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Personal Experience Screening Questionnaire

110 Shared Subjects

N/A
Clinical Assessments
Substance Use
03/07/2016
pesq01
03/07/2016
View Change History
01
Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project pid
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0::1440 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query pesq_feqcigarette Integer Recommended Have you ever smoked cigarettes? 0::6; 999 0= Never; 1= 1-2 Times; 2= 3-5 Times; 3= 6-9 Times; 4= 10-19 Times; 5= 20-39 Times; 6= 40+ Times; 999= Not Answered
Query pesq_feqalcohol Integer Recommended Have you had alcoholic beverages (including beer, wine, & liquor) to drink? 0::6; 999 0= Never; 1= 1-2 Times; 2= 3-5 Times; 3= 6-9 Times; 4= 10-19 Times; 5= 20-39 Times; 6= 40+ Times; 999= Not Answered
Query pesq_freqmarijuana Integer Recommended Have you used marijuana (grass, pot) or hashish (hash, hash oil)? 0::6; 999 0= Never; 1= 1-2 Times; 2= 3-5 Times; 3= 6-9 Times; 4= 10-19 Times; 5= 20-39 Times; 6= 40+ Times; 999= Not Answered
Query pesq_freqdrugs Integer Recommended Have you used hard drugs other than alcohol or marijuana? 0::6; 999 0= Never; 1= 1-2 Times; 2= 3-5 Times; 3= 6-9 Times; 4= 10-19 Times; 5= 20-39 Times; 6= 40+ Times; 999= Not Answered
Query pesq_psychadelics Integer Recommended Have you had psychedelics (such as LSD, Mescaline, peyote, PCP, mushrooms) in the past 12 months? 1;2;3;999 1= Yes; 2= No;3 = No, but I had it prior to the last 12 months; 999= Not Answered
Query pesq_cocaine Integer Recommended Have you had cocaine (coke, crake) in the last 12 months? 1;2;3;999 1= Yes; 2= No;3 = No, but I had it prior to the last 12 months; 999= Not Answered
Query pesq_amphetamines Integer Recommended Have you had amphetamins (such as uppers, speed, bennies, not diet pills) in the last 12 months? 1;2;3;999 1= Yes; 2= No;3 = No, but I had it prior to the last 12 months; 999= Not Answered
Query pesq_quaaludes Integer Recommended Have you had quaaludes (such as quads, spoors, methaqulaone) in the last 12 months? 1;2;3;999 1= Yes; 2= No;3 = No, but I had it prior to the last 12 months; 999= Not Answered
Query pesq_barbiturates Integer Recommended Have you had barbiturates (such as downs, goofballs, yellows, blues) in the last 12 months? 1; 2; 999 1= Yes; 2= No; 999= Not Answered
Query pesq_tranquilizers Integer Recommended Have you had tranquilizers (such as Librium, Valium) in the last 12 months? 1;2;3;999 1= Yes; 2= No;3 = No, but I had it prior to the last 12 months; 999= Not Answered
Query pesq_heroin Integer Recommended Have you had heroin (smack, horse, skag) in the last 12 months? 1;2;3;999 1= Yes; 2= No;3 = No, but I had it prior to the last 12 months; 999= Not Answered
Query pesq_othernarcotics Integer Recommended Have you had othernarcotics (such as methadone, opium, morphine, codeine, Demerol) in the last 12 months? 1; 2; 999 1= Yes; 2= No; 999= Not Answered
Query pesq_inhalants Integer Recommended Have you had inhalants (such as glue, aerosol cans, gases, correction fluid) in the last 12 months? 1;2;3;999 1= Yes; 2= No;3 = No, but I had it prior to the last 12 months; 999= Not Answered
Query pesq_firstsmoked Integer Recommended I first smoked... 0::17; 999 0= Never; 1::17= Age in years; 999= Not Answered
Query pesq_first_smoked_reg Integer Recommended I first smoked regularly (multiple times a week)... 0::17; 999 0= Never; 1::17= Age in years; 999= Not Answered pesq_first_smoked_regularly
Query pesq_first_got_high Integer Recommended I first got high... 0::17; 999 0= Never; 1::17= Age in years; 999= Not Answered
Query pesq_first_usedmj_reg Integer Recommended I first used marijuana regularly... 0::17; 999 0= Never; 1::17= Age in years; 999= Not Answered pesq_first_usedmarijuana_regularly
Query pesq_first_drink Integer Recommended I had my first drink... 0::17; 999 0= Never; 1::17= Age in years; 999= Not Answered
Query pesq_first_drunk Integer Recommended I first got drunk... 0::17; 999 0= Never; 1::17= Age in years; 999= Not Answered
Query pesq_first_drunkregularly Integer Recommended I first got drunk at lease once a week... 0::17; 999 0= Never; 1::17= Age in years; 999= Not Answered
Query pesq_first_harddrugs Integer Recommended I first used hard drug(s)... 0::17; 999 0= Never; 1::17= Age in years; 999= Not Answered
Query pesq_first_harddrugs_reg Integer Recommended I frist used hard drugs regularly (at least once a month)... 0::17; 999 0= Never; 1::17= Age in years; 999= Not Answered pesq_first_harddrugs_regularly
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

  • Use the search bar to filter the elements displayed. This will not filter on the Size of Required columns
  • Download a copy of this definition in CSV format
  • Download a blank CSV submission template prepopulated with the correct structure header rows ready to fill with subject records and upload

Please email the The NDA Help Desk with any questions.