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Discovering the causes of cancer and the means of prevention

Dietary Supplement Use - Short-Form Self-Admin 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 Dietary Supplements 

Study Title: 

Diet History Questionnaire 



Principal Investigator(s): 

A. Subar 

Type of Questionnaire: 

Self-administered optical scan 

Last Year of Data Collection: 


Short/Long Form: 

Short Form


Subar AF, Ziegler RG, Thompson FE, Johnson CC, Weissfeld JL, Reding D, Kavounis KH, Hayes RB. Is shorter always better? Relative importance of dietary questionnaire length and cognitive ease on response rates and data quality. Am J Epidemiol 2001;153:404-409. 

Download Dietary_Supplements_short-form_self-admin_questionnaire (Word 672 KB)

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Learn more about DCEG Questionnaire Development Resources