Lifestyle Information

[ATSDR] National Amyotrophic Lateral Sclerosis (ALS) Registry

P_AppE4 - Lifestyle Information

Follow-up Questions - Lifestyle Information

OMB: 0923-0041

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Shape1

Form Approved

OMB No. 0923-0041

Exp. Date 01/31/2023

APPENDIX E4

LIFESTYLE INFORMATION


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ATSDR estimates the average public reporting burden for this collection of information as 32 minutes per response, including the time for reviewing instructions, searching existing data/information sources, gathering, and maintaining the data/information needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB Control Number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0923-0041).

4.1 BMI

Follow-up questions are based on:


ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

FOLLOW-UP QUESTIONS (SEE BELOW)

9a

S1_Q10A


Current height (ft)

APPENDIX E 4.1.1

9b

S1_Q10B


Current height (in)

APPENDIX E 4.1.1.1

10

S1_Q11


Current weight (lb)

APPENDIX E 4.1.2


The following questions are about your height and weight when you were 40 years old.

APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.1.1

S1_Q12A

 

What was your height at age 40 years (ft)

 

 

 

ENTER:

4.1.1.1

S1_Q12B

 

What was your height at age 40 years (in)

 

 

 

ENTER:

4.1.2

S1_Q13

 

What was your weight at age 40 years (lb)

 

 

 

ENTER:
























APPENDIX E4

LIFESTYLE INFORMATION


4.2 ALCOHOL AND SMOKING

Follow-up questions are based on:

Q: Have you ever smoked one or more cigarettes per day for 6 months or longer?

Q: Did you ever drink alcoholic beverages such as wine, beer and spirits at least once a month for 6 months or more?

ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

FOLLOW-UP QUESTIONS (SEE BELOW)

11

S4_Q01

1

Yes to Smoking

APPENDIX E 4.2.1 – 4.2.4

12

S4_Q07

1

Yes to Alcohol beverages

APPENDIX E 4.2.5 – 4.2.7


The following questions are about your smoking and alcohol consumption history.

APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.2.1

S4_Q02

 

If yes, how old were you when you first started smoking one or more cigarettes per day?

 

 

 

ENTER

4.2.2

S4_Q03

 

Are you still a cigarette smoker?

 

 

1

Yes

 

 

2

No

 

 

 

GO TO: APPENDIX ITEM 4.2.2.1

 

 

9

Don’t know

4.2.2.1

S4_Q04

 

If NO, at what age did you last stop smoking cigarettes

 

 

 

ENTER:

4.2.3

S4_Q05

 

During periods when you smoked, for how many years in total did you smoke cigarettes

 

 

 

ENTER:

4.2.4

S4_Q06

 

During periods when you smoked, how many cigarettes did you usually smoke in a day? One pack contains 20 cigarettes

 

 

 

ENTER:

4.2.5

S4_Q08

 

Are you still drinking alcoholic beverages at least once per month

 

 

1

Yes

 

 

2

No

4.2.6

S4_Q09

 

During periods when you were drinking alcoholic beverages, for how many years in total did you drink alcoholic beverages?

 

 

 

ENTER:

4.2.7

 

 

During periods when you were drinking, how many alcoholic beverages did you usually have in a week OR month? A drink is 12 oz. beer, 4 ounces of wine or a drink containing 1 oz. of liquor. Please select week or month.

4.2.7.1

S4_Q10A

 

ENTER: (FREQUENCY)

4.2.7.2

S4_Q10B

1

Week

 

 

2

Month

APPENDIX E4

LIFESTYLE INFORMATION


4.3 PHYSICAL ACTIVITY

Follow-up questions are based on:

Q: Have you ever engaged in vigorous leisure-time physical activity for at least 10 minutes that caused heavy sweating or large increases in breathing or heart rate.

ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

FOLLOW-UP QUESTIONS

(SEE BELOW)

13

S5_Q01

1

Yes

APPENDIX E 4.3.1 – 4.3.6


If yes, please indicate the number of times per week, month, OR year that you engaged in vigorous activity for at least 10 minutes for each age period (up to your current age period).

APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

 4.3.1

S5_Q02A_01

Age group (15-24 years)

 

 

1

Yes

 

 

2

No

 

 

3

Age not applicable


S5_Q02A_02

Number of times exercised

4.3.1.1

 

 

ENTER: FREQUENCY

4.3.1.2

S5_Q02A_03

1

Week

 

 

2

Month

 

 

3

Year

 4.3.2

S5_Q02B_01

 

Age group (25-34 years)

 

 

1

Yes

 

 

2

No

 

 

3

Age not applicable

 

 

 

Number of times exercised

4.3.2.1

S5_Q02B_02

 

ENTER: FREQUENCY

4.3.2.2

S5_Q02B_03

1

Week

 

 

2

Month

 

 

