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Childhood Adenotonsillectomy Trial

Name Label Folder
fam1
Mother smoke during pregnancy?
Mother smoke during pregnancy?

Did your child's biological mother smoke at least one cigarette a day while she was pregnant with your child?

Family History
fam10
Mother's current weight
Mother's current weight Family History
fam10_chk
Mother's current weight
Mother's current weight Family History
fam10_tot_oz
Mother's current weight in ounces
Mother's current weight in ounces Family History
fam11a
Did your child have a cough?
Did your child have a cough? Family History
fam11b
Did your child cough often?
Did your child cough often?

Defined as coughing on most days for at least 3 consecutive months

Family History
fam11c
Did your child usually bring up phlegm from the chest?
Did your child usually bring up phlegm from the chest? Family History
fam11d
Did your child bring up phlegm often?
Did your child bring up phlegm often? Family History
fam11e
Did your child usually bring up phlegm in the morning?
Did your child usually bring up phlegm in the morning? Family History
fam11f
Did your child have periods of worsened cough or phlegm?
Did your child have periods of worsened cough or phlegm? Family History
fam11g
Did your child have an asthma like attack?
Did your child have an asthma like attack?

Defined as an attack of wheezing that made him or her feel short of breath

Family History
fam11h1
Did your child experience shortness of breath?
Did your child experience shortness of breath?

Defined as occurring during mild exercise such as walking on level ground or up a slight hill.

Family History
fam11h2
If yes, please answer the following:
If yes, please answer the following: Family History
fam11i1
Been troubled by chest tightness?
Been troubled by chest tightness? Family History
fam11i2
If yes, please answer the following:
If yes, please answer the following: Family History
fam12
Any wheezy or whistling chest sounds during colds?
Any wheezy or whistling chest sounds during colds? Family History
fam12a
Any wheezy or whistling chest sounds without colds?
Any wheezy or whistling chest sounds without colds? Family History
fam12b
Do wheezy or whistling chest sounds occur most days?
Do wheezy or whistling chest sounds occur most days? Family History
fam12c
Any wheezy or whistling chest sounds during exercise?
Any wheezy or whistling chest sounds during exercise? Family History
fam12d
Do wheezy or whistling chest sounds only occur at night?
Do wheezy or whistling chest sounds only occur at night? Family History
fam12e
Any wheezy or whistling chest sounds when exposed to fumes or dust?
Any wheezy or whistling chest sounds when exposed to fumes or dust? Family History
fam12f
Any wheezy or whistling chest sounds when exposed to pollen?
Any wheezy or whistling chest sounds when exposed to pollen? Family History
fam12g
Occurrence of runny or stuffy nose in the past year
Occurrence of runny or stuffy nose in the past year Family History
fam13a
Occurrence of stuffy or runny nose when exposed to smoke
Occurrence of stuffy or runny nose when exposed to smoke Family History
fam13b
Occurrence of runny or stuffy nose when exposed to dust
Occurrence of runny or stuffy nose when exposed to dust Family History
fam13c
Occurrence of runny nose when exposed to cold weather
Occurrence of runny nose when exposed to cold weather Family History
fam13d
Occurnece of stuffy or runny nose when exercising
Occurnece of stuffy or runny nose when exercising Family History
fam1a
Does the primary caregiver smoke?
Does the primary caregiver smoke?

Smoking is defined as at least 1 cigarette a day

Family History
fam2
How many people currently smoke at home?
How many people currently smoke at home?

Smoking is defined as at least 1 cigarette a day

Family History
fam3
Are there any full siblings?
Are there any full siblings?

These siblings have the same mother and father as the child

Family History
fam3a
If YES, how many FULL sisters?
If YES, how many FULL sisters? Family History
fam3b
If YES, how many FULL brothers?
If YES, how many FULL brothers? Family History
fam4
Are there any half siblings?
Are there any half siblings?

