Questionnaires & Forms

To view the PDF files on this site, you will need Adobe Acrobat Reader.

Baseline Form 1
1. Name, Address, Personal Identifiers, Phone Number
2. Residence
3. Marital Status
4. Education
5. Vocational Training
6. Occupation
7. Medical History
8. Dental Health
9. Physical Activity
10. Smoking History
11. Drug and Vitamin Use
Baseline Form 2
1. Height, Weight, Blood Pressure, Heart Rate, Visual Acuity
2. Medical Symptoms (dyspnea, chest pain, claudication, cough, phlegm)
3. Number of Cigarettes Smoked
4. Administrative information (checklist of exclusion criteria, indication of fasting, indication of blood sample taken, indication of chest x-ray taken)
Baseline Form 3
1. Administrative information (difficulty in coming to visit, return dietary history form, return picture book, return toenail sample, estimate of greyness of hair, capsules ID number, indication of extra blood, indication of fasting hours)

Food Frequency Questionnaire (long form) - All food and nutrient data are based on this questionnaire
Food Frequency Questionnaire (short form) - Used mainly for methods work
Picture Booklet (PDF) (4.73 MB)