3

Year

 4.3.3

S5_Q02C_01

 

Age group (35-44 years)

 

 

1

Yes

 

 

2

No

 

 

3

Age not applicable

 

 

 

Number of times exercised

4.3.3.1

S5_Q02C_02

 

ENTER: FREQUENCY

4.3.3.2

S5_Q02C_03

1

Week

 

 

2

Month

 

 

3

Year

 4.3.4

S5_Q02D_01

Age group (45-54 years)

 

 

1

Yes

 

 

2

No

 

 

3

Age not applicable

 

 

 

Number of times exercised

4.3.4.1

S5_Q02D_02

ENTER: FREQUENCY

4.3.4.2

S5_Q02D_03

1

Week

 

 

2

Month

 

 

3

Year

 4.3.5

S5_Q02E_01

 

Age group (55-64 years)

 

 

1

Yes

 

 

2

No

 

 

3

Age not applicable

 

 

 

Number of times exercised

4.3.5.1

S5_Q02E_02

 

ENTER: FREQUENCY

4.3.5.2

S5_Q02E_03

1

Week


 

2

Month

 

 

3

Year

 4.3.6

S5_Q02F_01

 

Age group (65 years and older)

 

 

1

Yes

 

 

2

No

 

 

3

Age not applicable

 

 

 

Number of times exercised

4.3.6.1

S5_Q02F_02

 

ENTER: FREQUENCY

4.3.6.2

S5_Q02F_03

1

Week


 

2

Month

 

 

3

Year























APPENDIX E4

LIFESTYLE INFORMATION


4.4 CAFFEINATED DRINK CONSUMPTION


Follow-up questions are based on:

Q: Did you ever drink caffeinated beverage? (Check all that apply)

ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

FOLLOW-UP QUESTIONS

(SEE BELOW)

14

S13_Q01

1

Espresso drinks

APPENDIX ITEM 4.4.1 SERIES


S13_Q02

2

Regular coffee

APPENDIX ITEM 4.4.2 SERIES


S13_Q03

3

Hot or cold tea

APPENDIX ITEM 4.4.3 SERIES


S13_Q04

4

Highly caffeinated drinks

APPENDIX ITEM 4.4.4 SERIES


S13_Q05

5

Regular soda

APPENDIX ITEM 4.4.5 SERIES


The next questions pertain to your usual caffeine habits as an adult. By usual, we mean drinking the beverage at least once a month for six months or more.


APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.4.1

S13_Q01A


At what age did you first drink (ITEM 30) drinks?

 

 

 

ENTER:

4.4.1.1

S13_Q01B

 

Are you still drinking (ITEM 30) drinks?


 

1

Yes


 

2

No


 

9

Don’t know

4.4.1.2

S13_Q01C

 

At what age did you last drink (ITEM 30) drinks?


 

 

ENTER:

4.4.1.3

S13_Q01D

 

This is a total of __ __ years. (SYSTEM CALCULATION)

4.4.1.4

S13_Q01E

 

Years when you did NOT drink (ITEM 30) drinks


 

 

ENTER:

4.4.1.5

S13_Q01F_01

How often (per day, week, month or year) did you drink it?


 

 

ENTER: FREQUENCY

4.4.1.5.1

S13_Q01F_02

1

day

 

 

2

week

 

 

3

month

 

 

4

year



Same questions (APPENDIX ITEM 4.4.1) are asked for the chosen caffeinated drink from Essential Questionnaire ITEM 30.

Regular coffee

Hot or cold tea

Highly caffeinated drinks

Regular soda

APPENDIX ITEM 4.4.2

APPENDIX ITEM 4.4.3

APPENDIX ITEM 4.4.4

APPENDIX ITEM 4.4.5

S13_Q02A

S13_Q03A

S13_Q04A

S13_Q05A

S13_Q02B

S13_Q03B

S13_Q04B

S13_Q05B

S13_Q02C

S13_Q03C

S13_Q04C

S13_Q05C

S13_Q02D

S13_Q03D

S13_Q04D

S13_Q05D

S13_Q02E

S13_Q03E

S13_Q04E

S13_Q05E

S13_Q02F_01

S13_Q03F_01

S13_Q04F_01

S13_Q05F_01

S13_Q02F_02

S13_Q03F_02

S13_Q04F_02

S13_Q05F_02



APPENDIX E4

LIFESTYLE INFORMATION


4.5 TRAUMA/HEAD AND NECK INJURIES


Follow-up questions are based on:

Q: Have you ever had an injury to your head or neck due to the following? (Check all that apply)

ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

FOLLOW-UP QUESTIONS

(SEE BELOW)

16

S14_Q01

1

Childhood injuries

APPENDIX ITEM 4.5.1 SERIES


S14_Q02

2

Car accident or moving vehicle

APPENDIX ITEM 4.5.2 SERIES


S14_Q03

3

Falling or being hit or playing sports

APPENDIX ITEM 4.5.3 SERIES


S14_Q04

4

Fights/Violence/Shaken

APPENDIX ITEM 4.5.4 SERIES


S14_Q05

5

Explosion/Blast

APPENDIX ITEM 4.5.5 SERIES


The next questions are about injuries to your head and/or neck that that you may have had at anytime in your life. These may have occurred during sporting activities, from falls, violence, car accidents or other accidents. Please include injuries from both childhood and adulthood.


APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.5.1

S14_Q01A

 

IF YES, How many head or neck injuries have you had?

 

 

 

ENTER:

4.5.1.1

S14_Q01B

 

Age first head or neck injury occurred


 

 

ENTER:

4.5.1.2


S14_Q01C

 

Did you lose consciousness from this injury?


 

1

Yes

 

 

 

GO TO: APPENDIX ITEM 4.5.1.2.1

 

 

2

No

 

 

9

Don’t know

4.5.1.2.1

S14_Q01D

 

How long were you unconscious

 

 

1

Less than 5 minutes

 

 

2

5-59 minutes

 

 

3

1-24 hours

 

 

4

Longer than a day

 

 

9

Don’t know

4.5.1.3

S14_Q01E

 

Did you go to the emergency room or were you hospitalized for this injury?


 

1

Yes


 

2

No


 

9

Don’t know

4.5.1.5

 

 

From this injury, did you have any of the following?

 

 

0

No

 

S14_Q01F_01

1

Skull fracture

 

S14_Q01F_02

2

Seizure

 

S14_Q01F_03

3

Memory loss/Amnesia

 

S14_Q01F_04

4

None of the above

 

S14_Q01F_05

9

Don't know




Same questions (APPENDIX ITEM 4.5.1) are asked for the chosen trauma from Essential Questionnaire ITEM 32

Car accident or moving vehicle

Falling or being hit or playing sports

Fights/Violence/Shaken

Explosion/Blast

APPENDIX ITEM 4.5.2

APPENDIX ITEM 4.5.3

APPENDIX ITEM 4.5.4

APPENDIX ITEM 4.5.5

S14_Q02A

S14_Q03A

S14_Q04A

S14_Q05A

S14_Q02B

S14_Q03B

S14_Q04B

S14_Q05B

S14_Q02C

S14_Q03C

S14_Q04C

S14_Q05C

S14_Q02D

S14_Q03D

S14_Q04D

S14_Q05D

S14_Q02E

S14_Q03E

S14_Q04E

S14_Q05E

S14_Q02F_01

S14_Q03F_01

S14_Q04F_01

S14_Q05F_01

S14_Q02F_02

S14_Q03F_02

S14_Q04F_02

S14_Q05F_02

S14_Q02F_03

S14_Q03F_03

S14_Q04F_03

S14_Q05F_03

S14_Q02F_04

S14_Q03F_04

S14_Q04F_04

S14_Q05F_04

S14_Q02F_05

S14_Q03F_05

S14_Q04F_05

S14_Q05F_05



APPENDIX E4

LIFESTYLE INFORMATION


4.6 ELECTRICAL SHOCKS


Follow-up questions are based on:

Q: Have you ever received any electrical shock that resulted in the following? (Check all that apply)

ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

FOLLOW-UP QUESTIONS

(SEE BELOW)

17

S14_Q06

1

Unconsciousness

APPENDIX ITEM 4.6.1 SERIES


S14_Q07

2

Burn

APPENDIX ITEM 4.6.2 SERIES


S14_Q08

3

Just the electrical shock

APPENDIX ITEM 4.6.3 SERIES



APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.6.1

S14_Q06A

 

How many shocks of this type have you received?

 

 

 

ENTER:

4.6.1.1

S14_Q06B

 

At what age did you FIRST receive a shock that resulted in unconsciousness?

 

 

 

ENTER:

4.6.2

S14_Q07A

 

How many shocks of this type have you received?

 

 

 

ENTER:

4.6.2.1

S14_Q07B

 

At what age did you FIRST receive a shock that resulted in a burn?

 

 

 

ENTER:

4.6.3

S14_Q08A

 

How many shocks of this type have you received?

 

 

 

ENTER:

4.6.3.1

S14_Q08B

 

At what age did you FIRST receive a shock that did not result in unconsciousness or a burn?

 

 

 

ENTER:










APPENDIX E4

LIFESTYLE INFORMATION


4.7 PROFESSIONAL SPORTS


NOTE: Organized sports are those that are played within a school or league setting. This does not include casual playing at home or in your community.


