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There were 68 Questionnaire Modules meeting your search criteria.


Topic: Demographic Information (Date/Place of Birth, Income, Education, Religion)
Questionnaire Title: Women's Interview Study of Health
Keywords: breast cancer
Principal Investigator(s): L. Brinton
Type of Questionnaire: Interview
Last Year of Data Collection: 1993
Short/Long Form: Short Form
Citation(s): Brinton LA, Daling JR, Liff JM, et al. Oral contraceptives and breast cancer risk among younger women. J Natl Cancer Inst. 1995;87(11):827-35.
Available Formats: PDF - Word

Topic: Ethnic Background
Questionnaire Title: Asian-American Breast Cancer Study
Keywords: Chinese, Filipino, Japanese, women, breast cancer
Principal Investigator(s): R. Ziegler
Type of Questionnaire: Interview
Last Year of Data Collection: 1991
Short/Long Form: Long Form
Citation(s):  
Available Formats: PDF - Word

Topic: Ethnic Background
Questionnaire Title: Office of Management and Budget
Keywords: OMB
Principal Investigator(s): S. Zahm
Type of Questionnaire: Standard
Last Year of Data Collection: Standard
Short/Long Form: Short Form
Citation(s): N/A
Available Formats: PDF - Word

Topic: Ethnic Background
Questionnaire Title: Ethnicity Questions
Keywords: DCEG
Principal Investigator(s): S. Zahm
Type of Questionnaire: Standard
Last Year of Data Collection: Standard
Short/Long Form: Long Form
Citation(s): N/A
Available Formats: PDF - Word

Topic: Cultural Assimilation
Questionnaire Title: Asian-American Breast Cancer Study
Keywords: Chinese, Filipino, Japanese, women, breast cancer
Principal Investigator(s): R. Ziegler
Type of Questionnaire: Interview
Last Year of Data Collection: 1991
Short/Long Form: Long Form
Citation(s):  
Available Formats: PDF - Word

Topic: Family History of Cancer
Questionnaire Title: Childhood Medulloblastoma study
Keywords:  
Principal Investigator(s): A. Goldstein
Type of Questionnaire: Interview
Last Year of Data Collection: 1999
Short/Long Form: Long Form
Citation(s):  
Available Formats:
    Part 1) Family_Hist PDF - Word
    Part 2) Father_Module PDF - Word
    Part 3) Mother_Module PDF - Word

Topic: Family History of Cancer
Questionnaire Title: Melanoma -- Case-Control Study
Keywords:  
Principal Investigator(s): M. Tucker
Type of Questionnaire: In-person Interview
Last Year of Data Collection: 1992
Short/Long Form: Short Form
Citation(s):  
Available Formats: PDF - Word

Topic: Family History of Cancer
Questionnaire Title: Case-referent Study of Adults with Brain Tumors
Keywords:  
Principal Investigator(s): D.Parry / P.Inskip / M.Linet
Type of Questionnaire: CAPI
Last Year of Data Collection: 1998
Short/Long Form: Short Form
Citation(s): In press (Aug. 2000)
Available Formats: PDF - Word

Topic: Family History of Cancer
Questionnaire Title: X-ray Technicians--Second Survey
Keywords: radiologic technologists, radiation, breast cancer, thyroid cancer, radiology, radiologic technicians
Principal Investigator(s): M.Doody / M.Tucker
Type of Questionnaire: Interview
Last Year of Data Collection: 1998
Short/Long Form: Long Form
Citation(s):  
Available Formats: PDF - Word

Topic: Family History of Cancer
Questionnaire Title: Family Studies Questionnaire
Keywords:  
Principal Investigator(s): M. Tucker
Type of Questionnaire: Self-administered
Last Year of Data Collection: ongoing
Short/Long Form: Long Form
Citation(s): Novakovic B et al. Increased risk of neuroectodermal tumors and stomach cancer in relatives of patients with ewing's sarcoma family of tumors. J Natl Cancer Inst 1994;86:1702-6.
  Novakovic B, Goldstein AM, Tucker MA. Validation of family history of cancer in deceased family members. J Natl Cancer Inst 1996;88:1492-3.
  Love RR et al. The accuracy of patient reports of a family history of cancer. J Chronic Dis 1985;38:289-93.
  Kerber RA, Slattery ML. Comparison of self-reported and database-linked family history of cancer data in a case-control study. Am j Epidemiol 1997;146:244-8.
Available Formats:
    1) Relatives_Part1 PDF - Word
    2) Relatives_Part2 PDF - Word