These siblings only share one parent with the child

Family History
fam4a
If YES, how many HALF sisters?
If YES, how many HALF sisters? Family History
fam4b
If YES, how many HALF brothers?
If YES, how many HALF brothers? Family History
fam5
Do any of the siblings have any of the following conditions?
Do any of the siblings have any of the following conditions? Family History
fam5a1
Do any siblings have acute life threatening episode (ALTE)?
Do any siblings have acute life threatening episode (ALTE)?

Also known as acute life threatening episodes

Family History
fam5a21
Number of full sisters with acute life threatening episode (ALTE)
Number of full sisters with acute life threatening episode (ALTE)

Also known as acute life threatening episodes

Family History
fam5a21_chk
Full sisters have acute life threatening episode (ALTE)
Full sisters have acute life threatening episode (ALTE)

Also known as acute life threatening episodes

Family History
fam5a22
Number of full brothers with acute life threatening episode (ALTE)
Number of full brothers with acute life threatening episode (ALTE)

Also known as acute life threatening episodes

Family History
fam5a22_chk
Full brothers have acute life threatening episode (ALTE)
Full brothers have acute life threatening episode (ALTE)

Also known as acute life threatening episodes

Family History
fam5a31
Number of half sisters with acute life threatening episode (ALTE)
Number of half sisters with acute life threatening episode (ALTE)

Also known as acute life threatening episodes

Family History
fam5a31_chk
Half sisters have acute life threatening episode (ALTE)
Half sisters have acute life threatening episode (ALTE)

Also known as acute life threatening episodes

Family History
fam5a32
Number of half brothers with acute life threatening episode (ALTE)
Number of half brothers with acute life threatening episode (ALTE)

Also known as acute life threatening episodes

Family History
fam5a32_chk
Half brothers have acute life threatening episode (ALTE)
Half brothers have acute life threatening episode (ALTE)

Also known as acute life threatening episodes

Family History
fam5b1
Any siblings with Sudden Infant Death Syndrome (SIDS)?
Any siblings with Sudden Infant Death Syndrome (SIDS)?

Also known as crib death or Sudden Infant Death Syndrome (SIDS)

Family History
fam5b21
Number of full sisters with Sudden Infant Death Syndrome (SIDS)
Number of full sisters with Sudden Infant Death Syndrome (SIDS)

Also known as crib death or Sudden Infant Death Syndrome (SIDS)

Family History
fam5b21_chk
Full sister has Sudden Infant Death Syndrome (SIDS)
Full sister has Sudden Infant Death Syndrome (SIDS)

Also known as crib death or Sudden Infant Death Syndrome (SIDS)

Family History
fam5b22
Number of full brothers with Sudden Infant Death Syndrome (SIDS)
Number of full brothers with Sudden Infant Death Syndrome (SIDS)

Also known as crib death or Sudden Infant Death Syndrome (SIDS)

Family History
fam5b22_chk
Full brothers has Sudden Infant Death Syndrome (SIDS)
Full brothers has Sudden Infant Death Syndrome (SIDS)

Also known as crib death or Sudden Infant Death Syndrome (SIDS)

Family History
fam5b31
Number of half sisters with Sudden Infant Death Syndrome (SIDS)
Number of half sisters with Sudden Infant Death Syndrome (SIDS)

Also known as crib death or Sudden Infant Death Syndrome (SIDS)

Family History
fam5b31_chk
Half sister has Sudden Infant Death Syndrome (SIDS)
Half sister has Sudden Infant Death Syndrome (SIDS)

Also known as crib death or Sudden Infant Death Syndrome (SIDS)

Family History
fam5b32
Number of half brothers with Sudden Infant Death Syndrome (SIDS)
Number of half brothers with Sudden Infant Death Syndrome (SIDS)

Also known as crib death or Sudden Infant Death Syndrome (SIDS)

Family History
fam5b32_chk
Half brother has Sudden Infant Death Syndrome (SIDS)
Half brother has Sudden Infant Death Syndrome (SIDS)

Also known as crib death or Sudden Infant Death Syndrome (SIDS)

