Question Index: Environmental and Personal Exposures


Questions

Year(s) Asked on Long Forms

(Click on year to view PDF of questionnaire.)

Questionnaires>>Home 1986 1987 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008
Do you currently smoke cigarettes? x x x x x x x x x x x x
Avg number cigs per day x x x x x x x x x x x x
Brand of cigarettes smoked x x x
Do you currently smoke a pipe or cigars? x x x x x x x x x x x  
At each age avg number of cigarettes per day x
Smoked in past, quit how long ago x
Passive smoking (as child and adult) x    
State born in   x        
State lived in at age 15       x
State lived in at age 25       x                
% of time used sunscreen when outdoors   x
Sun exposure as an adolescent         x                
Kind of tan as an adolescent x  
Number of severe of painful sunburns on specific areas of body   x              
Number of moles on left arm (+3mm) x  
Vasectomy before 1986; If yes, what age? x
Diagnosis of syphilis or gonorrhea x
# of ejaculations per month: ages 20-29, 40-49, and past year x
Frequency of urinary symptoms x x x x
# of times urinate per month; how large a problem   x x   x x
Number of hours of sleep in 24 hours x x
Usual sleeping position x
Do you snore? x x
Sleep difficulty grid x    
Hours/week in direct sunlight, between 11am and 3pm     x
Lived on a farm atleast a year     x
Times applied pesticides     x
Times home treated with pesticides     x
# of times urinate/night     x
Experienced pain with perineum, testicles, tip of penis, below waist, burning during urination, pain during/after sexual climax (Past month)     x
First experienced these pains     x
Problem keeping erection     x
Past 3 months ability to maintain an erection without treatment     x
Problem hearing   x  
 
Questionnaires>>Home 1986 1987 1988 1990 1992 1994 1996 1998 2000 2002 2004 2006 2008


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