Topic: History of Tobacco Use
Questionnaire Title: Population Health Study
Keywords: Black and White Americans Study
Principal Investigator(s): L. Brown
Type of Questionnaire: Interview
Last Year of Data Collection: 1989
Short/Long Form: Long Form
Citation(s): Brown LM, Pottern LM, Silverman DT, et al. Multiple myeloma among Blacks and Whites in the United States: Role of cigarettes and alcoholic beverages. Cancer Causes Control.1997;8(4):610-4.
Available Formats: PDF - Word

Topic: History of Alcohol Use
Questionnaire Title: Oral Cancer -- Second Primary
Keywords: pharyngeal cancer
Principal Investigator(s): G. Day
Type of Questionnaire: Telephone Interview
Last Year of Data Collection: 1990
Short/Long Form: Long Form
Citation(s): Day GL, Blot WJ, Shore RE, et al. Second cancers following oral and pharyngeal cancer: role of tobacco and alcohol. J Natl Cancer Inst. 1994; 86(2):131-7.
Available Formats: PDF - Word

Topic: History of Alcohol Use
Questionnaire Title: Population Health Study
Keywords: Black and White Americans Study
Principal Investigator(s): L. Brown
Type of Questionnaire: Interview
Last Year of Data Collection: 1989
Short/Long Form: Long Form
Citation(s): Brown LM, Hoover R, Gridley G, et al. Drinking practices and risk of squamous-cell esophageal cancer among Black and White men in the United States. Cancer Causes Control.1997;8(4):605-9.
Available Formats: PDF - Word

Topic: Consumption of Coffee, Tea, Other Beverages
Questionnaire Title: Oral Cancer -- Second Primary
Keywords: pharyngeal cancer
Principal Investigator(s): G. Day
Type of Questionnaire: Telephone Interview
Last Year of Data Collection: 1990
Short/Long Form: Long Form
Citation(s): Day GL, Blot WJ, Shore RE, et al. Second cancers following oral and pharyngeal cancer: role of tobacco and alcohol. J Natl Cancer Inst. 1994; 86(2):131-7.
Available Formats: PDF - Word

Topic: Consumption of Coffee, Tea, Other Beverages
Questionnaire Title: Digestive tract diseases -- Shanghai Study
Keywords: pancreatic cancer, esophageal cancer
Principal Investigator(s): W.H. Chow
Type of Questionnaire: Interview
Last Year of Data Collection: 1993
Short/Long Form: Short Form
Citation(s): Gao YT, McLaughlin JK, Blot WJ, et al. Reduced Risk of Esophageal Cancer Associated With Green Tea Consumption. J of the Natl Cancer Inst. 1994;86(11):855-58.
Available Formats: PDF - Word

Topic: Consumption of Coffee, Tea, Other Beverages
Questionnaire Title: Population Health Study
Keywords: Black and White Americans Study
Principal Investigator(s): D. Silverman
Type of Questionnaire: Interview
Last Year of Data Collection: 1989
Short/Long Form: Long Form
Citation(s): Silverman DT, Swanson CA, Gridley G, et al. Dietary and nutritional factors and pancreatic cancer: a case-control study based on direct interview. Journal of the National Cancer Institute. 1998;90(22):1710-19.
Available Formats: PDF - Word

Topic: Food Frequency Questionnaire -- American Diet
Questionnaire Title: Diet History Questionnaire
Keywords:  
Principal Investigator(s): A. Subar
Type of Questionnaire: Self-administered optical scan
Last Year of Data Collection: 2000
Short/Long Form: Long Form
Citation(s): Subar AF, Ziegler RG, Thompson FE, Johnson CC, Weissfeld JL, Reding D, Kavounis KH, Hayes RB. Is shorter always better? Relative importance of dietary questionnaire length and cognitive ease on response rates and data quality. Am J Epidemiol 2001;153:404-409.
  Subar AF, Thompson FE, Kipnis V, Midthune D, Hurwitz P, McNutt S, McIntosh A, Rosenfeld S. Comparative validation of the Block, Willett, and National Cancer Institute food frequency questionnaires: The Eating at America's Table Study (EATS). Am J Epidemiol 2001; In Press.
Available Formats: PDF - Word

