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Discovering the causes of cancer and the means of prevention

Oral – Second Primary Cancer – Alcohol Use questionnaire

The following questionnaire segment contains questions that have been used as part of DCEG or other epidemiologic studies. This segment has not necessarily been reviewed or analyzed by the Technical Evaluation Committee. Please view it as a starting point that can be adapted or improved upon as appropriate. Learn more about DCEG Questionnaire Development Resources.

Questionnaire Topic: 

History of Alcohol Use 

Study Title: 

Oral Cancer -- Second Primary 


pharyngeal cancer 

Principal Investigator(s): 

G. Day 

Type of Questionnaire: 

Telephone Interview 

Last Year of Data Collection: 


Short/Long Form: 

Long Form 


Day GL, Blot WJ, Shore RE, et al. Second cancers following oral and pharyngeal cancer: role of tobacco and alcohol. J Natl Cancer Inst. 1994; 86(2):131-7

Download Oral_Second_Primary_Cancer_Alcohol_Use_questionnaire (Word, 23 KB)

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Learn more about DCEG Questionnaire Development Resources