The questionnaires used in the Agricultural Health Study (AHS) may be obtained through the AHS Web site. They were developed in collaboration with the National Cancer Institute, the Environmental Protection Agency and NIOSH. For more information about the questionnaires, contact Jane Hoppin, Sc.D., at NIEHS or Joe Coble, Ph.D., or Michael Alavanja, Ph.D., at the National Cancer Institute.
Phase 1 Questionnaires
Enrollment Questionnaire: Private Applicator
The questionnaire administered at enrollment.
Farmer Applicator Questionnaire
The take home questionnaire completed by private pesticide applicators.
Commercial Applicator Questionnaire
The take home questionnaire completed by commercial pesticide applicators.
Spouse Questionnaire
The take home questionnaire completed by spouses of private pesticide applicators.
Female and Family Health Questionnaire
The take home questionnaire completed by the female pesticide applicators and spouses of male applicators.
Follow-up Questionnaire
A subset of the questions in the Enrollment Questionnaire, which was administered by telephone to people who had partially completed the Enrollment questionnaire but skipped a number of key questions.
Phase 2 Questionnaires
Cooking Practices Module
Follow-up Health Questionnaire for Women (Version A)
Follow-up Health Questionnaire for Women (Version C-Applicator, Spouse before 04/01/00)
Follow-up Health Questionnaire for Women (Version C-Spouse)
Health Module for Men
Pesticide Use Module: Spouse
Pesticide Use Module: Private Pesticide Applicator