Topic: Food Frequency Questionnaire -- American Diet
Questionnaire Title: Oral Cancer -- Second Primary
Keywords: pharyngeal cancer
Principal Investigator(s): G. Day
Type of Questionnaire: Telephone Interview
Last Year of Data Collection: 1990
Short/Long Form: Short Form
Citation(s): Day GL, Shore RE, Blot WJ, et al. Dietary factors and second primary cancers: a follow-up of oral and pharyngeal cancer patients. Nutr Cancer. 1994; 21(3):223-32.
Available Formats: PDF - Word

Topic: Food Frequency Questionnaire -- Shanghai Diet
Questionnaire Title: Digestive tract diseases -- Shanghai Study
Keywords: pancreatic cancer, esophageal cancer
Principal Investigator(s): W.H. Chow
Type of Questionnaire: Interview
Last Year of Data Collection: 1993
Short/Long Form: Long Form
Citation(s): Ji BT, Chow WH, Gridley G, et al. Dietary Factors and the Risk of Pancreatic Cancer: A Case-Control Study in Shanghai, China. Cancer Epidemiol, Biomarkers & Prevention. 1995;4:885-893.
Available Formats: PDF - Word

Topic: Use of Dietary Supplements
Questionnaire Title: Diet History Questionnaire
Keywords:  
Principal Investigator(s): A. Subar
Type of Questionnaire: Self-administered optical scan
Last Year of Data Collection: 2000
Short/Long Form: Short Form
Citation(s): Subar AF, Ziegler RG, Thompson FE, Johnson CC, Weissfeld JL, Reding D, Kavounis KH, Hayes RB. Is shorter always better? Relative importance of dietary questionnaire length and cognitive ease on response rates and data quality. Am J Epidemiol 2001;153:404-409.
Available Formats: PDF - Word

Topic: Use of Prescription, non-Prescription Medicines
Questionnaire Title: Study of the Health of Adults (Kidney Cancer)
Keywords:  
Principal Investigator(s): W.H. Chow
Type of Questionnaire: Interview
Last Year of Data Collection: 1991
Short/Long Form: Short Form
Citation(s): Chow WH, McLaughlin JK, Mandel JS, et al. Risk of renal cell cancer in relation to diuretics, antihypertensive drugs, and hypertension. Cancer Epidemiol Biomarkers 1995;4:327-331.
Available Formats: PDF - Word

Topic: Use of Prescription, non-Prescription Medicines
Questionnaire Title: Study of Digestive Health (Esophagus)
Keywords: esophageal cancer
Principal Investigator(s): W.H. Chow
Type of Questionnaire: Interview
Last Year of Data Collection: 1996
Short/Long Form: Long Form
Citation(s): Vaughan TL, Farrow DC, Hansten PD, et al. Risk of esophageal and gastric adenocarcinomas in relation to use of calcium channel blockers, asthma drugs, and other medications that promote gastroesophageal reflux. Cancer Epidemiol Biomarkers 1998;7:749-756.
Available Formats: PDF - Word

Topic: Use of Prescription, non-Prescription Medicines
Questionnaire Title: BCDDP-Female Questionnaire
Keywords: Breast Cancer Detection Demonstration Project
Principal Investigator(s): C. Schairer
Type of Questionnaire: Self-administered
Last Year of Data Collection: 1998
Short/Long Form: Long Form
Citation(s): In press (Aug. 2000)
Available Formats: PDF - Word

Topic: Use of Hormone Supplements
Questionnaire Title: BCDDP-Female Questionnaire
Keywords: Breast Cancer Detection Demonstration Project
Principal Investigator(s): C. Schairer
Type of Questionnaire: Self-administered optical scan
Last Year of Data Collection: 1998
Short/Long Form: Long Form
Citation(s): Schairer C, Lubin JH, Troisi R, et al. Menopausal estrogen and estrogen-progestin replacement therapy and breast cancer risk. JAMA 2000;283(4):485-491.
Available Formats: PDF - Word

Topic: Medical History
Questionnaire Title: Non-Hodgkin's Lymphoma Study (NHL)
Keywords:  
Principal Investigator(s): M. Linet
Type of Questionnaire: CAPI
Last Year of Data Collection: 2001
Short/Long Form: Short Form
Citation(s): In the field
Available Formats: PDF - Word

