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Discovering the causes of cancer and the means of prevention

Non-cancer Personal Medical History - X-ray Tech 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: 

Non-Cancer Personal Medical History 

Study Title: 

X-ray Technicians--Second Survey 


radiologic technologists, radiation, breast cancer, thyroid cancer, radiology, radiologic technicians 

Principal Investigator(s): 

M. Doody 

Type of Questionnaire: 

Self-administered optical scan 

Last Year of Data Collection: 


Short/Long Form: 

Short Form 


Boice JD, Mandel JS, Doody M, et al. Breast cancer among radiologic technologists. JAMA 1995;274(5):394-401. 

Download Non-Cancer_Personal_Medical_History_X-ray_Technicians_questionnaire (Word, 17 KB)

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Learn more about DCEG Questionnaire Development Resources