CDE Detailed Report

Disease: content
Sub-Domain: Epidemiology/Environmental History
CRF: welcome

Displaying 1 - 50 of 54
CDE ID CDE Name Variable Name Definition Short Description Question Text Permissible Values Description Data Type Disease Specific Instructions Disease Specific Reference Population Classification (e.g., Core) Version Number Version Date CRF Name (CRF Module / Guideline) Sub Domain Name Domain Name Size Input Restrictions Min Value Max Value Measurement Type External Id Loinc External Id Snomed External Id caDSR External Id CDISC
C08864 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 46 55 age frequency RFQFungicdExpos4655AgeFreq The frequency of exposure to fungicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to fungicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were fungicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08843 Risk Factor Questionnaire (RFQ-U) - insecticide exposure birth 25 age indicator RFQInsectcdExposBrth25AgeInd The indicator whether there was exposure to insecticides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to insecticides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets? No;Yes No;Yes Alphanumeric

Pesticide Home – Birth-25 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08875 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 66 plus age indicator RFQFungicdExpos66PlusAgeInd The indicator whether there was exposure to fungicides from age 66 onward a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to fungicides from age 66 onward a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot? No;Yes No;Yes Alphanumeric

Pesticide Home – 66 years and above. If 'No' skip to Q3.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08886 Risk Factor Questionnaire (RFQ-U) - home protective equipment usual indicator RFQHmProtectEquipUsualInd The indicator of whether the participant/subject wore protective equipment other than gloves more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of whether the participant/subject wore protective equipment other than gloves more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If you personally mixed or applied pesticides, did you use any other type of protective equipment more than half the time? Yes;No;Never mix/apply Yes;No;Never mix/apply Alphanumeric

Additional Pesticide Information section — If 'Never mix/apply' skip to question 7.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08854 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 26 35 age frequency RFQHerbicdExpos2635AgeFreq The frequency of exposure to herbicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to herbicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, how often were herbicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08865 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 46 55 age indicator RFQHerbicdExpos4655AgeInd The indicator whether there was exposure to herbicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to herbicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were herbicides used to kill weeds or plants? No;Yes No;Yes Alphanumeric

Pesticide Home – 46-55 years old. If 'No' skip to Pesticide Home – 56-65 years old, if applicable.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08844 Risk Factor Questionnaire (RFQ-U) - insecticide exposure birth 25 age frequency RFQInsectcdExposBrth25AgeFreq The frequency of exposure to insecticides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to insecticides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were insecticides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – Birth-25 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08876 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 66 plus age frequency RFQFungicdExpos66PlusAgeFreq The frequency of exposure to fungicides from age 66 onward in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to fungicides from age 66 onward in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were fungicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08887 Risk Factor Questionnaire (RFQ-U) - home protective shoes use indicator RFQHmProtectShoesUseInd The indicator of whether the participant/subject wore chemical resistant boots or shoes more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of whether the participant/subject wore chemical resistant boots or shoes more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). Used chemical resistant boots or shoes? 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08855 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 36 45 age indicator RFQInsectcdExpos3645AgeInd The indicator whether there was exposure to insecticides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to insecticides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets? No;Yes No;Yes Alphanumeric

Pesticide Home – 36-45 years old. If 'No' skip to Q2.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08866 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 46 55 age frequency RFQHerbicdExpos4655AgeFreq The frequency of exposure to herbicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to herbicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, how often were herbicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08845 Risk Factor Questionnaire (RFQ-U) - fungicide exposure birth 25 age indicator RFQFungicdExposBrth25AgeInd The indicator whether there was exposure to fungicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to fungicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot? No;Yes No;Yes Alphanumeric

Pesticide Home – Birth-25 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08877 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 66 plus age indicator RFQHerbicdExpos66PlusAgeInd The indicator whether there was exposure to herbicides from age 66 onward in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to herbicides from age 66 onward in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were herbicides used to kill weeds or plants? No;Yes No;Yes Alphanumeric

Pesticide Home – 66 years and above. If 'No' skip to Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08888 Risk Factor Questionnaire (RFQ-U) - home protective apron use indicator RFQHmProtectApronUseInd The indicator of whether the participant/subject wore a chemical resistant apron more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of whether the participant/subject wore a chemical resistant apron more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). Used chemical resistant apron? No;Yes No;Yes Alphanumeric

Additional Pesticide Information section — If yes, did you use any of the following equipment:

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

Single Pre-Defined Value Selected

C08856 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 36 45 age frequency RFQInsectcdExpos3645AgeFreq The frequency of exposure to insecticides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to insecticides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were insecticides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08867 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 56 65 age indicator RFQInsectcdExpos5665AgeInd The indicator whether there was exposure to insecticides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to insecticides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets? No;Yes No;Yes Alphanumeric

