FCC Questionnaires

Following the initial questionnaire, participants also were asked to complete yearly questionnaires requesting information about new medical problems and recent hospitalizations and surgeries, resulting in 94,771 completed questionnaires from adults.  Yearly questionnaire return rates varied by Program year, but in 2007 were 51.6% of the original enrollees.  Our yearly questionnaires were computer-generated, so that participants who missed a past questionnaire were re-issued critical data items from those missed questionnaires, greatly improving total ascertainment on any data item.

Below are links to pdf files of the questionnaires, or question sets, used in data collection from the Fernald Community Cohort. Copies of other questionnaires may be obtained by contacting the Director at Susan.Pinney@uc.edu.

• First-questionnaire-for-adults (PDF)
• First-questionnaire-for-children (PDF)
• First-questionnaire-health-risk-assessment (PDF)
• Second-questionnaire-for-adults (PDF)
• 2007-Questionnaire---Basic-Questions (PDF)
  (Example of core questions in each yearly questionnaire)
• 2007-Questionnaire_Female (PDF)
• Pregnancy-History-Questionnaire (PDF)
• Female-Pregnancy-History-Update (PDF)
• Oral-Contraceptive-and-Female-Reproductive-History (PDF)
• Male-Reproductive-History-Questionnaire (PDF)
• Exercise-Question (PDF)
• Short-Exercise-Question (PDF)
• Skin-Cancer-Risk-Factor-Questions (PDF)
• Family-History-of-Cancer---bowel-breast-prostate-and-ovarian (PDF)
• Family-History-of-Cancer---stomach-leukemia-lymphoma (PDF)
• Family-History-of-Cancer---lung-thyroid-kidney-bladder (PDF)
• Current-Medications (PDF)
• Benefits-of-Medical-Monitoring (PDF)
• Health-Perception---36-items-(sf-36) (PDF)
• Health-Perception---12-items-(sf-12) (PDF)
• X-rays---History-of---Year-4-Questionnaire (PDF)
• X-rays---History-of---Year-5-Questionnaire (PDF)
• X-rays---History-of---Ongoing-7-Quest (PDF)
• Time-Spent-Outdoors-A-Version (PDF)
• Time-Spent-Outdoors-B-Version (PDF)
• Radon (PDF)
• Mammogram-Compliance---Reasons (PDF)
• Lived-With-Worker (PDF)
• 2005-Hair-Dye-Questions (PDF)
• 2005-2006-Cancer-Diagnosis-Verification (PDF)
• 2006-Breast-Feeding-Questions (PDF)
• 2006-Parents-Lived-Worked-Questions (PDF)
• 2007-Body-Shape-and-Size-Questions (PDF)
• 2007-Menstrual-History-(repeat---also-asked-in-first-adult-questionnaire)) (PDF)
• 2007-Occupation-and-Industry-(repeat---also-asked-in-first-adult-questionnaire) (PDF)
• 2007-2008-Food-Frequency-Questionnaire (PDF)
• 2017 Information Update (PDF)
• 2020 Information Update (PDF)