Question Index: Environmental and Personal Exposures
| Questions
|
Year(s) Asked on Long Forms (Click on year to view PDF of questionnaire.) |
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|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Do you smoke cigarettes currently? | x | x | x | x | x | x | x | x | x | x | x | x | x | x |
| How many cigs per day? | x | x | x | x | x | x | x | x | x | x | x | x | x | x |
| What brand of cigarette do you smoke? | x | x | x | x | x | x | x | x | ||||||
| How old when started regularly smoking? | x | |||||||||||||
| Since you started, ever quit for 6 months or more? | x | |||||||||||||
| How many cigs/day during first 5 years as a regular smoker? | x | |||||||||||||
| If not currently a smoker, did you smoke regularly in the past? | x | |||||||||||||
| How many cigs/day in the past? | x | |||||||||||||
| How old when you last smoked regularly? | x | |||||||||||||
| How old when you started? | x | |||||||||||||
| When you smoked regularly, ever quit for 6 months or more? | x | |||||||||||||
| How long have you smoked this brand? | x | |||||||||||||
| Is it a filter cigarette? | x | x | ||||||||||||
| How deeply do you inhale? | x | x | ||||||||||||
| Did your parents smoke while you were living with them? | x | |||||||||||||
| As an adult, how many years have you lived with a regular smoker? | x | |||||||||||||
| Are you currently exposed to cigarette smoke at work/home? If so how often? | x | |||||||||||||
| How often (each day) do you apply lipstick? | x | |||||||||||||
| Use a permanent hair dye currently? | x | x | x | x | ||||||||||
| Use a permanent hair dye ever? | x | |||||||||||||
| - How often? | x | x | x | |||||||||||
| - For how many years? | x | |||||||||||||
| - At what age did you start using dye? | x | |||||||||||||
| What was the natural color of your hair at age 21? | x | |||||||||||||
| Have you ever commonly used a talcum powder/baby powder to apply to a perineal area or on sanitary napkins? | x | |||||||||||||
| Do you currently use artificial sweeteners? How often? For how long? | x | |||||||||||||
| Do you regularly spend time outdoors in the summer (at least 8 hrs/wk)? - Use sunscreen? - Use little or no sunscreen? | x | |||||||||||||
| As an adolescent, what was the reaction of your skin to 2+ hours in bright sun? | x | |||||||||||||
| As a child or adolescent, what kind of tan did you get after a prolonged (2 week) exposure? | x | |||||||||||||
| How often have you had severe sunburn on these specific areas of the body: Back/shoulders? Lower limbs? Face/arms? All over? | x | |||||||||||||
| Have you ever regularly used an electric blanket or a heated waterbed? - How often? Years? Age when started? | x | |||||||||||||
| Ever received a blood transfusion? (exclude own blood) How many units? At what age? | x | |||||||||||||
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