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Discovering the causes of cancer and the means of prevention

Breast Cancer Project- Female – Medicine 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: 

Use of Prescription, non-Prescription Medicines 

Study Title: 

BCDDP-Female Questionnaire 


Breast Cancer Detection Demonstration Project 

Principal Investigator(s): 

C. Schairer 

Type of Questionnaire: 


Last Year of Data Collection: 


Short/Long Form: 

Long Form 



Download Breast_Cancer_Project-Female_Medicine_Use_questionnaire (Word, 18 KB)

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Learn more about DCEG Questionnaire Development Resources