Data elements

Page Position	Page Name	Field order	Prompt	Field Type	Name	Variable Type	Format	Special Info
1	Page 2 General Laboratory Interviewer Information	2	State/NNDSS ID (Required)	Text	StateID1	Text		Required
1	Page 2 General Laboratory Interviewer Information	3	1. Classify case based on CDC case definition (Required):	Comment Legal	LabConfirmedCyclo1	Text		Required; 1 = Confirmed, 2 = Probable
1	Page 2 General Laboratory Interviewer Information	5	2. Date(s) stool collected for Cyclospora testing (use format MM/DD/YYYY):	Date	DateCycloStool1	Date	YYYY-MM-DD
1	Page 2 General Laboratory Interviewer Information	6		Date	DateCycloStool21	Date	YYYY-MM-DD
1	Page 2 General Laboratory Interviewer Information	7	3. Test results:	Comment Legal	CycloStoolResult1	Text		1=Positive, 2=Negative, 77=Indeterminate, 99=Pending
1	Page 2 General Laboratory Interviewer Information	15		Checkbox	ClinicalPanel	Boolean
1	Page 2 General Laboratory Interviewer Information	16		Checkbox	ClinicalNonPanel	Boolean
1	Page 2 General Laboratory Interviewer Information	17		Checkbox	ClinicalOP	Boolean
1	Page 2 General Laboratory Interviewer Information	18		Checkbox	ClinicalOther	Boolean
1	Page 2 General Laboratory Interviewer Information	19		Checkbox	CommericalOP	Boolean
1	Page 2 General Laboratory Interviewer Information	20		Checkbox	CommericalPanel	Boolean
1	Page 2 General Laboratory Interviewer Information	21		Checkbox	CommercialNonPanel	Boolean
1	Page 2 General Laboratory Interviewer Information	22		Checkbox	CommericalOther	Boolean
1	Page 2 General Laboratory Interviewer Information	24		Checkbox	StatePanel	Boolean
1	Page 2 General Laboratory Interviewer Information	25		Checkbox	StateOP	Boolean
1	Page 2 General Laboratory Interviewer Information	26		Checkbox	StateNonpanel	Boolean
1	Page 2 General Laboratory Interviewer Information	27		Checkbox	StateOther	Boolean
1	Page 2 General Laboratory Interviewer Information	29		Checkbox	CDCOther	Boolean
1	Page 2 General Laboratory Interviewer Information	30		Checkbox	CDCOP	Boolean
1	Page 2 General Laboratory Interviewer Information	31		Checkbox	CDCPanel	Boolean
1	Page 2 General Laboratory Interviewer Information	32		Checkbox	CDCNonpanel	Boolean
1	Page 2 General Laboratory Interviewer Information	33	5. Was the patient co-infected with another intestinal pathogen?	Yes/No	Coinfection	YesNo
1	Page 2 General Laboratory Interviewer Information	34	a. Specify name(s) of lab-confirmed coinfection:	Text	Coinfection_Specify	Text
1	Page 2 General Laboratory Interviewer Information	36	6. Name:	Text	Interviewer1	Text
1	Page 2 General Laboratory Interviewer Information	37	7. Agency or Organization:	Text	IntAgency1	Text
1	Page 2 General Laboratory Interviewer Information	38	8. Contact phone number:	Number	IntPhoneAreaCode1	Number
1	Page 2 General Laboratory Interviewer Information	40	9. Date of Interview:	Date	InterviewDate1	Date	YYYY-MM-DD
1	Page 2 General Laboratory Interviewer Information	41	10. Before this interview how many times has the case-patient been interviewed about his/her illness?	Comment Legal	TimesInt1	Text		0=None, 1=Once, 2=Twice, 3=Three or more, 99=Unknown
1	Page 2 General Laboratory Interviewer Information	42	11. Respondent for current interview was:	Legal Values	Respondent1	Text
1	Page 2 General Laboratory Interviewer Information	43	If other, specify:	Text	RespondentOtherSpec1	Text
1	Page 2 General Laboratory Interviewer Information	45	Check if case was lost to follow up	Checkbox	Lost_to_followup	Boolean
1	Page 2 General Laboratory Interviewer Information	46	If case was lost to follow up, was information extracted from the medical record?	Yes/No	MedicalExtract	YesNo
1	Page 2 General Laboratory Interviewer Information	47	Entered at CDC	Checkbox	EnteredatCDC1	Boolean
1	Page 2 General Laboratory Interviewer Information	48	UserID	Text	UserID	Text
2	Page 3 Demographic	1		Number	BirthYr1	Number
2	Page 3 Demographic	10	1. State:	Text	State	Text
2	Page 3 Demographic	11	2. County:	Text	County	Text
2	Page 3 Demographic	12	3. Zip Code:	Text	ZipCode	Text
2	Page 3 Demographic	13		Text	BirthMonth	Text
2	Page 3 Demographic	14		Text	BirthYear	Text
2	Page 3 Demographic	15	5. Age (years)	Number	Age	Number
2	Page 3 Demographic	16	6. Sex	Legal Values	Sex	Text
2	Page 3 Demographic	17	7. Do you consider yourself of Hispanic or Latino origin?	Legal Values	Ethnicity	Text
2	Page 3 Demographic	21	White	Checkbox	Race_white	Boolean
2	Page 3 Demographic	22	American Indian/Alaskan Native	Checkbox	Race_AIAN	Boolean
2	Page 3 Demographic	23	Black/African American	Checkbox	Race_Black	Boolean
2	Page 3 Demographic	24	Asian	Checkbox	Race_Asian	Boolean
2	Page 3 Demographic	25	Native Hawaiian/Other Pacific Islander	Checkbox	Race_NHOPI	Boolean
2	Page 3 Demographic	26	Unknown	Checkbox	Race_Unknown	Boolean
2	Page 3 Demographic	27	Other	Checkbox	Race_Other	Boolean
2	Page 3 Demographic	28	If other, specify:	Text	RaceOtherSpec	Text
3	Page 4 Clinical Information	1	9. What date did you (your child) first feel sick?	Date	OnsetDate	Date	YYYY-MM-DD
3	Page 4 Clinical Information	2	Approximate date	Checkbox	SickApproximateDate	Boolean
3	Page 4 Clinical Information	3	Unknown	Checkbox	OnsetDateUnknown	Boolean
3	Page 4 Clinical Information	4	a. Diarrhea (defined as loose or watery stools that you do not normally have)?	Legal Values	Diarrhea	Text
