CDE Detailed Report

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

Displaying 251 - 300 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
C09217 Risk Factor Questionnaire (RFQ-U) - work other fungicide use 66 onward age text RFQWrkOthrFungicdUse66OnAgeTxt The description of any other fungicides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The description of any other fungicides used at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, please specify other fungicide(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

C09250 Risk Factor Questionnaire (RFQ-U) - work cartridge respirator or gas mask use indicator RFQWkRespratrMaskUseInd The indicator of whether the participant/subject wore a cartridge respirator or gas mask more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator of whether the participant/subject wore a cartridge respirator or gas mask more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If yes, did you use any of the following equipment Cartridge respirator, gas mask? No;Yes No;Yes Alphanumeric

Additional Pesticide Information section. If 'Yes', did you use any of the following equipment:

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

Single Pre-Defined Value Selected

C09057 Risk Factor Questionnaire (RFQ-U) - work other insecticide use 36 45 age indicator RFQWrkOthrInsctcdUse3645AgeInd The indicator whether participant/subject used other insecticides 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 insecticides 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 insecticide(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

C09032 Risk Factor Questionnaire (RFQ-U) - work atrazine cyanazine product use 36 45 age indicator RFQWrkAtraCynProdUse3645AgeInd The indicator whether participant/subject used atrazine or cyanazine products at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The indicator whether participant/subject used atrazine or cyanazine products at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). During these years, did you use atrazine or cyanazine products? No;Yes No;Yes Alphanumeric

Pesticide Work -36-45 years old.

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

Single Pre-Defined Value Selected

C09043 Risk Factor Questionnaire (RFQ-U) - work S compound use 36 45 age indicator RFQWrkSCmpndUse3645AgeInd The indicator whether participant/subject used sulfur compounds at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The indicator whether participant/subject used sulfur compounds at work from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). During these years, did you use sulfur compounds? No;Yes No;Yes Alphanumeric

Pesticide Work -36-45 years old.

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

Single Pre-Defined Value Selected

C09164 Risk Factor Questionnaire (RFQ-U) - work DDT use 56 65 age indicator RFQWrkDDTUse5665AgeInd The indicator whether participant/subject used DDT 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 DDT 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 DDT? 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

C08979 Risk Factor Questionnaire (RFQ-U) - work other herbicide use 26 35 age indicator RFQWrkOthrHrbicdUse2635AgeInd The indicator whether participant/subject used other herbicides at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used other herbicides at work from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use other herbicide(s)? No;Yes No;Yes Alphanumeric

Pesticide Work – 26 -35 years old.

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

Single Pre-Defined Value Selected

C09100 Risk Factor Questionnaire (RFQ-U) - work S compound use 46 55 age indicator RFQWrkSCmpndUse4655AgeInd The indicator whether participant/subject used sulfur compounds at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used sulfur compounds at work from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use sulfur compounds? No;Yes No;Yes Alphanumeric

Pesticide Work–46-55 years old.

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

Single Pre-Defined Value Selected

C09196 Risk Factor Questionnaire (RFQ-U) - building maintenance work 66 onward age indicator RFQBldgMaintWrk66OnAgeInd The indicator whether participant/subject worked in building maintenance or as a janitor from age 66 onward 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 66 onward 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–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

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

Pesticide Work–66 years and above.

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

Free-Form Entry

C09011 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure 36 45 age indicator RFQWrkExpos3645AgeInd The indicator whether there was work exposure to pesticides from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The indicator whether there was work exposure to pesticides 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 a job where you mixed or applied pesticides, or were exposed in some other way? No;Yes No;Yes Alphanumeric

Pesticide Work -36-45 years old. If 'No', skip to Question 2.

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

Single Pre-Defined Value Selected

C09132 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure animals 56 65 age indicator RFQFarmRnchExpsAniml5665AgeInd The indicator whether participant/subject exposed to 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 indicator whether participant/subject exposed to 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). 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–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

C09068 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure 46 55 age indicator RFQWrkExpos4655AgeInd The indicator whether there was work exposure to pesticides from age 46 to 55 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether there was work exposure to pesticides 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 job where you mixed or applied pesticides, or were exposed in some other way? No;Yes No;Yes Alphanumeric

Pesticide Work–46-55 years old. If 'No', skip to Question 2.

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

Single Pre-Defined Value Selected

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

C09054 Risk Factor Questionnaire (RFQ-U) - work parathion product use 36 45 age indicator RFQWrkParathiProdUse3645AgeInd The indicator whether participant/subject used parathion 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 parathion 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 parathion 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

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

C08990 Risk Factor Questionnaire (RFQ-U) - work insecticide use 26 35 age indicator RFQWrkInscticdUse2635AgeInd The indicator whether participant/subject used insecticides 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 insecticides 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 insecticides (pesticides used to kill insects)? 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

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

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

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

Additional Pesticide Information section.