Topic: Medical History
Questionnaire Title: Non-Hodgkin's Lymphoma Study (NHL)
Keywords:  
Principal Investigator(s): M. Linet
Type of Questionnaire: CAPI
Last Year of Data Collection: 2001
Short/Long Form: Long Form
Citation(s): In the field
Available Formats: PDF - Word

Topic: Personal Medical History of Cancer
Questionnaire Title: X-ray Technicians--Second Survey
Keywords: radiologic technologists, radiation, breast cancer, thyroid cancer, radiology, radiologic technicians
Principal Investigator(s): M. Doody
Type of Questionnaire: Self-administered optical scan
Last Year of Data Collection: 1998
Short/Long Form: Short Form
Citation(s): Boice JD, Mandel JS, Doody M, et al. Breast cancer among radiologic technologists. JAMA 1995;274(5):394-401.
Available Formats: PDF - Word

Topic: Non-Cancer Personal Medical History
Questionnaire Title: X-ray Technicians--Second Survey
Keywords: radiologic technologists, radiation, breast cancer, thyroid cancer, radiology, radiologic technicians
Principal Investigator(s): M. Doody
Type of Questionnaire: Self-administered optical scan
Last Year of Data Collection: 1998
Short/Long Form: Short Form
Citation(s): Boice JD, Mandel JS, Doody M, et al. Breast cancer among radiologic technologists. JAMA 1995;274(5):394-401.
Available Formats: PDF - Word

Topic: Anthropometric Measurements//Men
Questionnaire Title: Men's Health Study in Shanghai
Keywords: Chinese, China
Principal Investigator(s): A. Hsing
Type of Questionnaire: Interview
Last Year of Data Collection: 2000
Short/Long Form: Short Form
Citation(s): In press (Aug. 2000)
Available Formats: PDF - Word

Topic: Anthropometric Measurements//Women
Questionnaire Title: Asian-American Breast Cancer Study
Keywords: Chinese, Filipino, Japanese, women, breast cancer
Principal Investigator(s): R. Ziegler
Type of Questionnaire: Interview
Last Year of Data Collection: 1991
Short/Long Form: Long Form
Citation(s): Ursin G, Wu AH, Hoover RN, et al. Breast cancer and oral contraceptive use in Asian-American women. Am J Epidemiol 1999;150(6):561-7.
Available Formats: PDF - Word

Topic: X-ray and Other Radiation Exposures (Personal History)
Questionnaire Title: X-ray Technicians--Second Survey
Keywords: radiologic technologists, radiation, breast cancer, thyroid cancer, radiology, radiologic technicians
Principal Investigator(s): M. Doody
Type of Questionnaire: Self-administered optical scan
Last Year of Data Collection: 1998
Short/Long Form: Short Form
Citation(s): Doody M, Mandel JS, Lubin JH, et al. Mortality among United States radiologic technologists, 1926-90. Cancer Causes and Control 1998;9:67-75.
Available Formats: PDF - Word

Topic: X-ray and Other Radiation Exposures (Work History)
Questionnaire Title: X-ray Technicians--Second Survey
Keywords: radiologic technologists, radiation, breast cancer, thyroid cancer, radiology, radiologic technicians
Principal Investigator(s): M. Doody
Type of Questionnaire: Self-administered optical scan
Last Year of Data Collection: 1998
Short/Long Form: Short Form
Citation(s): Boice JD, Mandel JS, Doody M, et al. A health survey of radiologic technologists. Cancer 1992;69(2):586-98.
Available Formats: PDF - Word

Topic: Sexual History
Questionnaire Title: Guanacaste Project
Keywords: Costa Rica, HPV, human papillomavirus infection, cervical cancer
Principal Investigator(s): M. Schiffman
Type of Questionnaire: Interview
Last Year of Data Collection: 1995
Short/Long Form: Short Form
Citation(s): Herrero R, Hildesheim A, Bratti C, et al. Population-based study of human papillomavirus infection and cervical neoplasia in rural Costa Rica. J Natl Cancer Inst. 2000;92(6):464-74.
  Schiffman M. HPV DNA testing in cervical cancer screening: results from women in a high-risk province of Costa Rica. JAMA 2000;283(1):87-93.
Available Formats: PDF - Word

Topic: Sexual History
Questionnaire Title: Danish Postal Survey
Keywords:  
Principal Investigator(s): R.Biggar
Type of Questionnaire: Self-administered
Last Year of Data Collection: 1990
Short/Long Form: Long Form
Citation(s): Biggar RJ, Melbye M. Responses to anonymous questionnaires concerning sexual behavior: a method to examine potential biases. Am J Public Health. 1992;82(11):1506-12.
Available Formats: PDF - Word

