Questionnaire Development Resources

DCEG makes available questionnaires and questionnaire segments for use in a variety of epidemiological studies. Several questionnaires have been reviewed by the DCEG Technical Evaluation Committee and approved as representing reasonably clear questions that address the standard exposures of interest in the topic category. Questionnaires are available in Word documents. Topics include:

• Smoking (Active)
• Smoking (Passive)
• Alcohol Use
• Hormonal and Reproductive Factors
• Socioeconomic Factors

Additional questionnaire segments for use in development 

We also offer groups of questions that have been used as part of DCEG or other epidemiologic studies, but have not necessarily been reviewed or analyzed by the Technical Evaluation Committee. These questions cover a variety of topics. Please view them as starting points that can be adapted or improved upon as appropriate. 

Alcohol, Tobacco, and Recreational Drug Use Anthropometric Measurements (measurements of the human body) Background Information Breast Cancer Risk Factors Family History of Cancer EMF, Radon, and UVR Exposures Ionizing Radiation Exposures Household Exposures Medical History Non-alcoholic Beverage, Food, and Dietary Supplements Occupational History and Exposures Physical Activity Prescriptions, Hormones, Immunizations Reproductive History Residential History Sexual History and Practices

Alcohol, Tobacco, and Recreational Drug Use

Anthropometric Measurements (measurements of the human body)

Background Information

Breast Cancer Risk Factors

Family History of Cancer

EMF, Radon, and UVR Exposures

Ionizing Radiation Exposures

Household Exposures

Medical History

Non-alcoholic Beverage, Food, and Dietary Supplements

Occupational History and Exposures

Physical Activity

Prescriptions, Hormones, Immunizations

Reproductive History

Residential History

Sexual History and Practices