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Water Source History – Nebraska Health Study 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: 

Water Source History 

Study Title: 

Nebraska Health Study II 


stomach cancer, esophageal cancer 

Principal Investigator(s): 

M. Ward 

Type of Questionnaire: 

Telephone Interview 

Last Year of Data Collection: 


Short/Long Form: 

Long Form 


Ward MH, Sinha R, Heineman EF, et al. Risk of adenocarcinoma of the stomach and esophagus with meat cooking method and doneness preference. Int J Cancer. 1997;71(1)14-9. 

Download Water_Source_History_Nebraska_health_questionnaire (Word, 24 KB)

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Learn more about DCEG Questionnaire Development Resources