Topic: Sexual History
Questionnaire Title: Population Health Study
Keywords: Black and White Americans Study
Principal Investigator(s): R. Hayes
Type of Questionnaire: Interview
Last Year of Data Collection: 1989
Short/Long Form: Long Form
Citation(s): Hayes RB, Pottern LM, Strickler H, et al. Sexual behavior, STDs and risks for prostate cancer. Br J Cancer 2000;82(3):718-25.
Available Formats: PDF - Word

Topic: Gay Sexual Practices and HIV Exposures
Questionnaire Title: D.C.Gays Study
Keywords: AIDS, HIV, homosexuals
Principal Investigator(s): J. Goedert
Type of Questionnaire: Self-administered
Last Year of Data Collection: 1999
Short/Long Form: Long Form
Citation(s): Goedert JJ, Biggar RJ, Winn DM, et al. Decreased helper T-lymphocytes in homosexual men: II. Sexual practices. Am J Epidemiol 1985;121:637-44.
Available Formats: PDF - Word

Topic: History of Sexually Transmitted Diseases
Questionnaire Title: D.C.Gays Study
Keywords: AIDS, HIV, homosexuals
Principal Investigator(s): J. Goedert
Type of Questionnaire: Self-administered
Last Year of Data Collection: 1999
Short/Long Form: Short Form
Citation(s): Goedert JJ, Biggar RJ, Melbye M, et al. Effect of T4 count and cofactors on the incidence of AIDS in homosexual men infected with human immunodeficiency virus. J Am Med Assoc 1987;257(3):331-34.
Available Formats: PDF - Word

Topic: Menstruation/Menopause History
Questionnaire Title: Women's Interview Study of Health
Keywords:  
Principal Investigator(s): L. Brinton
Type of Questionnaire: Interview
Last Year of Data Collection: 1993
Short/Long Form: Long Form
Citation(s): Brinton LA, Daling JR, Liff JM, et al. Oral contraceptives and breast cancer risk among younger women. J Natl Cancer Inst. 1995;87(11):827-35.
Available Formats: PDF - Word

Topic: Reproductive History
Questionnaire Title: Women's Interview Study of Health
Keywords:  
Principal Investigator(s): L. Brinton
Type of Questionnaire: Interview
Last Year of Data Collection: 1993
Short/Long Form: Long Form
Citation(s): Brinton LA, Daling JR, Liff JM, et al. Oral contraceptives and breast cancer risk among younger women. J Natl Cancer Inst. 1995;87(11):827-35.
Available Formats: PDF - Word

Topic: Use of Contraceptives & Other Exogenous Hormones
Questionnaire Title: Women's Interview Study of Health
Keywords:  
Principal Investigator(s): L. Brinton
Type of Questionnaire: Interview
Last Year of Data Collection: 1993
Short/Long Form: Long Form
Citation(s): Brinton LA, Daling JR, Liff JM, et al. Oral contraceptives and breast cancer risk among younger women. J Natl Cancer Inst. 1995;87(11):827-35.
Available Formats: PDF - Word

Topic: Breast Cancer Risk Factors
Questionnaire Title: Women's Interview Study of Health
Keywords:  
Principal Investigator(s): L. Brinton
Type of Questionnaire: Interview
Last Year of Data Collection: 1993
Short/Long Form: Long Form
Citation(s): Brinton LA, Daling JR, Liff JM, et al. Oral contraceptives and breast cancer risk among younger women. J Natl Cancer Inst. 1995;87(11):827-35.
Available Formats: PDF - Word

Topic: Breast Cancer Risk Factors
Questionnaire Title: Women's Health Study
Keywords:  
Principal Investigator(s): L. Brinton
Type of Questionnaire: Self-administered
Last Year of Data Collection: 1996
Short/Long Form: Short Form
Citation(s): Brinton LA, Brown SL, Colton T, et al. Characteristics of a population of women with breasts implants compared with women seeking other types of plastic surgery. Plastic & Reconstructive Surgery. 2000;105(3):919-27.
Available Formats: PDF - Word

