work from age 66 onward 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–66 years and above.

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

Single Pre-Defined Value Selected

C09017 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 36 45 age text RFQFrmRnchExposCrop3645AgeTxt The description of any pesticides used on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The description of any pesticides used on crops while working in farming or ranching from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). If Yes, please specify what pesticides were used on crops Alphanumeric

Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'.

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C09150 Risk Factor Questionnaire (RFQ-U) - work other herbicide use 56 65 age indicator RFQWrkOthrHrbicdUse5665AgeInd The indicator whether participant/subject used other 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 other 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 other herbicide(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

C09161 Risk Factor Questionnaire (RFQ-U) - work insecticide use 56 65 age indicator RFQWrkInscticdUse5665AgeInd The indicator whether participant/subject used insecticides 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 insecticides 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 insecticides (pesticides used to kill insects)? 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

C08964 Risk Factor Questionnaire (RFQ-U) - forestry work 26 35 age indicator RFQForestryWrk2635AgeInd The indicator whether participant/subject worked in forestry from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in forestry 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 forestry? 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

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

C09097 Risk Factor Questionnaire (RFQ-U) - work chlorathalonil use 46 55 age indicator RFQWrkChlorathalUse4655IAgend The indicator whether participant/subject used chlorathalonil at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used chlorathalonil at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use chlorothalonil? No;Yes No;Yes Alphanumeric

Pesticide Work–46-55 years old.

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

Single Pre-Defined Value Selected

C09193 Risk Factor Questionnaire (RFQ-U) - landscaping work 66 onward age indicator RFQLandscapeWrk66OnAgeInd The indicator whether participant/subject worked in landscaping/gardening/groundskeeping from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in landscaping/gardening/groundskeeping from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During this period of life, did you work in landscaping / gardening / grounds keeping? No;Yes No;Yes Alphanumeric

Pesticide Work–66 years and above.

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

Single Pre-Defined Value Selected

C08996 Risk Factor Questionnaire (RFQ-U) - work oil use 26 35 age indicator RFQWrkOilUse2635AgeInd The indicator whether participant/subject used oil 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 oil 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 oil? 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

C09129 Risk Factor Questionnaire (RFQ-U) - farm ranch work 56 65 age indicator RFQFarmRanchWrk5665AgeInd The indicator whether participant/subject worked in farming or ranching from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in farming or ranching from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During this period of life, did you work in farming or ranching? No;Yes No;Yes Alphanumeric

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

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

Single Pre-Defined Value Selected

C09028 Risk Factor Questionnaire (RFQ-U) - number years pesticide exposure work 36 45 age count RFQTotlYrPstcdExpsWrk3645AgeCt The total number of years during which participant/subject held a job with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The total number of years during which participant/subject held a job with pesticide exposure from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (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 -36-45 years old. If zero years, skip to Pesticide Work – 46 – 55 years old.

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

Free-Form Entry

year
C09065 Risk Factor Questionnaire (RFQ-U) - work other fumigant 36 45 age text RFQWrkOthrFumignt3645AgeTxt The description of any other fumigants used at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The description of any other fumigants used at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). If yes, please specify other fumigant(s) Alphanumeric

Pesticide Work -36-45 years old. Answer only if previous question was answered 'Yes'.

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C09076 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 46 55 age text RFQFarmRnchExpsAniml4655AgeTxt The description of any pesticides used on livestock/farm animals while working in farming or ranching from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any pesticides used on livestock/farm animals while working in farming or ranching from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If Yes, please specify what pesticides were used on livestock/farm animal(s) Alphanumeric

Pesticide Work–46-55 years old.

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

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

Pesticide Work–56-65 years old.

Epi Info: http://wwwn.cdc.gov/epiinfo/index.htm RFQ-U CRFs, Version 1.0 developed by the Epidemiology Working Group of the collaborative centers for PD. Adult Supplemental 3.00 2013-07-18 09:11:50.26 Risk Factor Questionnaire (RFQ-U) - Pesticides (Work) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08975 Risk Factor Questionnaire (RFQ-U) - work atrazine cyanazine product use 26 35 age indicator RFQWrkAtraCyanProdUse2635Ind The indicator whether participant/subject used atrazine or cyanazine 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 atrazine or cyanazine 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 atrazine or cyanazine 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

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

C09108 Risk Factor Questionnaire (RFQ-U) - work dieldrin product use 46 55 age indicator RFQWrkDieldrnProdUse4655AgeInd The indicator whether participant/subject used dieldrin products at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used dieldrin products at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use dieldrin products? No;Yes No;Yes Alphanumeric

Pesticide Work–46-55 years old.

