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Discovering the causes of cancer and the means of prevention

Demographics - Women's Interview Study of Health 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: 

Demographic Information (Date/Place of Birth, Income, Education, Religion) 

Study Title: 

Women's Interview Study of Health 


breast cancer 

Principal Investigator(s): 

L. Brinton 

Type of Questionnaire: 


Last Year of Data Collection: 


Short/Long Form: 

Short Form 


Brinton LA, Daling JR, Liff JM, et al. Oral contraceptives and breast cancer risk among younger women. J Natl Cancer Inst. 1995;87(11):827-35. 

Download Demographics_Womens_Interview_Study_of_Health_questionnaire (Word, 22 KB)

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Learn more about DCEG Questionnaire Development Resources