Question Index: Screening History

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
Number of visits to doctor or clinic in last 2 years							x
In the past 2 years have you had a:
-Physical exam			x	x	x	x		x	x	x	x	x	x
-Blood pressure check			x	x	x	x		x	x	x	x	x	x
-Blood cholesterol check			x	x	x	x		x	x	x	x	x	x
-Colonoscopy			x	x	x	x		x	x	x	x	x	x
-Rectal exam			x	x	x	x		x	x	x	x	x	x
-Screening for PSA			x	x	x	x		x	x	x	x	x	x
-Sigmoidoscopy			x	x	x	x		x	x	x	x	x	x
-Eye exam by doctor			x	x	x	x		x	x	x	x	x	x
Have you ever had a colonoscopy or sigmoidoscopy? -year of first -year of most recent -reason for having				x	x	x	x	x	x	x	x	x	x
Sigmoidoscopy (mark each exam)											x	x	x
Colonoscopy (mark each exam)											x	x	x
TB skin test since 1987					x
If positive TB, conversion date					x
Serum cholesterol (if within past 5 years)	x			x							x
HDL cholesterol (if within 5 years)											x
Unusual blood pressure	x			x	x		x				x
Influenza vaccination											x
Questionnaires>>Home	1986	1987	1988	1990	1992	1994	1996	1998	2000	2002	2004	2006	2008

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