Download:
pdf |
pdfLogin Page
50
INTRO
SCREENER1
SCREENER2
SCREENER3
INELIGIBLE
INFORMED CONSENT
INTRO2/DIAG_AGE
DIAG_HOW
SYMPTOM_A THROUGH SYMPTOM_F
DIAG_TIME
STAGE
DR_WHICH
CANC_OTH
CANC_TYPE/CANC_AGE
INTRO3/SURGERY
DR_SURG
TRAVEL_SURG
TRTMNT_A THROUGH TRTMNT_F
TRAVEL_CHEMO
CLINICTRIAL
TRIAL_PART
NO_PART
REASON
RECENT
TRTMT_CURR
ER_EVER
EFFECTS_A THROUGH EFFECTS_E
RECUR
RECUR_AGE
METASTASIS
META_AGE
REMISSION
INTRO4
TXSYMPTOM_A THROUGH TXSYMPTOM_E
EXPBEFORE
INTERFERE
TALK_SYMP
TREAT_A THROUGH TREAT_G
NEUROP
SINCE_A THROUGH SINCE_J
BEFORE
ACTIVITIES
SYMPTALK
COGNITIVE
WGT_CHG
WGT_REC
WEIGHT
HEIGHT_FT/HEIGHT_IN
PSTWK_A THROUGH PSTWK_F
PSTWK_G THROUGH PSTWK_N
PSTWK_ O THROUGH PSTWK_U
INTRO5
RISK_TALK
FAM_OVAR
OVAR_NUM
FAM_BREAST
BREAST_NUM
UNDER50
MALE_BREAST
GENETIC_REC
GENETIC_YN
GENETIC_WHEN
GENETIC_WHO
GENETIC_FAM
BRCA_YN
BRCA_RESULTS
INFLUENCE
NOTEST
BRCA_FAM
BRCA_DESCNT
INTRO6
SIDEEFFECTS_A THROUGH SIDEEFFECTS_K
INTRO7
RELATIONS
SERVICES_A THROUGH SERVICES_J AND HELPFUL_A THROUGH HELPFUL_J
NOSUPPORT
RELY_A THROUGH RELY_P
INTRO8
INSURE_YN
INSURE_TYPE
INSREF_APPT
INSREF_OPIN
INSREF_TEST
INSREF_MED
STAYJOB
LOSE_CANC
UNINSURED
DENY_INS
INTRO9
EMPLOY
EMP_TYPE
LEAVE_YN
LEAVE_TYPE
WORKAFTER_YN
WORKTX_AFTER
TRTMNT_AFTER
DISCRIM
INTRO10
FINANCES
BORROW
BANKRUPT
SACRIFICE
MEDBILLS
UNABLE
OUTOFPOCKET
INTRO11
OTHMED_A THROUGH OTHMED_M/DIAG_A THROUGH DIAG_M
DEPRESS
DEPRESS_BDA
DEPRESS_CURR
DEPRESS_RX
ANXIETY
ANXIETY_BDA
ANXIETY_CURR
ANXIETY_RX
PAIN_OTC
PAINMED
PAINMED_WHY
PAINMED_BDA
CHOLEST
CHOLEST_BDA
CHOLES_CURR
BP_EVER
BP_BDA
BP_CURR
INSULIN
INSULIN_BDA
INSULIN_CURR
SLEEP
SLEEP_BDA
SLEEP_CURR
INTRO12
GLOBAL01 THROUGH GLOBAL05, GLOBAL 09
GLOBAL06
GLOBAL10
GLOBAL08
GLOBAL07
SLEEP_SATIS
PAST4_A THROUGH PAST4_J
INTRO14
SCHOOL
MARITAL
ETHNICITY
ETH_GROUP
RACE
EMPLOY_CURR
HI_TYPE
NOHI_12MOS
CHILDREN
CHILD_NUM
UNDER18
INCOME
STATE
ZIP_CODE
INCENT2
WEBINEM1
WEBINEM2
INC_ADDRESS
NETWORK1
NETWORK2
NETWORK3
NETWORK4
WOMAN_1
WOMAN_2
WOMAN_3
THANKYOU
| File Type | application/pdf |
| Author | Stephanie Poland |
| File Modified | 2019-03-04 |
| File Created | 2019-03-01 |