3	Page 4 Clinical Information	5	a. Date diarrhea started:	Date	DiarrheaDate	Date	YYYY-MM-DD
3	Page 4 Clinical Information	6	b. Date diarrhea stopped:	Date	DateDiarrheaStop	Date	YYYY-MM-DD
3	Page 4 Clinical Information	7	Ongoing	Checkbox	DiarrheaOngoing	Boolean
3	Page 4 Clinical Information	8	b. Weight Loss?	Legal Values	WeightLoss	Text
3	Page 4 Clinical Information	9	c. Fever?	Legal Values	Fever	Text
3	Page 4 Clinical Information	10	d. Fatigue?	Legal Values	Fatigue	Text
3	Page 4 Clinical Information	11	e. Anorexia?	Legal Values	Anorexia	Text
3	Page 4 Clinical Information	12	f. Nausea?	Legal Values	Nausea	Text
3	Page 4 Clinical Information	13	g. Vomiting?	Legal Values	Vomiting	Text
3	Page 4 Clinical Information	14	h. Abdominal Cramps?	Legal Values	AbdominalCramps	Text
3	Page 4 Clinical Information	15	11. Have your (your child's) other symptoms stopped?	Legal Values	Symptomsstopped	Text
3	Page 4 Clinical Information	16	a. If yes, date symptoms stopped:	Date	DateSymptomsStop	Date	YYYY-MM-DD
3	Page 4 Clinical Information	17	Unknown	Checkbox	DateSymptomsStoppedUnknown	Boolean
3	Page 4 Clinical Information	18	12. Were you (your child) hospitalized overnight?	Yes/No	Hospitalized	YesNo
3	Page 4 Clinical Information	19	a. How many nights were you (your child) hospitalized?	Number	NightsHosp	Number
3	Page 4 Clinical Information	20	b. Admission Date:	Date	DateHospitalized	Date	YYYY-MM-DD
3	Page 4 Clinical Information	21	c. Hospital name:	Text	HospName	Text
4	Page 5 Travel	4	13. Did you (your child) travel to another state or country during the 14 days before onset of illness?	Option	Travel	Number	Horizontal,Left	Yes,No,Unknown
4	Page 5 Travel	6	Did not travel to other counties within home state	Checkbox	NoTravelHomeState	Boolean
4	Page 5 Travel	7	Unknown	Checkbox	UnkHomeStateTravel	Boolean
4	Page 5 Travel	9	Counties within home state	Text	CitiesTraveledHomeState	Text
4	Page 5 Travel	10	Departed	Date	DateDepartedHome	Date	YYYY-MM-DD
4	Page 5 Travel	11	Returned	Date	DateReturnedHome	Date	YYYY-MM-DD
4	Page 5 Travel	12	Foods Eaten	Text	FoodsEatenHome1	Text
4	Page 5 Travel	14		Text	CitiesTraveledHomeState2	Text
4	Page 5 Travel	15		Date	DateDepartedHome2	Date	YYYY-MM-DD
4	Page 5 Travel	16		Date	DateReturnedHome2	Date	YYYY-MM-DD
4	Page 5 Travel	17		Text	FoodsEatenHome2	Text
4	Page 5 Travel	19		Text	CitiesTraveledHomeState3	Text
4	Page 5 Travel	20		Date	DateDepartedHome3	Date	YYYY-MM-DD
4	Page 5 Travel	21		Date	DateReturnedHome3	Date	YYYY-MM-DD
4	Page 5 Travel	22		Text	FoodsEatenHome3	Text
4	Page 5 Travel	25	Did not travel to other U.S. states	Checkbox	NoStateTravel	Boolean
4	Page 5 Travel	26	Unknown	Checkbox	UnkStateTravel	Boolean
4	Page 5 Travel	28	U.S. States	Legal Values	StatesTraveledUS1	Text
4	Page 5 Travel	29	U.S. cities	Text	CitiesOutsideHomeState1	Text
4	Page 5 Travel	30	Departed	Date	DateDepartedUS1	Date	YYYY-MM-DD
4	Page 5 Travel	31	Returned	Date	DateReturnedUS1	Date	YYYY-MM-DD
4	Page 5 Travel	32	Foods Eaten	Text	FoodsEatenUS1	Text
4	Page 5 Travel	34		Legal Values	StatesTraveledUS2	Text
4	Page 5 Travel	35		Text	CitiesOutsideHomeState2	Text
4	Page 5 Travel	36		Date	DateDepartedUS2	Date	YYYY-MM-DD
4	Page 5 Travel	37		Date	DateReturnedUS2	Date	YYYY-MM-DD
4	Page 5 Travel	38		Text	FoodsEatenUS2	Text
4	Page 5 Travel	40		Legal Values	StatesTraveledUS3	Text
4	Page 5 Travel	41		Text	CitiesOutsideHomeState3	Text
4	Page 5 Travel	42		Date	DateDepartedUS3	Date	YYYY-MM-DD
4	Page 5 Travel	43		Date	DateReturnedUS3	Date	YYYY-MM-DD
4	Page 5 Travel	44		Text	FoodsEatenUS3	Text
4	Page 5 Travel	47	Did not travel outside U.S.	Checkbox	NoIntlTravel	Boolean
4	Page 5 Travel	48	Unknown	Checkbox	UnkTravelOutsideUS	Boolean
4	Page 5 Travel	50	1	Legal Values	CountryTraveledList1	Text
4	Page 5 Travel	51	Cities outside U.S.	Text	Citiesoutsidecountry1_1	Text
4	Page 5 Travel	51		Text	CountryTraveled1	Text
4	Page 5 Travel	52	Departed	Date	CountryDateDeparted1	Date	YYYY-MM-DD
4	Page 5 Travel	53	Returned	Date	CountryDateReturned1	Date	YYYY-MM-DD
4	Page 5 Travel	54	Foods Eaten	Text	CountryFoodsEaten1	Text
4	Page 5 Travel	55	2	Legal Values	CountryTraveled2	Text
4	Page 5 Travel	55	2	Legal Values	CountryTraveledList2	Text
4	Page 5 Travel	56		Text	Citiesoutsidecountry1_2	Text
4	Page 5 Travel	57		Date	CountryDateDeparted2	Date	YYYY-MM-DD
4	Page 5 Travel	58		Date	CountryDateReturned2	Date	YYYY-MM-DD
4	Page 5 Travel	59		Text	CountryFoodsEaten2	Text
4	Page 5 Travel	60	3	Legal Values	CountryTraveledList3	Text
4	Page 5 Travel	60	3	Text	CountryTraveled3	Text
4	Page 5 Travel	61		Text	Citiesoutsidecountry1_3	Text
4	Page 5 Travel	62		Date	CountryDateDeparted3	Date	YYYY-MM-DD
4	Page 5 Travel	63		Date	CountryDateReturned3	Date	YYYY-MM-DD
4	Page 5 Travel	64		Text	CountryFoodsEaten3	Text
5	Page 6 Events ill contacts	8	(e.g., parties, fairs, concerts, tournaments, conventions)?	Legal Values	Event1	Text
5	Page 6 Events ill contacts	10	Event Name	Text	EventType1	Text
5	Page 6 Events ill contacts	11	Date attended event	Date	EventDate1	Date	YYYY-MM-DD	RANGE [1/1/0001,SYSTEMDATE]
5	Page 6 Events ill contacts	12	Location of Event	Text	EventLocation1	Text
5	Page 6 Events ill contacts	13	Foods eaten at event	Text	EventFoods1	Text
5	Page 6 Events ill contacts	14		Text	EventType2	Text
5	Page 6 Events ill contacts	15		Date	EventDate2	Date	YYYY-MM-DD	RANGE [1/1/0001,SYSTEMDATE]
5	Page 6 Events ill contacts	16		Text	EventLocation2	Text