Topic: Household Pesticide Exposures (inside and outside)
Questionnaire Title: Nebraska Health Study II
Keywords: stomach cancer, esophageal cancer
Principal Investigator(s): M. Ward
Type of Questionnaire: Telephone Interview
Last Year of Data Collection: 1994
Short/Long Form: Short Form
Citation(s): Ward MH, Sinha R, Heineman EF, et al. Risk of adenocarcinoma of the stomach and esophagus with meat cooking method and doneness preference. Int J Cancer. 1997;71(1)14-9.
Available Formats: PDF - Word

Topic: Household Pesticide Exposures (inside and outside)
Questionnaire Title: Non-Hodgkin's Lymphoma Study (NHL)
Keywords: pesticides, herbicides, residential, garden, crowding, drinking water
Principal Investigator(s): P. Hartge
Type of Questionnaire: CAPI
Last Year of Data Collection: 2001
Short/Long Form: Long Form
Citation(s): Colt JS, Davis S, Severson RK, Lynch CF, Cozen W, Camann D, Engels EA, Blair A, Hartge P. Residential insecticide use and risk of non-Hodgkin's lymphoma. Cancer Epidemiol Biomarkers Prev. 2006 Feb;15(2):251-7.
  Hartge P, Colt JS, Severson RK, Cerhan JR, Cozen W, Camann D, Zahm SH, Davis S. Residential herbicide use and risk of non-Hodgkin lymphoma. Cancer Epidemiol Biomarkers Prev. 2005 Apr;14(4):934-7. Review.
Available Formats: PDF - Word

Topic: EMF and Radon Exposures
Questionnaire Title: EMF and Radon Study
Keywords: Childhood Leukemia Study
Principal Investigator(s): M. Linet
Type of Questionnaire: Telephone Interview
Last Year of Data Collection: 1994
Short/Long Form: Long Form
Citation(s): Hatch EE, Kleinerman RA, Linet MS, et al. Do confounding or selection factors of residential wiring codes and magnetic fields distort findings of Electromagnetic field studies? Epidemiology 2000;11:189-198.
Available Formats: PDF - Word

Topic: Exposures to Electrical Appliances
Questionnaire Title: EMF and Radon Study
Keywords: Childhood Leukemia Study
Principal Investigator(s): M. Linet
Type of Questionnaire: Interview
Last Year of Data Collection: 1994
Short/Long Form: Long Form
Citation(s): Hatch EE, Linet MS, Kleinerman RA, et al. Association between childhood acute lymphoblastic leukemia and use of electrical appliances during pregnancy and childhood. Epidemiology 1998;9:234-45.
Available Formats: PDF - Word

Topic: Exposures from Hobbies and/or Household Exposures
Questionnaire Title: Childhood Leukemia Study
Keywords: EMF and Radon Study
Principal Investigator(s): M. Linet
Type of Questionnaire: Telephone Interview
Last Year of Data Collection: 1993
Short/Long Form: Long Form
Citation(s): Wen W, Shu XO, Linet MS, et al. Allergic disorders and the risk of childhood acute lymphoblastic leukemia. Cancer causes control. 2000;11(4):303-7.
Available Formats: PDF - Word

Topic: Exposures from Carpeting and Vacuuming
Questionnaire Title: EMF and Radon Study
Keywords: Childhood Leukemia Study
Principal Investigator(s): M. Linet
Type of Questionnaire: Interview
Last Year of Data Collection: 1994
Short/Long Form: Short Form
Citation(s):  
Available Formats: PDF - Word

Topic: Other Personal Exposures
Questionnaire Title: EMF and Radon Study
Keywords: Childhood Leukemia Study
Principal Investigator(s): M. Linet
Type of Questionnaire: Interview
Last Year of Data Collection: 1994
Short/Long Form: Long Form
Citation(s): Kaune WT, Miller MC, Linet MS, et al. Children's exposure to magnetic fields produced by U.S. television sets used for viewing programs and playing video games. Bioelectromagnetics 2000;21(3):214-27.
Available Formats: PDF - Word

Topic: History of Sun Exposures
Questionnaire Title: Non-Hodgkin's Lymphoma Study (NHL)
Keywords:  
Principal Investigator(s): P. Hartge
Type of Questionnaire: CAPI
Last Year of Data Collection: 2001
Short/Long Form: Short Form
Citation(s): In the field (Aug. 2000)
Available Formats: PDF - Word

Topic: History of Sun Exposures
Questionnaire Title: Melanoma -- Case-Control Study
Keywords:  
Principal Investigator(s): M. Tucker
Type of Questionnaire: In-person Interview
Last Year of Data Collection: 1992
Short/Long Form: Short Form
Citation(s):  
Available Formats: PDF - Word