Follow-up questions are based on:

Q: Have you participated in organized or professional sports? (Check all that apply)

ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

FOLLOW-UP QUESTIONS (SEE BELOW)

15

S18_Q02

1

Football

APPENDIX ITEM 4.7.1/FOOTBALL SURVEY

 

S18_Q07

2

Hockey

APPENDIX ITEM 4.7.2/HOCKEY SURVEY

 

S18_Q13

3

Boxing

APPENDIX ITEM 4.7.3/BOXING SURVEY

 

S18_Q16

4

Soccer

APPENDIX ITEM 4.7.4/SOCCER SURVEY

 

S18_Q22

5

Other Sports

APPENDIX ITEM 4.7.5/ 4.7.6/4.7.7/OTHER SPORT (1-3) SURVEY



APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.7.1

S18_Q02A


At what age did you start playing (ITEM 15)?

 



ENTER:

 

S18_Q02B


At what age did you stop playing (ITEM 15)?

 



ENTER:


Same questions were asked about the age for the following selected sports in Essential Questionnaire ITEM 15.


Hockey

Boxing

Soccer

APPENDIX ITEM 4.7.2

APPENDIX ITEM 4.7.3

APPENDIX ITEM 4.7.4

S18_Q07A

S18_Q13A

S18_Q16A

S18_Q07B

S18_Q13B

S18_Q16B




Other sports (1)

Other sports (2)

Other sports (3)

APPENDIX ITEM 4.7.5

APPENDIX ITEM 4.7.6

APPENDIX ITEM 4.7.7

S18_Q22B

S18_Q29B

S18_Q36B

S18_Q22C

S18_Q29C

S18_Q36C



Next, the following survey is to be completed for the selected sport(s).

  1. FOOTBALL


APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.7.1.A



Did you play FOOTBALL in organized setting as mentioned below? (Check all that apply)

 


0

No

 

S18_Q03

1

Professionally or semi-professionally




GO TO: APPENDIX ITEM 4.7.1.A1 – 4.7.1.A3

 

S18_Q04

2

College




GO TO: APPENDIX ITEM 4.7.1.B1 – 4.7.1.B3

 

S18_Q05

3

High school




GO TO: APPENDIX ITEM 4.7.1.C1 – 4.7.1.C3


S18_Q06

4

Prior to high school




GO TO: APPENDIX ITEM 4.7.1.D1 – 4.7.1.D3

 


5

Don’t know

4.7.1.A1

S18_Q03A


At what age did you start playing (APPENDIX ITEM 4.7.1.A)?

 



ENTER:

 

S18_Q03B


At what age did you stop playing (APPENDIX ITEM 4.7.1.A)?

 



ENTER:

4.7.1.A2

S18_Q03C_01 – 08A


In what league did you play (APPENDIX ITEM 4.7.1.A)? (Check all that apply)




GO TO: FOOTBALL LEAGUE TABLE

4.7.1. A3

S18_Q03D


What was your primary position while playing (APPENDIX ITEM 4.7.1.A)?

 


0

Offense


S18_Q03DI


GO TO: FOOTBALL POSITION TABLE

 


1

Defense


S18_Q03DII


GO TO: FOOTBALL POSITION TABLE



2

Special Teams


S18_Q03DIII


GO TO: FOOTBALL PISITION TABLE



3

Don't know


Same questions (APPENDIX ITEM 4.7.1.A1 – 4.7.1.A3) were asked for the selected organized FOOTBALL setting in APPENDIX ITEM 4.7.1.A.


College

High school

Prior to high school

APPENDIX ITEM 4.7.1.B

APPENDIX ITEM

4.7.1.C

APPENDIX ITEM 4.7.1.D

S18_Q04A

S18_Q05A

S18_Q06A

S18_Q04B

S18_Q05B

S18_Q06B

S18_Q04C_01

No 4.7.1.A2 LEAGUE questions

No 4.7.1.A2 LEAGUE questions

S18_Q04C_02

S18_Q04C_03

S18_Q04C_04

S18_Q04C_05

S18_Q04C_06

S18_Q04C_07

S18_Q04C_08

S18_Q04D

S18_Q05C

S18_Q06C

S18_Q04DI

S18_Q05CI

S18_Q06CI

S18_Q04DI_01

S18_Q05CI_01

S18_Q06CI_01

S18_Q04DII

S18_Q05CII

S18_Q06CII

S18_Q04DII_01

S18_Q04CII_01

S18_Q06CII_01

S18_Q04DIII

S18_Q04CIII

S18_Q06CIII

S18_Q04DIII_01

S18_Q04CIII_01

S18_Q06CIII_01



FOOTBALL LEAGUE

PROFESSIONAL AND SEMI-PROFESSIONAL

COLLEGE

HIGH SCHOOL

PRIOR TO HIGH SCHOOL

VARIABLE CODE

4.7.1A

VARIABLE CODE

4.7.1B

4.7.1C

4.7.1D

S18_Q03C_01

NFL

S18_Q04C_01

Division I/FBS

N/A

N/A

S18_Q03C_02

AFL

S18_Q04C_02

Division II/FBS



S18_Q03C_03

CFL

S18_Q04C_03

Division II



S18_Q03C_04

NFL Europe

S18_Q04C_04

Division III



S18_Q03C_05

Arena League

S18_Q04C_05

NAIA



S18_Q03C_06

XFL

S18_Q04C_06

Don’t know



S18_Q03C_07

Don’t know

S18_Q04C_07

Other



S18_Q03C_08

Other

S18_Q04C_08

ENTER:



S18_Q03C_08A

ENTER:







FOOTBALL POSITION


OFFENSE POSITION

DEFENSE POSITION

SPECIAL TEAM POSITION


S18_Q03DI

S18_Q03DII

S18_Q03DIII

1

Tackle

Defensive tackle

Punter

2

Guard

Defensive guard

Kicker

3

Center

Nose guard

Kick returner

4

Tight end

Note tackle

Gunner

5

Other offensive lineman

Other defensive lineman

Wedge buster

6

Quarterback

Middle linebacker

Return blocker

7

Half back

Strong side linebacker

Kick coverage

8

Full back

Weak side linebacker

FT/PAT Lineman

9

Running back

Outside linebacker

Other (ENTER)

10

Slot back

Other linebacker


11

Wide receiver

Cornerback


12

Other (ENTER)

Safety


13


Strong safety


14


Free safety


15


Other defensive back


16


Other (ENTER)


99

Don’t know

Don’t know

Don’t know

OTHER (ENTER)

S18_Q03DI_01

S18_Q03DII_01

S18_Q03DIII_01




  1. HOCKEY


APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.7.2.A



Did you play HOCKEY in organized setting as mentioned below? (Check all that apply)

 


0

No

 

S18_Q08

1

Professionally




GO TO: APPENDIX ITEM 4.7.2.A1– 4.7.2.A3

 

S18_Q09

2

Semi-professionally or at junior level




GO TO: APPENDIX ITEM 4.7.2.B1– 4.7.2.B3

 

S18_Q10

3

College




GO TO: APPENDIX ITEM 4.7.2.C1– 4.7.2.C3


S18_Q11

4

High school




GO TO: APPENDIX ITEM 4.7.2.D1– 4.7.2.D3


S18_Q12

5

Prior to high school




GO TO: APPENDIX ITEM 4.7.2.E1– 4.7.2.E3

 


6

Don’t know

4.7.2.A1

S18_Q08A


At what age did you start playing (APPENDIX ITEM 4.7.2.A)?




ENTER:


S18_Q08B


At what age did you stop playing (APPENDIX ITEM 4.7.2.A)?




ENTER:

4.7.2.A2



In what league did you play (APPENDIX ITEM 4.7.2.A)? (Check all that apply)


S18_Q08C_01 to S18_Q08C_05


GOTO: HOCKEY LEAGUE TABLE

4.7.2.A3

S18_Q08D


What was your primary position while playing (APPENDIX ITEM 4.7.2.A)



1

Left wing



2

Right wing



3

Wing



4

Forward



5

Center



6

Lt defensemen



7

Rt defensemen



8

Defensemen



9

Goalie



10

Other


S18_Q08D_01


ENTER:



99

Don’t know

4.7.2.A4

S18_Q08E


Were you ever an enforcer while playing (APPENDIX ITEM 4.7.2.A)?



1

Yes



2

No



9

Don’t know








Same questions (APPENDIX ITEM 4.7.2.A1 – 4.7.2.A4) were asked for the selected organized setting in APPENDIX ITEM 4.7.2.A.


Semi-professional or junior level

College

High school

Prior to high school

APPENDIX ITEM 4.7.2.B

APPENDIX ITEM

4.7.2.C

APPENDIX ITEM 4.7.2.D

APPENDIX ITEM 4.7.2.E

S18_Q09A

S18_Q10A

S18_Q11A

S18_Q12A

S18_Q09B

S18_Q10B

S18_Q11B

S18_Q12B

No 4.7.2.A2 LEAGUE questions

S18_Q10C_01

No 4.7.2.A2 LEAGUE questions

No 4.7.2.A2 LEAGUE questions

S18_Q10C_02

S18_Q10C_03

S18_Q10C_04

S18_Q10C_05

S18_Q10C_06

S18_Q10C_07

S18_Q09C

S18_Q10D

S18_Q11C

S18_Q12C

S18_Q09C_01

S18_Q10D_01

S18_Q11C_01

S18_Q12C_01

S18_Q09D

No 4.7.2.A4 question

No 4.7.2.A4 question

No 4.7.2.A4 question



HOCKEY LEAGUE

PROFESSIONAL

SEMI PROFESSIONALLY OR AT JUNIOR LEVEL

COLLEGE

HIGH SCHOOL

PRIOR TO HIGH SCHOOL

VARIABLE CODE

4.7.2.A

4.7.2.B

4 VARIABLE CODE

4.7.2.C

4.7.2.D

4.7.2.E

S18_Q08C_01

NHL

N/A

S18_Q10C_01

Division I

N/A

N/A

S18_Q08C_02

AHL


S18_Q10C_02

Division II



S18_Q08C_03

ECHL


S18_Q10C_03

Division III



S18_Q08C_04

Other


S18_Q10C_04

NAIA



S18_Q08C_05

ENTER:


S18_Q10C_05

Don’t know






S18_Q10C_06

Other






S18_Q10C_07

ENTER:





  1. BOXING


APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.7.3.A



Did you ever box in organized setting as mentioned below? (Check all that apply)

 


0

No

 

S18_Q14

1

As Professional




GO TO: APPENDIX ITEM 4.7.3.A1– 4.7.3.A3

 

S18_Q15

2

As Amateur




GO TO: APPENDIX ITEM 4.7.3.B1– 4.7.3.B3

 


6

Don’t know

4.7.3.A1

S18_Q14A


How many total bouts of matches did you compete in while boxing in chosen organized setting (APPENDIX ITEM 4.7.3.A)?




ENTER:

4.7.2.A2

S18_Q14B


In what weight class did you play while boxing in chosen organized setting (APPENDIX ITEM 4.7.3.A)?

 


1

Heavyweight



2

Cruiserweight/junior heavyweight



3

Light heavyweight



4

Super middleweight



5

Middleweight



6

Super welterweight, junior/light middleweight



7

Welterweight



8

Super lightweight or junior/light welterweight



9

Lightweight



10

Super featherweight/junior lightweight



11

Featherweight



12

Super bantamweight/junior featherweight



13

Bantamweight



14

Super flyweight/junior bantamweight



15

Flyweight



16

Light flyweight/junior flyweight



17

Minimumweight/mini flyweight/strawweight



18

Light minimumweight/Atomweight



19

Other


S18_Q14B_01


ENTER:



99

Don’t know



Same questions (APPENDIX ITEM 4.7.3.A1 – 4.7.3.A2) were asked for the selected organized setting in APPENDIX ITEM 4.7.3.A.


As an amateur

APPENDIX ITEM

4.7.3.B

S18_Q15A

S18_Q15B

S18_Q15B_01




  1. SOCCER


APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.7.4.A



Did you play SOCCER in organized setting as mentioned below? (Check all that apply)

 


0

No

 

S18_Q17

1

Professionally or semiprofessionally




GO TO: APPENDIX ITEM 4.7.4.A1– 4.7.4.A3

 

S18_Q18

2

College




GO TO: APPENDIX ITEM 4.7.4.B1– 4.7.4.B3


S18_Q19

3

High school




GO TO: APPENDIX ITEM 4.7.4.C1– 4.7.4.C3


S18_Q20

4

Prior to high school




GO TO: APPENDIX ITEM 4.7.4.D1– 4.7.4.D3


S18_Q21

5

Another level




GO TO: APPENDIX ITEM 4.7.4.E1– 4.7.4.E3

 


6

Don’t know

4.7.4.A1

S18_Q17A


At what age did you start playing (APPENDIX ITEM 4.7.4.A)?




ENTER:


S18_Q17B


At what age did you stop playing (APPENDIX ITEM 4.7.4A)?




ENTER:

4.7.4.A2

S18_Q17C


In what league did you play (APPENDIX ITEM 4.7.4.A)?




GO TO: SOCCER LEAGUE TABLE

4.7.4.A3

S18_Q17D


What was your primary position while playing (APPENDIX ITEM 4.7.4.A)

 


1

Defender



2

Center-back



3

Sweeper



4

Full-back/Lt-back/Rt-back



5

Wingback



6

Midfielder



7

Winger/Lt midfield/Rt midfield



8

Defensive midfielder



9

Attacking midfielder



10

Forward



11

Striker



12

Goalie



13

Other


S18_Q17D_01


ENTER:



99

Don’t know











Same questions (APPENDIX ITEM 4.7.4.A1 – 4.7.4.A3) were asked for the chosen organized setting in APPENDIX ITEM 4.7.4.A.


