Year 10 (1995-1996) Data Collection Forms
Blood Pressure
(Form 2)
Sociodemographic
(Form 3)
Phlebotomy
(Form 5)
Alcohol Use Questionnaire
(Form 7)
Medical History Questionnaire
(Form 8)
Chest Pain Questionnaire
(Form 8-CP)
Follow-up Questions for CT Procedures
(Form 9-CT)
Follow-up Questions for Medication Adherence
(Form 9-MED-ADH)
Follow-up Questions for Aspirin
(Form 9-MED-ASP)
Follow-up Questions for Asthma or Other Breathing Problems Medications
(Form 9-MED-ASTHM)
Follow-up Questions for Cholesterol Medications
(Form 9-MED-CHOL)
Follow-up Questions for Chest Pain Medications
(Form 9-MED-CP)
Follow-up Questions for Antihypertensive Medications
(Form 9-MED-HBP)
Follow-up Questions for Hormones Other than Birth Control Pills
(Form 9-MED-HORM)
Oral Contraceptive History
(Form 9-MED-OCH)
Follow-up Questions for Other Prescription Medications
(Form 9-MED-OTHER)
Follow-up Questions for Menstrual Period
(Form 9-PERIOD)
Follow-up Questions Pregnancy
(Form 9-PREG)
Follow-up Questions for Tuberculosis
(Form 9-TB)
Tobacco Use Questionnaire
(Form 10)
Follow-up Questions for Tobacco Use
(Form 9-TOB)
Family History Questionnaire
(Form 11)
History of Lung Problems Questionnaire
(Form 12)
Illicit Drug Use Questionnaire
(Form 17)
Physical Activity Questionnaire
(Form 18)
Anthropometry
(Form 20)
Karasek Job Strain Questionnaire
(Form 29)
Interim Hospitalizations, Serious Illnesses and Injuries Questionnaire
(Form 31)
CES-D Questionnaire
(Form 36)
Echocardiography Sonographer's Worksheet
(Form 40)
Weight Change Questionnaire
(Form 46)
Dietary Practices, Behaviors, and Attitudes Questionnaire
(Form 48)
Self-Efficacy for Eating Behavioral Scale
(Form 49)
Binge Eating Disorder Questionnaire
(Form 50)
Urine Collection Form for Microalbuminuria
(Form 51)
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