5	Page 6 Events ill contacts	17		Text	EventFoods2	Text
5	Page 6 Events ill contacts	18		Text	EventType3	Text
5	Page 6 Events ill contacts	19		Date	EventDate3	Date	YYYY-MM-DD	RANGE [1/1/0001,SYSTEMDATE]
5	Page 6 Events ill contacts	20		Text	EventLocation3	Text
5	Page 6 Events ill contacts	21		Text	EventFoods3	Text
5	Page 6 Events ill contacts	23		Legal Values	OtherIllPrompt1	Text
5	Page 6 Events ill contacts	25	Live in same household	Checkbox	SameHousehold	Boolean
5	Page 6 Events ill contacts	26	Attended same event	Checkbox	SameEvent	Boolean
5	Page 6 Events ill contacts	27	Traveled together	Checkbox	Traveledtogether	Boolean
5	Page 6 Events ill contacts	28	Other, specify:	Checkbox	OtherspecifyIllPerson	Boolean
5	Page 6 Events ill contacts	29		Text	lllPersonOtherAnswer	Text
5	Page 6 Events ill contacts	31	18b. If yes, please provide information for other ill person(s) including number of ill persons and relationship to you (e.g. son, mother, neighbor, friend, etc.)*.	Text	OtherIllInfo1	Text
6	Page 7 Grocery Stores	1		Legal Values	FoodHome	Text
6	Page 7 Grocery Stores	2	Store Name	Text	StoreName1	Text
6	Page 7 Grocery Stores	3	Address	Text	StoreAddress1	Text
6	Page 7 Grocery Stores	4	City	Text	StoreCity1	Text
6	Page 7 Grocery Stores	5	State	Text	StoreState1	Text
6	Page 7 Grocery Stores	6	Zip Code	Text	StoreZip1	Text
6	Page 7 Grocery Stores	7	Date shopped	Text	DatesShopped1	Text
6	Page 7 Grocery Stores	8	Food purchased	Text	ItemsPurchased1	Text
6	Page 7 Grocery Stores	9	*Shopper card #	Text	ShoppercardNum1	Text
6	Page 7 Grocery Stores	10		Text	StoreName2	Text
6	Page 7 Grocery Stores	11		Text	StoreAddress2	Text
6	Page 7 Grocery Stores	12		Text	StoreCity2	Text
6	Page 7 Grocery Stores	13		Text	StoreState2	Text
6	Page 7 Grocery Stores	14		Text	StoreZip2	Text
6	Page 7 Grocery Stores	15		Text	DatesShopped2	Text
6	Page 7 Grocery Stores	16		Text	ItemsPurchased2	Text
6	Page 7 Grocery Stores	17		Text	ShopperCardNum2	Text
6	Page 7 Grocery Stores	18		Text	StoreName3	Text
6	Page 7 Grocery Stores	19		Text	StoreAddress3	Text
6	Page 7 Grocery Stores	20		Text	StoreCity3	Text
6	Page 7 Grocery Stores	21		Text	StoreState3	Text
6	Page 7 Grocery Stores	22		Text	StoreZip3	Text
6	Page 7 Grocery Stores	23		Text	DatesShopped3	Text
6	Page 7 Grocery Stores	24		Text	ItemsPurchased3	Text
6	Page 7 Grocery Stores	25		Text	ShoppercardNum3	Text
6	Page 7 Grocery Stores	26		Text	StoreName4	Text
6	Page 7 Grocery Stores	27		Text	StoreAddress4	Text
6	Page 7 Grocery Stores	28		Text	StoreCity4	Text
6	Page 7 Grocery Stores	29		Text	StoreState4	Text
6	Page 7 Grocery Stores	30		Text	StoreZip4	Text
6	Page 7 Grocery Stores	31		Text	DatesShopped4	Text
6	Page 7 Grocery Stores	32		Text	ItemsPurchased4	Text
6	Page 7 Grocery Stores	33		Text	ShoppercardNum4	Text
6	Page 7 Grocery Stores	34		Text	StoreName5	Text
6	Page 7 Grocery Stores	35		Text	StoreAddress5	Text
6	Page 7 Grocery Stores	36		Text	StoreCity5	Text
6	Page 7 Grocery Stores	37		Text	StoreState5	Text
6	Page 7 Grocery Stores	38		Text	StoreZip5	Text
6	Page 7 Grocery Stores	39		Text	DatesShopped5	Text
6	Page 7 Grocery Stores	40		Text	ItemsPurchased5	Text
6	Page 7 Grocery Stores	41		Text	ShoppercardNum5	Text
6	Page 7 Grocery Stores	42		Text	StoreName6	Text
6	Page 7 Grocery Stores	43		Text	StoreAddress6	Text
6	Page 7 Grocery Stores	44		Text	StoreCity6	Text
6	Page 7 Grocery Stores	45		Text	StoreState6	Text
6	Page 7 Grocery Stores	46		Text	StoreZip6	Text
6	Page 7 Grocery Stores	47		Text	DatesShopped6	Text
6	Page 7 Grocery Stores	48		Text	ItemsPurchased6	Text
6	Page 7 Grocery Stores	49		Text	ShoppercardNum6	Text
6	Page 7 Grocery Stores	50		Text	StoreName7	Text
6	Page 7 Grocery Stores	51		Text	StoreAddress7	Text
6	Page 7 Grocery Stores	52		Text	StoreCity7	Text
6	Page 7 Grocery Stores	53		Text	StoreState7	Text
6	Page 7 Grocery Stores	54		Text	StoreZip7	Text
6	Page 7 Grocery Stores	55		Text	DatesShopped7	Text
6	Page 7 Grocery Stores	56		Text	ItemsPurchased7	Text
6	Page 7 Grocery Stores	57		Text	ShoppercardNum7	Text
6	Page 7 Grocery Stores	58		Text	StoreName8	Text
6	Page 7 Grocery Stores	59		Text	StoreAddress8	Text
6	Page 7 Grocery Stores	60		Text	StoreCity8	Text
6	Page 7 Grocery Stores	61		Text	StoreState8	Text
6	Page 7 Grocery Stores	62		Text	StoreZip8	Text
6	Page 7 Grocery Stores	63		Text	DatesShopped8	Text
6	Page 7 Grocery Stores	64		Text	ItemsPurchased8	Text
6	Page 7 Grocery Stores	65		Text	ShoppercardNum8	Text
6	Page 7 Grocery Stores	66		Text	StoreName9	Text
6	Page 7 Grocery Stores	67		Text	StoreAddress9	Text
6	Page 7 Grocery Stores	68		Text	StoreCity9	Text
6	Page 7 Grocery Stores	69		Text	StoreState9	Text
6	Page 7 Grocery Stores	70		Text	StoreZip9	Text
6	Page 7 Grocery Stores	71		Text	DatesShopped9	Text
6	Page 7 Grocery Stores	72		Text	ItemsPurchased9	Text
6	Page 7 Grocery Stores	73		Text	ShoppercardNum9	Text
6	Page 7 Grocery Stores	74		Text	StoreName10	Text
6	Page 7 Grocery Stores	75		Text	StoreAddress10	Text
6	Page 7 Grocery Stores	76		Text	StoreCity10	Text
6	Page 7 Grocery Stores	77		Text	StoreState10	Text
6	Page 7 Grocery Stores	78		Text	StoreZip10	Text
6	Page 7 Grocery Stores	79		Text	DatesShopped10	Text
6	Page 7 Grocery Stores	80		Text	ItemsPurchased10	Text
6	Page 7 Grocery Stores	81		Text	ShoppercardNum10	Text
6	Page 7 Grocery Stores	82		Yes/No	ShopperNumber	YesNo