Topic: History of Recreational Drug Use
Questionnaire Title: D.C.Gays Study
Keywords: AIDS, HIV, homosexuals
Principal Investigator(s): J. Goedert
Type of Questionnaire: Self-administered
Last Year of Data Collection: 1999
Short/Long Form: Short Form
Citation(s): Goedert JJ, Sarngadharan MG, Biggar RJ, et al. Determinants of retrovirus (HTV-III) antibody and immunodeficiency conditions in homosexual men. Lancet 1984; 2:711-716.
Available Formats: PDF - Word

Topic: Exercise and Physical Activity
Questionnaire Title: BCDDP-Female Questionnaire
Keywords: Breast Cancer Detection Demonstration Project
Principal Investigator(s): C. Schairer
Type of Questionnaire: Self-administered
Last Year of Data Collection: 1998
Short/Long Form: Short Form
Citation(s): In press (Aug. 2000)
Available Formats: PDF - Word

Topic: Exercise and Physical Activity
Questionnaire Title: Familial Breast and Ovarian Cancer Study
Keywords:  
Principal Investigator(s): H. Anton-Culver
Type of Questionnaire: Self-administered
Last Year of Data Collection: ongoing
Short/Long Form: Long Form
Citation(s): Ziogas A, Gildea M, Cohen P, et al. Cancer risk estimates for family members of a population- based family registry for breast and ovarian cancer. Cancer Epidemiol Biomarkers Prev 2000;9 (1):103-11.
Available Formats: PDF - Word

Topic: Exercise and Physical Activity
Questionnaire Title: Godin Leisure-Time Exercise Questionnaire
Keywords:  
Principal Investigator(s): G. Godin
Type of Questionnaire: Self-administered
Last Year of Data Collection: 1985
Short/Long Form: Short Form
Citation(s): Godin G, Shephard RJ. A simple method to assess exercise behavior in the community. Can J Appl Sport Sci 1985;10:141-146.
  Gionet NJ, Godin G. Self-reported exercise behavior of employees: a validity study. J Occup Med 1989;31:969-973.
Available Formats: PDF - Word

Topic: Exercise and Physical Activity
Questionnaire Title: Physical Activity Questions from the Framingham Study
Keywords:  
Principal Investigator(s): W. Kannel
Type of Questionnaire: In-person Interview
Last Year of Data Collection: ongoing
Short/Long Form: Short Form
Citation(s): Kannel WB, Sorlie P. Some health benefits of physical activity: The Framingham Heart Study. Arch Intern Med 1979;139:857-861.
  Albanes D, Conway JM, Taylor PR, et al. Validation and comparison of eight physical activity questionnaires. Epidemiology 1990;1:65-71.
Available Formats: PDF - Word

Topic: Exercise and Physical Activity
Questionnaire Title: Lifetime Physical Activity Questionnaire
Keywords:  
Principal Investigator(s): Lisa Chasan-Taber
Type of Questionnaire: Mail Questionnaire
Last Year of Data Collection: 1998
Short/Long Form: Short Form
Citation(s): Chasan-Taber L, Erickson JB, McBride JW, Nasca PC, Chasan-Taber S, Freedson PS. Reproducibility of a self-administered lifetime physical activity questionnaire among female college alumnae. Am J Epidemiol 2002;155:282-289.
Available Formats: PDF - Word

Topic: Occupational History/ Exposures
Questionnaire Title: Spanish Bladder Cancer Study
Keywords: Spain
Principal Investigator(s): M. Dosemeci
Type of Questionnaire: CAPI
Last Year of Data Collection: ongoing
Short/Long Form: Long Form
Citation(s): In the field (Aug. 2000)
Available Formats:
    Occupational History PDF - Word Perfect
 Sample Job Modules
    1) Chemical_Ind PDF - Word Perfect
    2) Gardener PDF - Word Perfect

