Questionnaires
Uterine Fibroid Study (UFS)
For more information about the Uterine Fibroid Study questionnaires, contact Donna D. Baird, Ph.D.
Baseline Questionnaires
- Mail Questionnaire (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_base_mail.pdf) (493K)
- Telephone Questionnaire (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_base_phone.pdf) (425K)
- Dietary Questionnaire (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_diet.pdf) (389K)
- Daily Diary (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_diary.pdf) (71K)
Medical Records & Forms
Sonography Forms
- Study (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_study_son.pdf) (56K)
- Medical Record (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_medrec_son.pdf) (23K)
- Blood Collection Form (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_blood.pdf) (24K)
Pathology Forms
- Uterus and Fibroids (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_path.pdf) (114K)
- Fibroid Tissue H&E (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_he.pdf) (43K)
Abstraction of Surgical Medical Records
- Surgery (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_medrec_surgery.pdf) (24K)
- Random Sample (http://www.niehs.nih.gov/research/atniehs/labs/epi/studies/ufs/docs/ufs_medrec_random.pdf) (69K)
Follow-up Study Questionnaires
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