6	Page 7 Grocery Stores	83	(refused to give shopper card #)	Checkbox	RefusedShopperCard	Boolean
6	Page 7 Grocery Stores	84	Additional comments about grocery store purchases:	Text	Additionalcommentsgrocery	Text
7	Page 8 Restaurants	1		Legal Values	FoodAway	Text
7	Page 8 Restaurants	2	Restaurant Name	Text	RestaurantName1	Text
7	Page 8 Restaurants	3	Address	Text	RestaurantAddress1	Text
7	Page 8 Restaurants	4	City	Text	RestaurantCity1	Text
7	Page 8 Restaurants	5	State	Text	RestaurantState1	Text
7	Page 8 Restaurants	6	Zip Code	Text	RestaurantZip1	Text
7	Page 8 Restaurants	7	Meal Date	Text	DatesPatronized1	Text
7	Page 8 Restaurants	8	Foods eaten	Text	FoodsEaten1	Text
7	Page 8 Restaurants	9		Text	RestaurantName2	Text
7	Page 8 Restaurants	10		Text	RestaurantAddress2	Text
7	Page 8 Restaurants	11		Text	RestaurantCity2	Text
7	Page 8 Restaurants	12		Text	RestaurantState2	Text
7	Page 8 Restaurants	13		Text	RestaurantZip2	Text
7	Page 8 Restaurants	14		Text	DatesPatronized2	Text
7	Page 8 Restaurants	15		Text	FoodsEaten2	Text
7	Page 8 Restaurants	16		Text	RestaurantName3	Text
7	Page 8 Restaurants	17		Text	RestaurantAddress3	Text
7	Page 8 Restaurants	18		Text	RestaurantCity3	Text
7	Page 8 Restaurants	19		Text	RestaurantState3	Text
7	Page 8 Restaurants	20		Text	RestaurantZip3	Text
7	Page 8 Restaurants	21		Text	DatesPatronized3	Text
7	Page 8 Restaurants	22		Text	FoodsEaten3	Text
7	Page 8 Restaurants	23		Text	RestaurantName4	Text
7	Page 8 Restaurants	24		Text	RestaurantAddress4	Text
7	Page 8 Restaurants	25		Text	RestaurantCity4	Text
7	Page 8 Restaurants	26		Text	RestaurantState4	Text
7	Page 8 Restaurants	27		Text	RestaurantZip4	Text
7	Page 8 Restaurants	28		Text	DatesPatronized4	Text
7	Page 8 Restaurants	29		Text	FoodsEaten4	Text
7	Page 8 Restaurants	30		Text	RestaurantName5	Text
7	Page 8 Restaurants	31		Text	RestaurantAddress5	Text
7	Page 8 Restaurants	32		Text	RestaurantCity5	Text
7	Page 8 Restaurants	33		Text	RestaurantState5	Text
7	Page 8 Restaurants	34		Text	RestaurantZip5	Text
7	Page 8 Restaurants	35		Text	DatesPatronized5	Text
7	Page 8 Restaurants	36		Text	FoodsEaten5	Text
7	Page 8 Restaurants	37		Text	RestaurantName6	Text
7	Page 8 Restaurants	38		Text	RestaurantAddress6	Text
7	Page 8 Restaurants	39		Text	RestaurantCity6	Text
7	Page 8 Restaurants	40		Text	RestaurantState6	Text
7	Page 8 Restaurants	41		Text	RestaurantZip6	Text
7	Page 8 Restaurants	42		Text	DatesPatronized6	Text
7	Page 8 Restaurants	43		Text	FoodsEaten62	Text
7	Page 8 Restaurants	44		Text	RestaurantName7	Text
7	Page 8 Restaurants	45		Text	RestaurantAddress7	Text
7	Page 8 Restaurants	46		Text	RestaurantCity7	Text
7	Page 8 Restaurants	47		Text	RestaurantState7	Text
7	Page 8 Restaurants	48		Text	RestaurantZip7	Text
7	Page 8 Restaurants	49		Text	DatesPatronized7	Text
7	Page 8 Restaurants	50		Text	FoodsEaten7	Text
7	Page 8 Restaurants	51		Text	RestaurantName8	Text
7	Page 8 Restaurants	52		Text	RestaurantAddress8	Text
7	Page 8 Restaurants	53		Text	RestaurantCity8	Text
7	Page 8 Restaurants	54		Text	RestaurantState8	Text
7	Page 8 Restaurants	55		Text	RestaurantZip8	Text
7	Page 8 Restaurants	56		Text	DatesPatronized8	Text
7	Page 8 Restaurants	57		Text	FoodsEaten8	Text
7	Page 8 Restaurants	58		Text	RestaurantName9	Text
7	Page 8 Restaurants	59		Text	RestaurantAddress9	Text
7	Page 8 Restaurants	60		Text	RestaurantCity9	Text
7	Page 8 Restaurants	61		Text	RestaurantState9	Text
7	Page 8 Restaurants	62		Text	RestaurantZip9	Text
7	Page 8 Restaurants	63		Text	DatesPatronized9	Text
7	Page 8 Restaurants	64		Text	FoodsEaten9	Text
7	Page 8 Restaurants	65		Text	RestaurantName10	Text
7	Page 8 Restaurants	66		Text	RestaurantAddress10	Text
7	Page 8 Restaurants	67		Text	RestaurantCity10	Text
7	Page 8 Restaurants	68		Text	RestaurantState10	Text
7	Page 8 Restaurants	69		Text	RestaurantZip10	Text
7	Page 8 Restaurants	70		Text	DatesPatronized10	Text
7	Page 8 Restaurants	71		Text	FoodsEaten10	Text
7	Page 8 Restaurants	72	Additional comments about restaurants	Text	AdditionalFoodComments	Text
7	Page 8 Restaurants	73	Is the case associated with a cluster?	Legal Values	Cluster	Text
7	Page 8 Restaurants	74	If yes, what is the cluster name?	Text	ClusterName	Text
8	Page 9 Fresh Herbs	1	21. Fresh basil?	Legal Values	Basil	Text
8	Page 9 Fresh Herbs	2	Sweet	Checkbox	Sweetbasil1	Boolean
8	Page 9 Fresh Herbs	3	Purple (i.e., purple leaves and stems)	Checkbox	PurpleBasil	Boolean
8	Page 9 Fresh Herbs	4	Thai (i.e., green leaves and purple stems)	Checkbox	ThaiBasil	Boolean
8	Page 9 Fresh Herbs	5	Other, specify:	Checkbox	OthUnkBasilType1	Boolean
8	Page 9 Fresh Herbs	6		Text	OtherBasilSpecify	Text
8	Page 9 Fresh Herbs	7	Brand(s):	Text	BasilBrand1	Text
8	Page 9 Fresh Herbs	8	Place(s) purchased (names, locations):	Text	BasilPlacePurch1	Text
8	Page 9 Fresh Herbs	9	Not applicable (did not eat at home)	Checkbox	NothomeBasil	Boolean
8	Page 9 Fresh Herbs	10	List name(s) of establishment(s) and location(s):	Text	BasilAwayName1	Text
8	Page 9 Fresh Herbs	11	Not applicable (did not eat outside the home)	Checkbox	homeBasil1	Boolean
8	Page 9 Fresh Herbs	12	22. Fresh cilantro?	Legal Values	Cilantro	Text
8	Page 9 Fresh Herbs	13	Brand(s):	Text	CilantrolBrand1	Text
8	Page 9 Fresh Herbs	14	Place(s) purchased (names, locations):	Text	CilantrolPlacePurch1	Text
8	Page 9 Fresh Herbs	15	Not applicable (did not eat at home)	Checkbox	NothomeCilantro1	Boolean
