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NHL Study Household Pesticide Exposure 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: 

Household Pesticide Exposures (inside and outside) 

Study Title: 

Non-Hodgkin Lymphoma Study (NHL) 


pesticides, herbicides, residential, garden, crowding, drinking water 

Principal Investigator(s): 

P. Hartge 

Type of Questionnaire: 


Last Year of Data Collection: 


Short/Long Form: 

Long Form 


Colt JS, Davis S, Severson RK, Lynch CF, Cozen W, Camann D, Engels EA, Blair A, Hartge P. Residential insecticide use and risk of non-Hodgkin's lymphoma. Cancer Epidemiol Biomarkers Prev. 2006 Feb;15(2):251-7. 

Hartge P, Colt JS, Severson RK, Cerhan JR, Cozen W, Camann D, Zahm SH, Davis S. Residential herbicide use and risk of non-Hodgkin lymphoma. Cancer Epidemiol Biomarkers Prev. 2005 Apr;14(4):934-7. Review. 

Download Household_pesticide_exposure_NHL_Study_questionnaire (Word, 49 KB)

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Learn more about DCEG Questionnaire Development Resources