College

High school

Prior to high school

Another level

APPENDIX ITEM

4.7.4.B

APPENDIX ITEM 4.7.4.C

APPENDIX ITEM 4.7.4.D

APPENDIX ITEM 4.7.4.E

S18_Q18A

S18_Q19A

S18_Q20A

S18_Q21A

S18_Q18B

S18_Q19B

S18_Q20B

S18_Q21B

S18_Q18C

No 4.7.4.A2 LEAGUE questions

No 4.7.4.A2 LEAGUE questions

No 4.7.4.A2 LEAGUE questions

S18_Q18C_01

S18_Q18D

S18_Q19C

S18_Q20C

S18_Q21C

S18_Q18D_01

S18_Q19C_01

S18_Q20C_01

S18_Q21C_01



SOCCER LEAGUE

PROFESSIONALLY OR SEMI-PROFESSIONALLY

COLLEGE

HIGH SCHOOL

PRIOR TO HIGH SCHOOL

ANOTHER LEVEL

VARIABLE CODE

4.7.4A

VARIABLE CODE

4.7.4B

4.7.4.C

4.7.4.D

4.7.4.E

S18_Q17CI_01

North American

S18_Q18C

Division I

N/A

N/A

N/A

S18_Q17CI_02

South American


Division II




S18_Q17CI_03

European


Division III




S18_Q17CI_04

Asian/Australian


NAIA




S18_Q17CI_05

African


Other




S18_Q17CI_06

Other

S18_Q18C_01

ENTER:







Don’t know





















  1. OTHER SPORTS (1)


APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.7.5.1

S18_Q22A


What was your next, major, organized sport played?

GO TO: OTHER ORGANIZED SPORTS TABLE


S18_Q22A_01


OTHER (ENTER)

4.7.5.A



Did you play this organized sport in organized setting as mentioned below? (Check all that apply)

 


0

No

 

S18_Q23

1

Professionally




GO TO: APPENDIX ITEM 4.7.5.A1– 4.7.5.A2


S18_Q24

2

Semi-professionally




GO TO: APPENDIX ITEM 4.7.5.B1– 4.7.5.B2

 

S18_Q25

3

College




GO TO: APPENDIX ITEM 4.7.5.C1– 4.7.5.C2


S18_Q26

4

High school




GO TO: APPENDIX ITEM 4.7.5.D1– 4.7.5.D2


S18_Q27

5

Prior to high school




GO TO: APPENDIX ITEM 4.7.5.E1– 4.7.5.E2


S18_Q28

6

Another level




GO TO: APPENDIX ITEM 4.7.5.F1– 4.7.5.F2

 


7

Don’t know

4.7.5.A1

S18_Q23A


How many years did you play this organized sport in chosen organized setting (APPENDIX ITEM 4.7.5.1)?




ENTER:

4.7.5.A2

S18_Q23B


What was your primary position while playing (APPENDIX ITEM 4.7.5.1)

 



ENTER:






Same questions (APPENDIX ITEM 4.7.5.A1 – 4.7.5.A2) were asked for the selected organized setting in APPENDIX ITEM 4.7.5.A.


SEMI-PROFESSIONALLY

COLLEGE

HIGH SCHOOL

PIOR TO HIGH SCHOOL

ANOTHER LEVEL

APPENDIX ITEM

4.7.5.B

APPENDIX ITEM

4.7.5.C

APPENDIX ITEM

4.7.5.D

APPENDIX ITEM

4.7.5.E

APPENDIX ITEM

4.7.5.F

S18_Q24A

S18_Q25A

S18_Q26A

S18_Q27A

S18_Q28A

S18_Q24B

S18_Q25B

S18_Q26B

S18_Q27B

S18_Q28B












OTHER ORGANIZED SPORTS

1

Amateur Wrestling

16

Field Hockey

31

Parachuting

46

Triathlon

2

Auto Racing

17

Flag Football

32

Pentathlon

47

Ultimate Frisbee

3

Bandy

18

Floor Hockey

33

Power Lifting

48

Water Polo

4

Baseball

19

Golf

34

Entertainment Wrestling

49

Water Skiing

5

Basketball

20

Gymnastics

35

Racquetball

50

Other

6

Bodybuilding

21

Horse Jumping

36

Roller Hockey



7

Bowling

22

Ice Skating

37

Rugby



8

Bull Riding

23

Inline Skating

38

Skiing



9

Distance Running

24

Karate

39

Snowboarding



10

Crew

25

Kickball

40

Softball



11

Cross County

26

Lacrosse

41

Squash



12

Cycling

27

Martial Arts

42

Strongman



13

Decathlon

28

Mixed Martial Arts (MMA)

43

Swimming



14

Diving

29

Motorcycle Racing

44

Tennis



15

Equestrian

30

Mountaineering

45

Track and Field




  1. OTHER SPORTS (2)


APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.7.6

S18_Q29


Did you play any other organized sports?



1

Yes




GO TO: APPENDIX ITEM 4.7.6.1



2

No



3

Don’t know

4.7.6.1

S18_Q29A


What was your next, major, organized sport played?

GO TO: OTHER ORGANIZED SPORTS TABLE


S18_Q29A_01


OTHER (ENTER)

4.7.6.2

S18_Q29B


At what age did you start playing (APPENDIX ITEM 4.7.6.1)?