8	Page 9 Fresh Herbs	16	List name(s) of establishment(s) and location(s):	Text	CilantroAwayName1	Text
8	Page 9 Fresh Herbs	17	Not applicable (did not eat outside the home)	Checkbox	homeCilantro1	Boolean
8	Page 9 Fresh Herbs	18	23. Fresh parsley?	Legal Values	Parsley	Text
8	Page 9 Fresh Herbs	19	24. Fresh oregano?	Legal Values	Oregano	Text
8	Page 9 Fresh Herbs	20	25. Fresh thyme?	Legal Values	Thyme	Text
8	Page 9 Fresh Herbs	21	26. Fresh mint?	Legal Values	Mint	Text
8	Page 9 Fresh Herbs	22	27. Fresh dill?	Legal Values	Dill	Text
8	Page 9 Fresh Herbs	23	28. Fresh sage?	Legal Values	Sage	Text
8	Page 9 Fresh Herbs	24	29. Fresh rosemary?	Legal Values	Rosemary	Text
8	Page 9 Fresh Herbs	25	30. Other fresh herbs?	Legal Values	OtherHerb	Text
8	Page 9 Fresh Herbs	26	a. Type(s):	Text	OtherHerbDesc	Text
8	Page 9 Fresh Herbs	27	Unknown	Checkbox	UnkOtherHerbType1	Boolean
8	Page 9 Fresh Herbs	28	Additional comments about fresh herbs:	Text	HerbComments	Text
9	Page 10 Fresh Berries	4	31. Fresh red raspberries?	Legal Values	RedRasp	Text
9	Page 10 Fresh Berries	7	Brand(s):	Text	RaspBrand	Text
9	Page 10 Fresh Berries	8	Place(s) purchased (names, locations):	Text	RedRaspPlacePurch	Text
9	Page 10 Fresh Berries	9	Not applicable (did not eat at home)	Checkbox	NothomeRasp	Boolean
9	Page 10 Fresh Berries	11	List name(s) of establishment(s) and location(s):	Text	RedRaspAwayName	Text
9	Page 10 Fresh Berries	12	Not applicable (did not eat outside the home)	Checkbox	homeredraspberries	Boolean
9	Page 10 Fresh Berries	13	32. Fresh blackberries?	Legal Values	Blackberry	Text
9	Page 10 Fresh Berries	16	Brand(s):	Text	blackberriesBrand	Text
9	Page 10 Fresh Berries	17	Place(s) purchased (names, locations):	Text	blackberriesPlacePurch	Text
9	Page 10 Fresh Berries	18	Not applicable (did not eat at home)	Checkbox	NothomeBlackberries	Boolean
9	Page 10 Fresh Berries	20	List name(s) of establishment(s) and location(s):	Text	BlackberriesAwayName	Text
9	Page 10 Fresh Berries	21	Not applicable (did not eat outside the home)	Checkbox	homeblackberries	Boolean
9	Page 10 Fresh Berries	22	33. Fresh strawberries?	Legal Values	Strawberry	Text
9	Page 10 Fresh Berries	24	Brand(s):	Text	strawberriesBrand	Text
9	Page 10 Fresh Berries	25	Place(s) purchased (names, locations):	Text	strawberriesPlacePurch	Text
9	Page 10 Fresh Berries	26	Not applicable (did not eat at home)	Checkbox	NothomeStrawberries	Boolean
9	Page 10 Fresh Berries	28	List name(s) of establishment(s) and location(s):	Text	StrawberriesAwayName	Text
9	Page 10 Fresh Berries	29	Not applicable (did not eat outside the home)	Checkbox	homestrawberries	Boolean
10	Page 11 Fresh Berries continued	1	34. Fresh blueberries?	Legal Values	Blueberry	Text
10	Page 11 Fresh Berries continued	3	Brand(s):	Text	blueberriesBrand1	Text
10	Page 11 Fresh Berries continued	4	Place(s) purchased (names, locations):	Text	blueberriesPlacePurch	Text
10	Page 11 Fresh Berries continued	5	Not applicable (did not eat at home)	Checkbox	NothomeBlueberries	Boolean
10	Page 11 Fresh Berries continued	7	List name(s) of establishment(s) and location(s):	Text	BlueberriesAwayName	Text
10	Page 11 Fresh Berries continued	8	Not applicable (did not eat outside the home)	Checkbox	homeblueberries	Boolean
10	Page 11 Fresh Berries continued	9	35. Other fresh berries?	Legal Values	AnyOtherBerries	Text
10	Page 11 Fresh Berries continued	11	Black raspberries	Checkbox	BlackRasp	Boolean
10	Page 11 Fresh Berries continued	12	Golden raspberries	Checkbox	GoldenRasp	Boolean
10	Page 11 Fresh Berries continued	13	Boysenberries	Checkbox	Boysenberry	Boolean
10	Page 11 Fresh Berries continued	14	Other type(s):	Checkbox	OtherBerry	Boolean
10	Page 11 Fresh Berries continued	15		Text	OtherSpecificBerries	Text
10	Page 11 Fresh Berries continued	16	Unknown	Checkbox	UnknownOthFreshBerries	Boolean
11	Page 12 Fresh Fruit	1	36. Apples?	Legal Values	Apple	Text
11	Page 12 Fresh Fruit	2	37. Grapes?	Legal Values	Grape	Text
11	Page 12 Fresh Fruit	3	38. Pears?	Legal Values	Pear	Text
11	Page 12 Fresh Fruit	4	39. Peaches?	Legal Values	Peach	Text
11	Page 12 Fresh Fruit	5	40. Nectarines?	Legal Values	Nectarine	Text
11	Page 12 Fresh Fruit	6	41. Plums?	Legal Values	Plum	Text
11	Page 12 Fresh Fruit	7	42. Oranges?	Legal Values	Orange	Text
11	Page 12 Fresh Fruit	8	43. Tangerines or clementines? (e.g., "Cuties")	Legal Values	Tangerine	Text
11	Page 12 Fresh Fruit	9	44. Grapefruit?	Legal Values	Grapefruit	Text
11	Page 12 Fresh Fruit	10	45. Fresh lemon or lime? This could include a garnish on a drink.	Legal Values	LemonLime	Text
11	Page 12 Fresh Fruit	11	46. Cherries?	Legal Values	Cherry	Text
11	Page 12 Fresh Fruit	12	47. Cantaloupe?	Legal Values	Cantaloupe	Text
11	Page 12 Fresh Fruit	13	48. Honeydew melon?	Legal Values	Honeydew	Text
11	Page 12 Fresh Fruit	14	49. Watermelon?	Legal Values	Watermelon	Text
11	Page 12 Fresh Fruit	15	50. Precut melon or melon salad? (e.g., premade, in a container) This could also include melon in a fruit cup or fruit salad.	Legal Values	PreCutMelon	Text
11	Page 12 Fresh Fruit	16	51. Other melon?	Legal Values	OtherMelon	Text
11	Page 12 Fresh Fruit	17	52. Pineapple?	Legal Values	Pineapple	Text
11	Page 12 Fresh Fruit	18	53. Mango?	Legal Values	Mango	Text
11	Page 12 Fresh Fruit	20	54. Other fruit?	Legal Values	OtherTropical	Text
11	Page 12 Fresh Fruit	21	Bananas	Checkbox	Bananas	Boolean