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

Free-Form Entry

C09022 Risk Factor Questionnaire (RFQ-U) - landscaping work 36 45 age indicator RFQLandscapeWrk3645AgeInd The indicator whether participant/subject worked in landscaping/gardening/groundskeeping from age 36 to 45 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The indicator whether participant/subject worked in landscaping/gardening/groundskeeping 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 landscaping / gardening / grounds keeping? 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

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

C08958 Risk Factor Questionnaire (RFQ-U) - farm ranch work 26 35 age indicator RFQFarmRanchWrk2635AgeInd The indicator whether participant/subject worked in farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject worked in farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During this period of life, did you work in farming or ranching? No;Yes No;Yes Alphanumeric

Pesticide Work – 26 -35 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

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

C08969 Risk Factor Questionnaire (RFQ-U) - other pesticide exposure work 26 35 age indicator RFQOthrWrkPstcdExpos2635AgeInd The indicator whether participant/subject worked some other field with pesticide exposure from age 26 to 35 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 26 to 35 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 – 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

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

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

C09219 Risk Factor Questionnaire (RFQ-U) - work aldrin product use 66 onward age indicator RFQWrkAldrinProdUse66OnAgeInd The indicator whether participant/subject used aldrin 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 aldrin 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 aldrin 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

C09001 Risk Factor Questionnaire (RFQ-U) - work other insecticide use 26 35 age text RFQWrkOthrInscticdUs2635AgeTxt The description of any other insecticides 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 insecticides 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 insecticide(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

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

C09251 Risk Factor Questionnaire (RFQ-U) - work goggles use indicator RFQWkGogglesUseInd The indicator of whether the participant/subject wore goggles 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 goggles 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 Goggles? 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

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

C09033 Risk Factor Questionnaire (RFQ-U) - work metolachlor alachlor acetochlor product use 36 45 age indicator RFQWrkChlorProdUse3645AgeInd The indicator whether participant/subject used metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor, or acetochlor 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 metolachlor, alachlor or acetochlor 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

C09044 Risk Factor Questionnaire (RFQ-U) - work ziram product use 36 45 age indicator RFQWrkZiramProdUse3645AgeInd The indicator whether participant/subject used ziram 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 ziram 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 ziram 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

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

C08980 Risk Factor Questionnaire (RFQ-U) - work other herbicide use 26 35 age text RFQWrkOthrHrbicdUse2635AgeTxt The description of any other herbicides 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 herbicides 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 herbicide(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

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

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

C09230 Risk Factor Questionnaire (RFQ-U) - work rodenticide use 66 onward age indicator RFQWrkRodnticdUse66OnAgeInd The indicator whether participant/subject used rodenticides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject used rodenticides at work from age 66 onward as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). During these years, did you use rodenticides (pesticides used to kill rat or mice)? No;Yes No;Yes Alphanumeric

Pesticide Work–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

C09012 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure mixed applied 36 45 age indicator RFQWrkPstExpsMxAppld3645AgeInd The indicator whether work exposure to pesticides from age 36 to 45 was through mixed or applied pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). The indicator whether work exposure to pesticides from age 36 to 45 was through mixed or applied pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticide (Work). How were you exposed to pesticides Mixed or applied? Mixed;Applied Mixed;Applied 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

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

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

C08959 Risk Factor Questionnaire (RFQ-U) - farm ranch pesticide exposure crops 26 35 age indicator RFQFrmRnchPstExpsCrp2635AgeInd The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The indicator whether participant/subject exposed to pesticides on crops while working in farming or ranching from age 26 to 35 as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). If Yes, 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 – 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

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

C09055 Risk Factor Questionnaire (RFQ-U) - work permethrin other pyrethroid product use 36 45 age indicator RFQWrkPyrethrdProdUs3645AgeInd The indicator whether participant/subject used permethrin or other pyrethroid 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 permethrin or other pyrethroid 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 permethrin or other pyrethroid 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

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

C08991 Risk Factor Questionnaire (RFQ-U) - work aldrin product use 26 35 age indicator RFQWrkAldrinProdUse2635AgeInd The indicator whether participant/subject used aldrin 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 aldrin 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 aldrin 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

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

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

C09241 Risk Factor Questionnaire (RFQ-U) - work pesticide exposure unusually high year date RFQWkPstcdExposUnuslHighYrDt The date, year, of any exposure to an unusually high amount of pesticides in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). The date, year, of any exposure to an unusually high amount of pesticides in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Work). When did this exposure occur (year)? Date or Date & Time

Record the date/time according to the ISO 8601, the International Standard for the representation of dates and times (http://www.iso.org/iso/home.html). The date/time should be recorded to the level of granularity known (e.g., year, year and month, complete date plus hours and minutes, etc.).

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

CSV