| ![]() |
![]() |
| 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 | |||
| Medications used (years used, dose) | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Tagamet/Zantac | x | x | x | x | x | x | x | x | x | x | x | |||||
| -Aspirin | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Other non-steroidal analgesics | x | x | x | x | x | x | x | x | x | x | x | |||||
| -Thiazide diuretics | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Acetaminophen | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Anti-inflammatory | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Coumadin | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Furosemide-like diuretics | x | x | x | x | x | x | x | x | x | x | x | |||||
| -Other diuretics | x | x | x | x | x | x | x | x | x | x | ||||||
| -Calcuim blocker | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Beta-blocker | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -ACE inhibitors | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Nitrate | x | x | x | x | x | x | x | x | x | x | ||||||
| -Theophyllines | x | x | x | x | x | x | x | x | x | x | ||||||
| -Levodopa | x | x | x | x | x | x | x | x | x | x | ||||||
| -Other antihypertensive | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Oral steroids | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Digoxin | x | x | x | x | x | x | x | x | x | x | x | |||||
| -Antiarrhythmic | x | x | x | x | x | x | x | x | x | x | ||||||
| -Cholesterol lowering drug | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Antidepresant | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Cimetidine/Ranitidine | x | x | x | x | x | x | x | x | x | x | ||||||
| -Other H2 blocker | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Tranquilizers | x | x | x | x | x | x | x | x | x | x | x | |||||
| -Proscar (Finesteride) | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Alpha blockers for BPH | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| -Prozac, zoloft, paxil | x | x | x | x | x | x | x | x | x | x | ||||||
| Prilosec, Nexium, Prevacid, Protonix, Aciphex | x | x | ||||||||||||||
| -Other regular medications | x | x | x | x | x | x | x | x | x | x | x | x | ||||
| Vaccine preventing shingles | ||||||||||||||||
| Aspirin use: days/week/month -frequency/dose |
x | x | x | x | x | x | x | |||||||||
| Tetracycline use (howlong) | x | |||||||||||||||
| Griseofulvin use by mouth | x | |||||||||||||||
| How often use a laxative | x | |||||||||||||||
| Questionnaires>>Home | 1986 | 1987 | 1988 | 1990 | 1992 | 1994 | 1996 | 1998 | 2000 | 2002 | 2004 | 2006 | 2008 | |||