11	Page 12 Fresh Fruit	22	Kiwi	Checkbox	Kiwi	Boolean
11	Page 12 Fresh Fruit	23	Papaya	Checkbox	Papaya	Boolean
11	Page 12 Fresh Fruit	24	Guava	Checkbox	Guava	Boolean
11	Page 12 Fresh Fruit	25	Pomegranate	Checkbox	Pomegranate	Boolean
11	Page 12 Fresh Fruit	26	Coconut (whole or shredded)	Checkbox	Coconut	Boolean
11	Page 12 Fresh Fruit	27	Other, specify:	Checkbox	Othertropicalfruittype	Boolean
11	Page 12 Fresh Fruit	28		Text	Othertropicalfruittypespecify	Text
11	Page 12 Fresh Fruit	29	Additional comments about fresh fruit:	Text	FreshFruitComments1	Text
12	Page 13 Leafy Greens	4	55. Bagged salad kits?	Legal Values	SaladKit	Text
12	Page 13 Leafy Greens	8	Ingredients (lettuce, cabbage, carrots, etc.):	Text	SaladKitIngred	Text
12	Page 13 Leafy Greens	9	Brand(s):	Text	SaladKitBrand	Text
12	Page 13 Leafy Greens	10	Place(s) purchased (names, locations):	Text	SaladKitPlacePurch	Text
12	Page 13 Leafy Greens	12	56. Pre-made, single serving salad (e.g., ready to eat salads with toppings, meats, dressing, in a hard plastic container)?	Legal Values	PremadeSal	Text
12	Page 13 Leafy Greens	16	Ingredients (lettuce, cabbage, carrots, etc.):	Text	PremadeSalIngred	Text
12	Page 13 Leafy Greens	17	Brand(s):	Text	PremadeSalBrand	Text
12	Page 13 Leafy Greens	18	Place(s) purchased (names, locations):	Text	PremadeSalPlacePurch	Text
12	Page 13 Leafy Greens	20	57. Iceberg lettuce?	Legal Values	Iceberg	Text
12	Page 13 Leafy Greens	24	Prepackaged, precut/shredded in a bag	Checkbox	PrepackagedIceberg	Boolean
12	Page 13 Leafy Greens	25	Head/Loose (not prepackaged)	Checkbox	HeadLooseIceberg	Boolean
12	Page 13 Leafy Greens	26	Topping/Garnish	Checkbox	ToppingGarnishIceberg	Boolean
12	Page 13 Leafy Greens	27	Part of a pre-made salad or bagged salad kit	Checkbox	PartofSaladIceberg	Boolean
12	Page 13 Leafy Greens	28	Unknown	Checkbox	OthUnkIcerbergType	Boolean
12	Page 13 Leafy Greens	29	Brand(s):	Text	IcebergBrand	Text
12	Page 13 Leafy Greens	30	Place(s) purchased (names, locations):	Text	IcebergPlacePurch	Text
12	Page 13 Leafy Greens	31	Not applicable (did not eat at home)	Checkbox	NotHomeIceberg	Boolean
12	Page 13 Leafy Greens	33	List name(s) of establishment(s) and location(s):	Text	IcerbergEstandLoc	Text
12	Page 13 Leafy Greens	34	Not applicable (did not eat outside the home)	Checkbox	HomeIceberg	Boolean
13	Page 14 Leafy Greens continued	17	58. Romaine lettuce?	Legal Values	Romaine	Text
13	Page 14 Leafy Greens continued	19	Prepackaged, precut/shredded in a bag	Checkbox	PrepackagedRomaine	Boolean
13	Page 14 Leafy Greens continued	20	Head (prepackaged, in a bag)	Checkbox	HeadRomaine	Boolean
13	Page 14 Leafy Greens continued	21	Head/Loose (not prepackaged)	Checkbox	HeadLooseRomaine	Boolean
13	Page 14 Leafy Greens continued	22	Topping/Garnish	Checkbox	ToppingGarnishRomaine	Boolean
13	Page 14 Leafy Greens continued	23	Part of a pre-made salad or bagged salad kit	Checkbox	PartofSaladRomaine	Boolean
13	Page 14 Leafy Greens continued	24	Unknown	Checkbox	OthUnkRomaineType	Boolean
13	Page 14 Leafy Greens continued	25	Brand(s):	Text	RomaineBrand	Text
13	Page 14 Leafy Greens continued	26	Place(s) purchased (names, locations):	Text	RomainePlacePurch	Text
13	Page 14 Leafy Greens continued	27	Not applicable (did not eat at home)	Checkbox	NotHomeRomaine	Boolean
13	Page 14 Leafy Greens continued	29	List the name(s) of establishment(s) and location(s):	Text	RomaineEstandLoc	Text
13	Page 14 Leafy Greens continued	30	Not applicable (did not eat outside the home)	Checkbox	HomeRomaine	Boolean
13	Page 14 Leafy Greens continued	31	59. Mesclun lettuce (e.g., spring mix, field greens, baby greens)?	Legal Values	Mesclun	Text
13	Page 14 Leafy Greens continued	34	Prepackaged in a hard plastic container	Checkbox	PrepackMesclunContainer	Boolean
13	Page 14 Leafy Greens continued	35	Prepackaged in a bag	Checkbox	PrepackMesclunBag	Boolean
13	Page 14 Leafy Greens continued	36	Head/Loose (not prepackaged)	Checkbox	HeadLooseMesclun	Boolean
13	Page 14 Leafy Greens continued	37	Topping/Garnish	Checkbox	ToppingGarnishMesclun	Boolean
13	Page 14 Leafy Greens continued	38	Part of a pre-made salad or bagged salad kit	Checkbox	PartofSaladMesclun	Boolean
13	Page 14 Leafy Greens continued	39	Unknown	Checkbox	OthUnkMesclunType	Boolean
13	Page 14 Leafy Greens continued	40	Brand(s):	Text	MesclunBrand1	Text
13	Page 14 Leafy Greens continued	41	Place(s) purchased (names, locations):	Text	MesclunPlacePurch1	Text
13	Page 14 Leafy Greens continued	42	Not applicable (did not eat at home)	Checkbox	NotHomeMesclun	Boolean
13	Page 14 Leafy Greens continued	44	List name(s) of establishment(s) and location(s):	Text	MesclunAwayName1	Text
13	Page 14 Leafy Greens continued	45	Not applicable (did not eat outside the home)	Checkbox	HomeMesculan	Boolean
13	Page 14 Leafy Greens continued	46	60. Butter lettuce (also called Boston or Bibb lettuce)?	Legal Values	Butter	Text
13	Page 14 Leafy Greens continued	48	Red	Checkbox	RedButter	Boolean
13	Page 14 Leafy Greens continued	49	Green	Checkbox	GreenButter	Boolean
13	Page 14 Leafy Greens continued	50	Mixed	Checkbox	MixedButter	Boolean
13	Page 14 Leafy Greens continued	52	Prepackaged in a bag	Checkbox	PrepackButterBag	Boolean
13	Page 14 Leafy Greens continued	53	Prepackaged in a hard plastic container	Checkbox	PrepackButterContainer	Boolean
13	Page 14 Leafy Greens continued	54	Head/Loose (not prepackaged)	Checkbox	HeadLooseButter	Boolean