Pesticide Home – 56-65 years old. If 'No' skip to Q2.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08846 Risk Factor Questionnaire (RFQ-U) - fungicide exposure birth 25 age frequency RFQFungicdExposBrth25AgeFreq The frequency of exposure to fungicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to fungicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, how often were fungicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – Birth-25 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08878 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 66 plus age frequency RFQHerbicdExpos66PlusAgeFreq The frequency of exposure to herbicides from age 66 onward in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to herbicides from age 66 onward in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, how often were herbicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08889 Risk Factor Questionnaire (RFQ-U) - home disposable coverall use indicator RFQHmDisposCoverallUseInd The indicator of whether the participant/subject wore disposable coveralls more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of whether the participant/subject wore disposable coveralls more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). Used disposable coveralls? No;Yes No;Yes Alphanumeric

Additional Pesticide Information section — If yes, did you use any of the following equipment:

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

Single Pre-Defined Value Selected

C08857 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 36 45 age indicator RFQFungicdExpos3645AgeInd The indicator whether there was exposure to fungicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to fungicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot? No;Yes No;Yes Alphanumeric

Pesticide Home – 36-45 years old. If 'No' skip to Q3.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08868 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 56 65 age frequency RFQInsectcdExpos5665AgeFreq The frequency of exposure to insecticides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to insecticides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were insecticides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08847 Risk Factor Questionnaire (RFQ-U) - herbicide exposure birth 25 age indicator RFQHerbicdExposBrth25AgeInd The indicator whether there was exposure to herbicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to herbicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were herbicides used to kill weeds or plants? No;Yes No;Yes Alphanumeric

Pesticide Home – Birth-25 years old. If 'No' skip to Pesticide Home – 26 - 35 years old, if applicable.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08879 Risk Factor Questionnaire (RFQ-U) - home pesticide exposure unusually high indicator RFQHmPestcdExposUnuslHighInd The indicator whether there was 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 (Home). The indicator whether there was 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 (Home). Were you ever exposed to unusually high amounts of pesticides at work, for example from a spill, when either you or someone else was using pesticides? No;Yes No;Yes Alphanumeric

Additional Pesticide Information section -- If 'No' end questionnaire

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08890 Risk Factor Questionnaire (RFQ-U) - home cartridge respirator or gas mask use indicator RFQHmRespratrMaskUseInd 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 (Home). 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 (Home). Used 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08858 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 36 45 age frequency RFQFungicdExpos3645AgeFreq The frequency of exposure to fungicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to fungicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were fungicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08869 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 56 65 age indicator RFQFungicdExpos5665AgeInd The indicator whether there was exposure to fungicides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to fungicides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot? No;Yes No;Yes Alphanumeric

Pesticide Home – 56-65 years old. If 'No' skip to Q3.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08848 Risk Factor Questionnaire (RFQ-U) - herbicide exposure birth 25 age frequency RFQHerbicdExposBrth25AgeFreq The frequency of exposure to herbicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to herbicides during the first 25 years of a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, how often were herbicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – Birth-25 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08880 Risk Factor Questionnaire (RFQ-U) - pesticide exposure unusually high description text RFQHmPestcdExposUnuslHighTxt 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 (Home). 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 (Home). If yes, please explain Alphanumeric

No instructions available

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 (Home) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08891 Risk Factor Questionnaire (RFQ-U) - home goggles use indicator RFQHmGogglesUseInd 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 (Home). 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 (Home). Used 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08859 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 36 45 age indicator RFQHerbicdExpos3645AgeInd The indicator whether there was exposure to herbicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to herbicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were herbicides used to kill weeds or plants? No;Yes No;Yes Alphanumeric

Pesticide Home – 36-45 years old. If 'No' skip to Pesticide Home – 46-55 years old, if applicable.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08870 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 56 65 age frequency RFQFungicdExpos5665AgeFreq The frequency of exposure to fungicides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to fungicides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were fungicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08849 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 26 35 age indicator RFQInsectcdExpos2635AgeInd The indicator whether there was exposure to insecticides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to insecticides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets? No;Yes No;Yes Alphanumeric

Pesticide Home – 26-35 years old. If 'No' skip to Q2.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08881 Risk Factor Questionnaire (RFQ-U) - home pesticide exposure unusually high year date RFQHmPstcdExposUnuslHighYrDt 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 (Home). 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 (Home). 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 (Home) Epidemiology/Environmental History Participant History and Family History

Free-Form Entry

C08892 Risk Factor Questionnaire (RFQ-U) - home other equipment use indicator RFQHmOthrEquipUseInd The indicator of whether the participant/subject wore other protective equipment more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of whether the participant/subject wore other protective equipment more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). Did you use other protective equipment? 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08860 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 36 45 age frequency RFQHerbicdExpos3645AgeFreq The frequency of exposure to herbicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to herbicides from ages 36 to 45 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, how often were herbicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08871 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 56 65 age indicator RFQHerbicdExpos5665AgeInd The indicator whether there was exposure to herbicides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to herbicides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were herbicides used to kill weeds or plants? No;Yes No;Yes Alphanumeric