 



ENTER:

 

S18_Q29C


At what age did you stop playing (APPENDIX ITEM 4.7.6.1)?

 



ENTER:

4.7.6.A



Did you play this organized sport in organized setting as mentioned below? (Check all that apply)

 


0

No

 

S18_Q30

1

Professionally




GO TO: APPENDIX ITEM 4.7.6.A1– 4.7.6.A2


S18_Q31

2

Semi-professionally




GO TO: APPENDIX ITEM 4.7.6.B1– 4.7.6.B2

 

S18_Q32

3

College




GO TO: APPENDIX ITEM 4.7.6.C1– 4.7.6.C2


S18_Q33

4

High school




GO TO: APPENDIX ITEM 4.7.6.D1– 4.7.6.D2


S18_Q34

5

Prior to high school




GO TO: APPENDIX ITEM 4.7.6.E1– 4.7.6.E2


S18_Q35

6

Another level




GO TO: APPENDIX ITEM 4.7.6.F1– 4.7.6.F2

 


7

Don’t know

4.7.6.A1

S18_Q30A


How many years did you play in the organized sport in chosen organized setting (APPENDIX ITEM 4.7.6.A)?




ENTER:

4.7.6.A2

S18_Q30B


What was your primary position while playing (APPENDIX ITEM 4.7.6.A)

 



ENTER:






Same questions (APPENDIX ITEM 4.7.6.A1 – 4.7.6.A2) were asked for the selected organized setting in APPENDIX ITEM 4.7.6.A.


SEMI-PROFESSIONALLY

COLLEGE

HIGH SCHOOL

PIOR TO HIGH SCHOOL

ANOTHER LEVEL

APPENDIX ITEM

4.7.6.B

APPENDIX ITEM

4.7.6.C

APPENDIX ITEM

4.7.6.D

APPENDIX ITEM

4.7.6.E

APPENDIX ITEM

4.7.6.F

S18_Q31A

S18_Q32A

S18_Q33A

S18_Q34A

S18_Q35A

S18_Q31B

S18_Q32B

S18_Q33B

S18_Q34B

S18_Q35B



  1. OTHER SPORTS (3)


APPENDIX ITEM

VARIABLE CODE

RESPONSE

DESCRIPTION

4.7.7

S18_Q36


Did you play any other organized sports?



1

Yes




GO TO: APPENDIX ITEM 4.7.7.1



2

No



3

Don’t know

4.7.7.1

S18_Q36A


What was your next, major, organized sport played?

GO TO: OTHER ORGANIZED SPORTS TABLE


S18_Q36A_01


OTHER (ENTER)

4.7.7.2

S18_Q36B


At what age did you start playing (APPENDIX ITEM 4.7.7.1)?

 



ENTER:

 

S18_Q36C


At what age did you stop playing (APPENDIX ITEM 4.7.7.1)?

 



ENTER:

4.7.7.A



Did you play this organized sport in organized setting as mentioned below? (Check all that apply)

 


0

No

 

S18_Q37

1

Professionally




GO TO: APPENDIX ITEM 4.7.7.A1– 4.7.7.A2


S18_Q38

2

Semi-professionally




GO TO: APPENDIX ITEM 4.7.7.B1– 4.7.7.B2

 

S18_Q39

3

College




GO TO: APPENDIX ITEM 4.7.7.C1– 4.7.7.C2


S18_Q40

4

High school




GO TO: APPENDIX ITEM 4.7.7.D1– 4.7.7.D2


S18_Q41

5

Prior to high school




GO TO: APPENDIX ITEM 4.7.7.E1– 4.7.7.E2


S18_Q42

6

Another level




GO TO: APPENDIX ITEM 4.7.7.F1– 4.7.7.F2

 


7

Don’t know

4.7.7.A1

S18_Q37A


How many years did you play in the organized sport in chosen organized setting (APPENDIX ITEM 4.7.7.A)?




ENTER:

4.7.7.A2

S18_Q37B


What was your primary position while playing (APPENDIX ITEM 4.7.7.A)

 



ENTER:






Same questions (APPENDIX ITEM 4.7.7.A1 – 4.7.7.A2) were asked for the selected organized setting in APPENDIX ITEM 4.7.7.A.


SEMI-PROFESSIONALLY

COLLEGE

HIGH SCHOOL

PIOR TO HIGH SCHOOL

ANOTHER LEVEL

APPENDIX ITEM

4.7.7.B

APPENDIX ITEM

4.7.7.C

APPENDIX ITEM

4.7.7.D

APPENDIX ITEM

4.7.7.E

APPENDIX ITEM

4.7.7.F

S18_Q38A

S18_Q39A

S18_Q40A

S18_Q41A

S18_Q42A

S18_Q38B

S18_Q39B

S18_Q40B

S18_Q41B

S18_Q42B



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