13	Page 14 Leafy Greens continued	55	Part of a pre-made salad or bagged salad kit	Checkbox	PartofSaladButter	Boolean
13	Page 14 Leafy Greens continued	57	Brand(s):	Text	ButterBrand	Text
13	Page 14 Leafy Greens continued	58	Place(s) purchased (names, locations):	Text	ButterPlacePurch	Text
13	Page 14 Leafy Greens continued	59	Not applicable (did not eat at home)	Checkbox	NotHomeButter	Boolean
13	Page 14 Leafy Greens continued	61	List the name(s) of establishment(s) and location(s):	Text	ButterEstandLoc	Text
13	Page 14 Leafy Greens continued	62	Not applicable (did not eat outside the home)	Checkbox	HomeButter	Boolean
14	Page 15 Leafy Greens continued	2	61. Fresh Cabbage?	Legal Values	Cabbage	Text
14	Page 15 Leafy Greens continued	3	Red, head/loose (not prepackaged)	Checkbox	RedCabbage	Boolean
14	Page 15 Leafy Greens continued	4	Green, head/loose (not prepackaged)	Checkbox	GreenCabbage	Boolean
14	Page 15 Leafy Greens continued	7	Precut/shredded, prepackaged in a bag (e.g., coleslaw mix)	Checkbox	PrecutCabbage	Boolean
14	Page 15 Leafy Greens continued	8	Part of a pre-made salad or bagged salad kit	Checkbox	PartofSaladCabbage	Boolean
14	Page 15 Leafy Greens continued	9	Savoy (aka curly)	Checkbox	SavoyCabbage	Boolean
14	Page 15 Leafy Greens continued	10	Napa	Checkbox	NapaCabbage	Boolean
14	Page 15 Leafy Greens continued	11	Bok choy	Checkbox	BokChoy	Boolean
14	Page 15 Leafy Greens continued	12	Brussels sprouts	Checkbox	BrusselSprouts	Boolean
14	Page 15 Leafy Greens continued	13	Other, specify:	Checkbox	OthUnkCabbageType	Boolean
14	Page 15 Leafy Greens continued	14		Text	SpecifiedCabbageType	Text
14	Page 15 Leafy Greens continued	15	Brand(s):	Text	CabbageBrand	Text
14	Page 15 Leafy Greens continued	16	Place(s) purchased (names, locations):	Text	CabbagePlacePurch	Text
14	Page 15 Leafy Greens continued	17	Not applicable (did not eat at home)	Checkbox	NotHomeCabbage	Boolean
14	Page 15 Leafy Greens continued	19	List the name(s) of establishment(s) and location(s):	Text	CabbageEstandLoc	Text
14	Page 15 Leafy Greens continued	20	Not applicable (did not eat outside the home)	Checkbox	HomeCabbage	Boolean
14	Page 15 Leafy Greens continued	21	62. Fresh Spinach?	Legal Values	Spinach	Text
14	Page 15 Leafy Greens continued	24	Prepackaged, in a bag	Checkbox	PrepackSpinachBag	Boolean
14	Page 15 Leafy Greens continued	25	Prepackaged, in a hard plastic container	Checkbox	PrepackSpinachContainer	Boolean
14	Page 15 Leafy Greens continued	26	Head/Loose (not prepackaged)	Checkbox	HeadLooseSpinach	Boolean
14	Page 15 Leafy Greens continued	27	Topping/Garnish	Checkbox	ToppingGarnishSpinach	Boolean
14	Page 15 Leafy Greens continued	28	Part of a pre-made or bagged salad kit	Checkbox	PartofSaladSpinach	Boolean
14	Page 15 Leafy Greens continued	29	Unknown	Checkbox	OthUnkSpinachType	Boolean
14	Page 15 Leafy Greens continued	30	Brand(s):	Text	SpinachBrand	Text
14	Page 15 Leafy Greens continued	31	Place(s) purchased (names, locations):	Text	SpinachPlacePurch	Text
14	Page 15 Leafy Greens continued	32	Not applicable (did not eat at home)	Checkbox	NotHomeSpinach	Boolean
14	Page 15 Leafy Greens continued	34	List the name(s) of establishment(s) and location(s):	Text	SpinachEstandLoc	Text
14	Page 15 Leafy Greens continued	35	Not applicable (did not eat outside the home)	Checkbox	HomeSpinach	Boolean
14	Page 15 Leafy Greens continued	36	63. Other lettuce or leafy greens?	Legal Values	OtherGreens	Text
14	Page 15 Leafy Greens continued	38	Arugula	Checkbox	Arugula	Boolean
14	Page 15 Leafy Greens continued	39	Endive	Checkbox	Endive	Boolean
14	Page 15 Leafy Greens continued	40	Mustard Greens	Checkbox	MustardGreens	Boolean
14	Page 15 Leafy Greens continued	41	Radicchio	Checkbox	Radicchio	Boolean
14	Page 15 Leafy Greens continued	42	Kale	Checkbox	Kale	Boolean
14	Page 15 Leafy Greens continued	43	Other, specify:	Checkbox	OtherGreenTypes	Boolean
14	Page 15 Leafy Greens continued	44		Text	SpecifiedLettuceType	Text
14	Page 15 Leafy Greens continued	45	64. Other prepackaged salad mix (not previously identified)?	Legal Values	BaggedSaladMix	Text
14	Page 15 Leafy Greens continued	47	Ingredients (lettuce, cabbage, carrots, etc.):	Text	BaggedSaladMixIngred	Text
14	Page 15 Leafy Greens continued	48	Brand(s):	Text	BaggedSaladMixBrand	Text
14	Page 15 Leafy Greens continued	49	Place(s) purchased (names, locations):	Text	BaggedSaladMixPlacePurch1	Text
14	Page 15 Leafy Greens continued	50	Additional comments about leafy greens:	Text	Addcommentsgreens	Text
15	Page 16 Other Fresh Vegetables	40	65. Cucumbers?	Legal Values	Cucumber	Text
15	Page 16 Other Fresh Vegetables	41	66. Raw, uncooked zucchini?	Legal Values	Zucchini	Text
15	Page 16 Other Fresh Vegetables	42	67. Raw, uncooked squash? (e.g., yellow squash)	Legal Values	Squash	Text
15	Page 16 Other Fresh Vegetables	43	68. Raw, uncooked bell peppers?	Legal Values	BellPepper	Text
15	Page 16 Other Fresh Vegetables	45	Red	Checkbox	RedBellPepper	Boolean
15	Page 16 Other Fresh Vegetables	46	Green	Checkbox	GreenBellPepper	Boolean
15	Page 16 Other Fresh Vegetables	47	Orange	Checkbox	OrangeBellPepper	Boolean
15	Page 16 Other Fresh Vegetables	48	Yellow	Checkbox	YellowBellPepper	Boolean
15	Page 16 Other Fresh Vegetables	49	Unknown	Checkbox	UnknownBellPepper	Boolean