Pesticide Home – 56-65 years old. If 'No' skip to Pesticide Home – 66 years and above, if applicable.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08850 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 26 35 age frequency RFQInsectcdExpos2635AgeFreq The frequency of exposure to insecticides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to insecticides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were insecticides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08882 Risk Factor Questionnaire (RFQ-U) - home pesticide concentration wash indicator RFQHmPestcdConcenWashInd The indicator of whether participant/subject stopped work and washed affected skin after contact with concentrated pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of whether participant/subject stopped work and washed affected skin after contact with concentrated pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If you got concentrated pesticide on your skin, did you usually stop what you were doing and wash it off? Yes;No;Never got concentrated pesticide on my skin Yes;No;Never got concentrated pesticide on my skin 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08893 Risk Factor Questionnaire (RFQ-U) - other equipment use description text RFQHmOthrEquipUseDescTxt The description of other types of protective equipment the participant/subject wore more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The description of other types of protective equipment the participant/subject wore more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, what other types of protective equipment(s) did you use more than half 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 (Home) Epidemiology/Environmental History Participant History and Family History 255

Free-Form Entry

C08861 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 46 55 age indicator RFQInsectcdExpos4655AgeInd The indicator whether there was exposure to insecticides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to insecticides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets? No;Yes No;Yes Alphanumeric

Pesticide Home – 46-55 years old. If 'No' skip to Q2.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08872 Risk Factor Questionnaire (RFQ-U) - herbicide exposure 56 65 age frequency RFQHerbicdExpos5665AgeFreq The frequency of exposure to herbicides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to herbicides from ages 56 to 65 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, how often were herbicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08851 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 26 35 age indicator RFQFungicdExpos2635AgeInd The indicator whether there was exposure to fungicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to fungicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot? No;Yes No;Yes Alphanumeric

Pesticide Home – 26-35 years old. If 'No' skip to Q3.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08883 Risk Factor Questionnaire (RFQ-U) - home personal gloves usual indicator RFQHmPrsnalGloveUsualInd The indicator of whether the participant/subject wore gloves more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of whether the participant/subject wore gloves more than half the time when personally mixing or applying pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If you personally mixed or applied pesticides, did you wear gloves more than half the time? Yes;No;Never mix/apply Yes;No;Never mix/apply Alphanumeric

Additional Pesticide Information section — If 'Never mix/apply' skip to question 7.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08894 Risk Factor Questionnaire (RFQ-U) - home pesticide exposure sickness indicator RFQHmPestcdExpsSickInd The indicator of sickness after exposure to pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of sickness after exposure to pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). Did you ever feel sick after exposure to pesticides at home? Yes;No;Don't know Yes;No;Don't know Alphanumeric

Additional Pesticide Information section -- If 'No' end questionnaire

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08862 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 46 55 age frequency RFQInsectcdExpos4655AgeFreq The frequency of exposure to insecticides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to insecticides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If Yes, how often were insecticides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08873 Risk Factor Questionnaire (RFQ-U) - insecticide exposure 66 plus age indicator RFQInsectcdExpos66PlusAgeInd The indicator whether there was exposure to insecticides from age 66 onward in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to insecticides from age 66 onward in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were insecticides used to kill bugs such as ants, roaches, mites or other pests? Include any used on pets? No;Yes No;Yes Alphanumeric

Pesticide Home – 66 years and above. If 'No' skip to Q2.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08884 Risk Factor Questionnaire (RFQ-U) - home personal gloves usual type indicator RFQHmPrsnalGloveUsualTypeInd 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 (Home). 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 (Home). 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08852 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 26 35 age frequency RFQFungicdExpos2635AgeFreq The frequency of exposure to fungicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The frequency of exposure to fungicides from ages 26 to 35 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). If yes, how often were fungicides used? Rarely;Occasionally;Often;Don't know Rarely (1-2 times/year);Occasionally (3-6 times/year);Often (more than 6 times/year);Don't know Alphanumeric

Pesticide Home – 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08895 Risk Factor Questionnaire (RFQ-U) - home sought medical care indicator RFQHmSeekMedCareInd The indicator of seeking medical attention after exposure to pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator of seeking medical attention after exposure to pesticides as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). 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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

C08863 Risk Factor Questionnaire (RFQ-U) - fungicide exposure 46 55 age indicator RFQFungicdExpos4655AgeInd The indicator whether there was exposure to fungicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). The indicator whether there was exposure to fungicides from ages 46 to 55 in a participant's/subject's life as part of the Risk Factor Questionnaire (RFQ-U) for Pesticides (Home). During this period of life, in or around your home, lawn, or garden, were fungicides used to kill mold, mildew, or rot? No;Yes No;Yes Alphanumeric

Pesticide Home – 46-55 years old. If 'No' skip to Q3.

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 (Home) Epidemiology/Environmental History Participant History and Family History

Single Pre-Defined Value Selected

CSV