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

Single Pre-Defined Value Selected

C09204 Risk Factor Questionnaire (RFQ-U) - work metolachlor alachlor acetochlor product use 66 onward age indicator RFQWrkMetAlAcProdUs66OnAgeInd The indicator whether participant/subject used metolachlor, alachlor, or acetochlor products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used metolachlor, alachlor, or acetochlor products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use metolachlor, alachlor or acetochlor products? No;Yes No;Yes Alphanumeric

Pesticide Work–66 years and above.

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

Single Pre-Defined Value Selected

C09007 Risk Factor Questionnaire (RFQ-U) - work other fumigant use 26 35 age indicator RFQWrkOthrFumigntUse2635AgeInd The indicator whether participant/subject used other 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 other 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 other fumigant(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

C09140 Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 56 65 age indicator RFQOthrWrkPstcdExpos5665AgeInd The indicator whether participant/subject worked some other field with pesticide exposure from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked some other field with pesticide exposure from age 56 to 65 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During this period of life, did you work in some other field with exposure to pesticides? No;Yes No;Yes Alphanumeric

Pesticide Work–56-65 years old.

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

Single Pre-Defined Value Selected

C09039 Risk Factor Questionnaire (RFQ-U) - work benomyl product use 36 45 age indicator RFQWrkBenomylUse3645AgeInd The indicator whether participant/subject used benomyl 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 benomyl 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 benomyl 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

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

C09050 Risk Factor Questionnaire (RFQ-U) - work DDT use 36 45 age indicator RFQWrkDDTUse3645IAgend The indicator whether participant/subject used DDT at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The indicator whether participant/subject used DDT at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). During these years, did you use DDT? No;Yes No;Yes Alphanumeric

Pesticide Work -36-45 years old.

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

Single Pre-Defined Value Selected

C09087 Risk Factor Questionnaire (RFQ-U) - work herbicide use 46 55 age indicator RFQWrkHerbicdUse4655AgeInd The indicator whether participant/subject used herbicides at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used herbicides at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use herbicides (pesticides used to kill weeds or plants)? No;Yes No;Yes Alphanumeric

Pesticide Work–46-55 years old.

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

Single Pre-Defined Value Selected

C09183 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure mixed applied 66 onward age indicator RFQWrkPstcdExpsMxApld66OnAgInd The indicator whether work exposure to pesticides from age 66 onward was through mixed or applied pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether work exposure to pesticides from age 66 onward was through mixed or applied pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). How were you exposed to pesticides Mixed or applied? Mixed;Applied Mixed;Applied Alphanumeric

Pesticide Work–66 years and above.

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

Single Pre-Defined Value Selected

C08986 Risk Factor Questionnaire (RFQ-U) - work S compound use 26 35 age indicator RFQWrkSCmpndUse2635AgeInd The indicator whether participant/subject used sulfur compounds at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used sulfur compounds at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use sulfur compounds? No;Yes No;Yes Alphanumeric

Pesticide Work – 26 -35 years old.

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

Single Pre-Defined Value Selected

C09119 Risk Factor Questionnaire (RFQ-U) - work fumigant use 46 55 age indicator RFQWrkFumigantUse4655AgeInd The indicator whether participant/subject used fumigants at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used fumigants at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use fumigants (gas used to kill insects or fungus or plants)? No;Yes No;Yes Alphanumeric

Pesticide Work–46-55 years old.

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

Single Pre-Defined Value Selected

C09215 Risk Factor Questionnaire (RFQ-U) - work ziram product use 66 onward age indicator RFQWrkZiramProdUse66OnAgeInd The indicator whether participant/subject used ziram products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used ziram products at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use ziram products? No;Yes No;Yes Alphanumeric

Pesticide Work–66 years and above.

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

Single Pre-Defined Value Selected

CSV