15	Page 16 Other Fresh Vegetables	51	69. Hot chili/chili peppers (e.g., jalapenos or serranos)?	Legal Values	HotPepper	Text
15	Page 16 Other Fresh Vegetables	52	70. Celery?	Legal Values	Celery	Text
15	Page 16 Other Fresh Vegetables	53	71. Raw carrots?	Legal Values	Carrot	Text
15	Page 16 Other Fresh Vegetables	55	"Mini" or "baby" carrots	Checkbox	MiniCarrot	Boolean
15	Page 16 Other Fresh Vegetables	56	Other, specify	Checkbox	OtherCarrot	Boolean
15	Page 16 Other Fresh Vegetables	57		Text	OtherCarrotSpecify	Text
15	Page 16 Other Fresh Vegetables	58	72. Other raw, uncooked root vegetables?	Legal Values	RootVeg	Text
15	Page 16 Other Fresh Vegetables	60	Radishes	Checkbox	Radishes	Boolean
15	Page 16 Other Fresh Vegetables	61	Beets	Checkbox	Beets	Boolean
15	Page 16 Other Fresh Vegetables	62	Turnips	Checkbox	Turnips	Boolean
15	Page 16 Other Fresh Vegetables	63	Unknown	Checkbox	UnkRootVeg	Boolean
15	Page 16 Other Fresh Vegetables	64	Other, specify:	Checkbox	OtherRootVeg	Boolean
15	Page 16 Other Fresh Vegetables	65		Text	OtherRootVegSpec	Text
15	Page 16 Other Fresh Vegetables	66	73. Fresh, raw peas? (May be shelled or in the pod)	Legal Values	Peas	Text
15	Page 16 Other Fresh Vegetables	68	Garden peas	Checkbox	GardenPeas	Boolean
15	Page 16 Other Fresh Vegetables	69	Snow peas (i.e., flat, shiny pods containing tiny peas)	Checkbox	SnowPeas	Boolean
15	Page 16 Other Fresh Vegetables	70	Sugar snap peas (i.e, plump, crisp, edible pods)	Checkbox	SugarSnapPeas1	Boolean
15	Page 16 Other Fresh Vegetables	71	Unknown	Checkbox	UnkPeas	Boolean
15	Page 16 Other Fresh Vegetables	72	Other, specify:	Checkbox	OthPeas	Boolean
15	Page 16 Other Fresh Vegetables	73		Text	OtherPeaType	Text
15	Page 16 Other Fresh Vegetables	74	Brand(s):	Text	PeasBrand1	Text
15	Page 16 Other Fresh Vegetables	75	Place(s) purchased (names, locations):	Text	PeasPlacePurch	Text
15	Page 16 Other Fresh Vegetables	76	Not applicable (did not eat at home)	Checkbox	NotHomePeas	Boolean
15	Page 16 Other Fresh Vegetables	78	List name(s) of establishment(s) and location(s):	Text	PeasEstandLoc	Text
15	Page 16 Other Fresh Vegetables	79	Not applicable (did not eat outside the home)	Checkbox	Homepeas	Boolean
15	Page 16 Other Fresh Vegetables	80	74. Broccoli?	Legal Values	Broccoli	Text
15	Page 16 Other Fresh Vegetables	81	75. Cauliflower?	Legal Values	Cauliflower	Text
15	Page 16 Other Fresh Vegetables	82	76. Sprouts?	Legal Values	Sprouts	Text
16	Page 17 Other Fresh Veg continued	1	77. Raw, uncooked onions?	Legal Values	Onion	Text
16	Page 17 Other Fresh Veg continued	2	White	Checkbox	WhiteOnion	Boolean
16	Page 17 Other Fresh Veg continued	3	Yellow	Checkbox	YellowOnion	Boolean
16	Page 17 Other Fresh Veg continued	4	Red/Purple	Checkbox	RedPurpleOnion	Boolean
16	Page 17 Other Fresh Veg continued	5	Green onion/scallion	Checkbox	Scallion	Boolean
16	Page 17 Other Fresh Veg continued	6	Unknown	Checkbox	UnkOnion	Boolean
16	Page 17 Other Fresh Veg continued	7	Other, specify:	Checkbox	OthOnion	Boolean
16	Page 17 Other Fresh Veg continued	8		Text	OthOnionSpec	Text
16	Page 17 Other Fresh Veg continued	9	78. Fresh tomatoes?	Legal Values	Tomato	Text
16	Page 17 Other Fresh Veg continued	10	Red Round	Checkbox	RedRoundTom	Boolean
16	Page 17 Other Fresh Veg continued	11	Roma (oval-shaped)	Checkbox	RomaovalshapedTom	Boolean
16	Page 17 Other Fresh Veg continued	12	Grape/Cherry (bite-sized)	Checkbox	GrapeCherryTom	Boolean
16	Page 17 Other Fresh Veg continued	13	Unknown	Checkbox	UnkTom	Boolean
16	Page 17 Other Fresh Veg continued	14	Other, Specify:	Checkbox	OthTom	Boolean
16	Page 17 Other Fresh Veg continued	15		Text	OthTomSpec	Text
16	Page 17 Other Fresh Veg continued	16	79. Fresh made salsa or pico de gallo (i.e., not from a vacuum-sealed jar)?	Legal Values	Pico	Text
16	Page 17 Other Fresh Veg continued	17	Brand(s):	Text	PicoBrand	Text
16	Page 17 Other Fresh Veg continued	18	Place(s) purchased (names, locations):	Text	PicoPlacePurch	Text
16	Page 17 Other Fresh Veg continued	19	Not applicable (did not eat home)	Checkbox	NotHomePico	Boolean
16	Page 17 Other Fresh Veg continued	20	List name(s) of establishment(s) and location(s):	Text	PicoAwayName	Text
16	Page 17 Other Fresh Veg continued	21	Not applicable (did not eat outside the home)	Checkbox	HomePico	Boolean
16	Page 17 Other Fresh Veg continued	22	80. Fresh made guacamole (i.e., not from a vacuum-sealed jar)?	Legal Values	Guacamole	Text
16	Page 17 Other Fresh Veg continued	23	Brand(s)	Text	GuacBrand	Text
16	Page 17 Other Fresh Veg continued	24	Place(s) purchased (names, locations):	Text	GuacPlacePurch	Text
16	Page 17 Other Fresh Veg continued	25	Not applicable (did not eat home)	Checkbox	NotHomeGuac	Boolean
16	Page 17 Other Fresh Veg continued	26	List name(s) of establishment(s) and location(s):	Text	GuacAwayName	Text
16	Page 17 Other Fresh Veg continued	27	Not applicable (did not eat outside the home)	Checkbox	HomeGuac	Boolean
16	Page 17 Other Fresh Veg continued	28	Additional comments, including other types of fresh vegetables:	Text	FreshVegComments	Text
17	Page 18 Interview Completed	1		Legal Values	AdditionalThoughts	Text
17	Page 18 Interview Completed	2	Would you like to provide any additional thoughts or perspective about anything we've discussed or about this outbreak investigation?	Text	AdditionalComments	Text
17	Page 18 Interview Completed	3	Date Submitted	Date	DateSubmitted	Date	YYYY-MM-DD	Read Only