Topic: Occupational History/ Exposures
Questionnaire Title: Study of Brain Tumors in Adults
Keywords:  
Principal Investigator(s): P. Inskip
Type of Questionnaire: CAPI
Last Year of Data Collection: 1998
Short/Long Form: Long Form
Citation(s): Stewart PA, Stewart WF, Heineman EF, Dosemeci M, Linet M, Inskip P. A novel approach to data collection in a case-control study of cancer and occupational exposures. Int J Epidemiol 1996;25:744-52.
  Stewart PA, Stewart WF, Siemiatycki J, Heineman EF, Dosemeci M. Questionnaires for collecting detailed occupational information for community-based case-control studies. Am Ind Hyg Assoc J 1998;59:39-44
Available Formats:
    Occupational History PDF - Word
 Sample Job Modules
    1) Butcher PDF - Word
    2) Electrician PDF - Word

Topic: Occupational History/ Exposures
Questionnaire Title: Non-Hodgkin's Lymphoma Study (NHL)
Keywords:  
Principal Investigator(s): P. Hartge
Type of Questionnaire: CAPI
Last Year of Data Collection: 2001
Short/Long Form: Long Form
Citation(s): In the field (Aug. 2000)
Available Formats:
    Occupational History PDF - Word
 Sample Job Modules
    1) Chemical_Industry PDF - Word
    2) Engineer PDF - Word
    3) Painter PDF - Word

Topic: Occupational History/ Exposures
Questionnaire Title: AIDS Cancer Cohort Study
Keywords:  
Principal Investigator(s): C. Rabkin
Type of Questionnaire: CAPI
Last Year of Data Collection: 1999
Short/Long Form: Long Form
Citation(s): In the field (Aug. 2000)
Available Formats: PDF - Word Perfect

Topic: Occupational History/ Exposures
Questionnaire Title: Agricultural Health Study
Keywords: farms, pesticides
Principal Investigator(s): M. Alavanja
Type of Questionnaire: Self-administered
Last Year of Data Collection: 1998
Short/Long Form: Long Form
Citation(s): Alavanja MC, Sandler DP, McMaster SB, et al. The agricultural health study. Environ Health Perspect.1996;104(4): 362-9. & Alavanja M. Occupational cancer risk associated with the storage and bulk handling of agricultural foodstuff. J Toxicol Environ Health.1987;22(3):247-54.
Available Formats: PDF - Word Perfect

Topic: Exposures to Pets
Questionnaire Title: EMF and Radon Study
Keywords: Childhood Leukemia Study
Principal Investigator(s): M. Linet
Type of Questionnaire: Interview
Last Year of Data Collection: 1994
Short/Long Form: Long Form
Citation(s):  
Available Formats: PDF - Word

Topic: Use of Hair Dyes
Questionnaire Title: Non-Hodgkin's Lymphoma Study (NHL)
Keywords:  
Principal Investigator(s): S. Zahm
Type of Questionnaire: CAPI
Last Year of Data Collection: 2001
Short/Long Form: Short Form
Citation(s): In the field (Aug. 2000)
Available Formats: PDF - Word

Topic: Residential History
Questionnaire Title: Melanoma -- Case-Control Study
Keywords:  
Principal Investigator(s): M. Tucker
Type of Questionnaire: In-person Interview
Last Year of Data Collection: 1992
Short/Long Form: Short Form
Citation(s):  
Available Formats: PDF - Word

Topic: Residential History
Questionnaire Title: Non-Hodgkin's Lymphoma Study (NHL)
Keywords:  
Principal Investigator(s): P. Hartge
Type of Questionnaire: Self-administered
Last Year of Data Collection: 2001
Short/Long Form: Long Form
Citation(s): In the field (Aug. 2000)
Available Formats: PDF - Word

Topic: Water Source History
Questionnaire Title: Nebraska Health Study II
Keywords: stomach cancer, esophageal cancer
Principal Investigator(s): M. Ward
Type of Questionnaire: Telephone Interview
Last Year of Data Collection: 1994
Short/Long Form: Long Form
Citation(s): Ward MH, Sinha R, Heineman EF, et al. Risk of adenocarcinoma of the stomach and esophagus with meat cooking method and doneness preference. Int J Cancer. 1997;71(1)14-9.
Available Formats: PDF - Word

Topic: Childhood Immunizations
Questionnaire Title: EMF and Radon Study
Keywords: Childhood Leukemia Study
Principal Investigator(s): M. Linet
Type of Questionnaire: Interview
Last Year of Data Collection: 1994
Short/Long Form: Short Form
Citation(s): Groves FD, Gridley G, Wacholder S, et al. Infant vaccinations and risk of childhood acute lymphoblastic leukaemia in the USA. Br J Cancer. 1999;81(1):175-8.
Available Formats: PDF - Word