CDEs
Forms
Chemotherapy Rx Cancer
Have you ever received radiotherapy to your head or neck for a tumor [PhenX]
Kind of tumor [PhenX]
On average how often do you take painkillers [PhenX]
Daily aspirin PhenX
Aspirin how long PhenX
Medical reason why you had or have to take this medication [PhenX]
Duration of treatment
Ever fired gun PhenX
Weapon type PhenX
Estimate the total number of shots fired.
Did you use ear protection [PhenX]
Ear protection type PhenX
During your leisure time, are you/have you been regularly (more than once a week) exposed to loud sound or noise (so that you have to shout to make yourself heard by someone who was more than 1 m away from you)?
What kind of loud sound PhenX
For how many years have you been exposed to this loud sound [PhenX]
Exposure Hs/W PhenX
Have you been exposed to solvents (e.g., thrichloroethylene, toluene, evaporations from paints or lacquers) for more than one year in one of your jobs?
Solvent type PhenX
In which year did the solvent exposure start?
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