Family History
fam5c1
Any siblings with an anxiety disorder?
Any siblings with an anxiety disorder? Family History
fam5c21
Number of full sisters with an anxiety disorder
Number of full sisters with an anxiety disorder Family History
fam5c21_chk
Full sister has an anxiety disorder
Full sister has an anxiety disorder Family History
fam5c22
Number of full brothers with an anxiety disorder
Number of full brothers with an anxiety disorder Family History
fam5c22_chk
Full brother has an anxiety disorder
Full brother has an anxiety disorder Family History
fam5c31
Number of half sisters with an anxiety disorder
Number of half sisters with an anxiety disorder Family History
fam5c31_chk
Half sisters have an anxiety disorder
Half sisters have an anxiety disorder Family History
fam5c32
Number of half brothers with anxiety disorder
Number of half brothers with anxiety disorder Family History
fam5c32_chk
Half brothers have an anxiety disorder
Half brothers have an anxiety disorder Family History
fam5d1
Any siblings with asthma?
Any siblings with asthma? Family History
fam5d21
Number of full sisters with have asthma
Number of full sisters with have asthma Family History
fam5d21_chk
Full sisters have asthma
Full sisters have asthma Family History
fam5d22
Number of full brothers with asthma
Number of full brothers with asthma Family History
fam5d22_chk
Full brother has asthma
Full brother has asthma Family History
fam5d31
Number of half sisters with asthma
Number of half sisters with asthma Family History
fam5d31_chk
Half sister has asthma
Half sister has asthma Family History
fam5d32
Number of half brothers with asthma
Number of half brothers with asthma Family History
fam5d32_chk
Half brother has asthma
Half brother has asthma Family History
fam5e1
Any siblings with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)?
Any siblings with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)? Family History
fam5e21
Number of full sisters with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)
Number of full sisters with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD) Family History
fam5e21_chk
Full sister has Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)
Full sister has Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD) Family History
fam5e22
Number of full brothers with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)
Number of full brothers with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD) Family History
fam5e22_chk
Full brother has Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)
Full brother has Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD) Family History
fam5e31
Number of half sisters with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)
Number of half sisters with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD) Family History
fam5e31_chk
Half sister has Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)
Half sister has Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD) Family History
fam5e32
Number of half brothers with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)
Number of half brothers with Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD) Family History
fam5e32_chk
Half brother has Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD)
Half brother has Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder(ADHD) Family History
fam5f1
Any siblings with cancer?
Any siblings with cancer? Family History
fam5f21
Number of full sisters with cancer
Number of full sisters with cancer Family History
fam5f21_chk
Full sister has cancer
Full sister has cancer Family History
fam5f22
Number of full brothers with cancer
Number of full brothers with cancer Family History
fam5f22_chk
Full brother has cancer
Full brother has cancer Family History
fam5f31
Number of half sisters with cancer
Number of half sisters with cancer Family History
fam5f31_chk
Half sister has cancer
Half sister has cancer Family History
fam5f32
Number of half brothers with cancer
Number of half brothers with cancer Family History
fam5f32_chk
Half brother has cancer
Half brother has cancer Family History
fam5g1
Any siblings with cerebral palsy?
Any siblings with cerebral palsy? Family History
fam5g21
Number of full sisters with cerebral palsy
Number of full sisters with cerebral palsy Family History
fam5g21_chk
Full sister has cerebral palsy
Full sister has cerebral palsy Family History
fam5g22
Number of full brothers with cerebral palsy
Number of full brothers with cerebral palsy Family History
fam5g22_chk
Full brother has cerebral palsy
Full brother has cerebral palsy Family History
fam5g31
Number of half sisters with cerebral palsy
Number of half sisters with cerebral palsy Family History
fam5g31_chk
Half sister has cerebral palsy
Half sister has cerebral palsy Family History
fam5g32
Number of half brothers with cerebral palsy
Number of half brothers with cerebral palsy Family History
fam5g32_chk
Half brother has cerebral palsy
Half brother has cerebral palsy Family History
fam5h1
Any siblings with depression?
Any siblings with depression? Family History