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 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)

• Binge Eating Disorder Questionnaire (Form 50 w/ images)

• Urine Collection Form for Microalbuminuria (Form 51)

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