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Questionnaires

The following questionnaires were developed by the Epidemiology Branch. They are made available as a resource for researchers planning similar studies and to aid in the interpretation of NIEHS research based on them. The questionnaires are in the public domain, so those who wish to use them should acknowledge the NIEHS study for which it was developed, the PI and the Epidemiology Branch Web site as the source.

 

Links to specific questionnaires can be found on the respective study pages for which they were developed:

 

Agricultural Health (AHS)

 

 

Agricultural Health Study [Questionnaire] [About the Study]

Amyotrophic Lateral Sclerosis Study

 

 

Amyotrophic Lateral Sclerosis Study [Questionnaire] [About the Study]

Carolina Lupus Study

 

 

Carolina Lupus Study [Questionnaire] [About the Study]

DES Study (DES)

 

 

DES Study [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=35378&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35378" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35378" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=35374&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35374" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35374" sys_siteid="" sys_folderid="")]

Early Pregnancy Study (EPS)

 

 

Early Pregnancy Study [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=35459&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35459" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35459" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=35427&sys_revision=2&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35427" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35427" sys_siteid="" sys_folderid="")]

Farmworkers Health Study (FWHS)

 

 

Farmworkers Health Study [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=35508&sys_revision=2&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35508" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35508" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=35483&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35483" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35483" sys_siteid="" sys_folderid="")]

LIFE and VALID Lung Studies

 

 

LIFE and VALID Lung Studies [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=35619&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35619" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35619" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=35609&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35609" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35609" sys_siteid="" sys_folderid="")]

North Carolina Menopause Study

 

 

North Carolina Menopause Study [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=36024&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="36024" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="36024" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=36024&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="36024" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="36024" sys_siteid="" sys_folderid="")]

Norway Facial Clefts Study (NCL)

 

 

Norway Facial Clefts Study [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=36047&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="36047" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="36047" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=36031&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="36031" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="36031" sys_siteid="" sys_folderid="")]

Norwegian Mother and Child Cohort Study

 

 

Norwegian Mother and Child Cohort Study [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=36080&sys_revision=2&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="36080" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="36080" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=35222&sys_revision=2&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35222" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35222" sys_siteid="" sys_folderid="")]

SEAD Soy Study

 

 

SEAD Soy Study [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=36221&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="36221" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="36221" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=36114&sys_revision=2&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="36114" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="36114" sys_siteid="" sys_folderid="")]

Treatment of Lead-Exposed Children Trial

 

 

Treatment of Lead-Exposed Children Trial [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=35417&sys_revision=3&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35417" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35417" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=35392&sys_revision=2&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="35392" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="35392" sys_siteid="" sys_folderid="")]

Uterine Fibroid Study

 

 

Uterine Fibroid Study [Questionnaire ("/Rhythmyx/assembler/render?sys_contentid=36406&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="36406" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="36406" sys_siteid="" sys_folderid="")] [About the Study ("/Rhythmyx/assembler/render?sys_contentid=36371&sys_revision=1&sys_variantid=639&sys_context=0&sys_authtype=0&sys_siteid=&sys_folderid=" sys_dependentvariantid="639" sys_dependentid="36371" inlinetype="rxhyperlink" rxinlineslot="103" sys_dependentid="36371" sys_siteid="" sys_folderid="")]

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