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Tools & Resources

Questionnaire Modules - Categories

BACKGROUND INFORMATION
 
Demographic Information (Date/Place of Birth, Income, Education, Religion)
  Women's Interview Study of Health
 
Ethnic Background
Asian-American Breast Cancer Study
  Office of Management and Budget (short form)
  Ethnicity Questions (long form)
 
Cultural Assimilation
  Asian-American Breast Cancer Study
 
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FAMILY HISTORY OF CANCER
Family History of Cancer
  Childhood Medulloblastoma study
  Melanoma -- Case-Control Study
  Study of Brain Tumors in Adults
  X-ray Technicians--Second Survey
  Family Studies Questionnaire
 
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DRUG AND TOBACCO USE
History of Tobacco Use
  Population Health Study
 
History of Recreational Drug Use
  D.C.Gays Study
 
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FOOD AND BEVERAGE CONSUMPTION
History of Alcohol Use
  Population Health Study
  Oral Cancer -- Second Primary
 
Consumption of Coffee, Tea, Other Beverages
  Oral Cancer -- Second Primary
  Digestive tract diseases -- Shanghai Study
  Population Health Study
 
Food Frequency Questionnaire -- American Diet
  Diet History Questionnaire
  Oral Cancer -- Second Primary
 
Food Frequency Questionnaire -- Shanghai Diet
  Digestive tract diseases -- Shanghai Study
 
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USE OF SUPPLEMENTS, PRESCRIPTIONS, HORMONES
Use of Dietary Supplements
  Diet History Questionnaire
 
Use of Prescription, non-Prescription Medicines
  Study of the Health of Adults (Kidney Cancer)
  Study of Digestive Health (Esophagus)
  BCDDP-Female Questionnaire
 
Use of Hormone Supplements
  BCDDP-Female Questionnaire
 
Use of Contraceptives & Other Exogenous Hormones
  Women' s Interview Study of Health
 
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MEDICAL HISTORY
Medical History
  Non-Hodgkin's Lymphoma Study (NHL) (short form)/(long form)
 
Personal Medical History of Cancer
  X-ray Technicians--Second Survey
 
Non-Cancer Personal Medical History
  X-ray Technicians--Second Survey
 
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ANTHROPOMETRIC MEASUREMENTS
Anthropometric Measurements//Men
  Men's Health Study in Shanghai
 
Anthropometric Measurements//Women
  Asian-American Breast Cancer Study
 
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RADIATION EXPOSURES
X-ray and Other Radiation Exposures (Personal History)
  X-ray Technicians--Second Survey
 
X-ray and Other Radiation Exposures (Work History)
  X-ray Technicians--Second Survey
 
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SEXUAL HISTORY
Sexual History
  Guanacaste Project
  Danish Postal Survey
  Population Health Study
 
Gay Sexual Practices and HIV Exposures
  D.C.Gays Study
 
History of Sexually Transmitted Diseases
  D.C.Gays Study
 
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REPRODUCTIVE HISTORY
Menstruation/Menopause History
  Women' s Interview Study of Health
 
Reproductive History
  Women' s Interview Study of Health
 
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BREAST CANCER RISK FACTORS
Breast Cancer Risk Factors
  Women' s Interview Study of Health
  Women's Health Study
 
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HOUSEHOLD & GARDEN EXPOSURES
Household Pesticide Exposures (inside and outside)
  Nebraska Health Study II
  Non-Hodgkin's Lymphoma Study (NHL)
 
EMF and Radon Exposures
  EMF and Radon Study
 
Exposures to Electrical Appliances
  EMF and Radon Study
 
Exposures from Hobbies and/or Household Exposures
  Childhood Leukemia Study
 
Exposures from Carpeting and Vacuuming
  EMF and Radon Study
 
Exposures to Pets
  EMF and Radon Study
 
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OCCUPATIONAL HISTORY
Occupational History/ Exposures
  Spanish Bladder Cancer Study
  Study of Brain Tumors in Adults
  Non-Hodgkin's Lymphoma Study (NHL)
  AIDS Cancer Cohort Study
  Agricultural Health Study
 
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PHYSICAL ACTIVITY HISTORY
Exercise and Physical Activity
  BCDDP-Female Questionnaire
  Familial Breast and Ovarian Study
  Godin Leisure-Time Exercise Questionnaire
  Physical Activity Questions from the Framingham Study
 
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OTHERS
Other Personal Exposures
  EMF and Radon Study
 
History of Sun Exposures
  Non-Hodgkin's Lymphoma Study (NHL)
  Melanoma -- Case-Control Study
 
Use of Hair Dyes
  Non-Hodgkin's Lymphoma Study (NHL)
 
Residential History
  Melanoma -- Case-Control Study
  Non-Hodgkin's Lymphoma Study (NHL)
 
Water Source History
  Nebraska Health Study II
 
Childhood Immunizations
  EMF and Radon Study