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Visit 1 Run-In Substance Use: Alcohol History NCT01117584

1 forms  
General Information
Description

General Information

Alcohol History
Description

Alcohol History

Data type

text

For Former Alcohol User or Current Alcohol User, please specify quantity
Description

Specification of Quantity if Alcohol User

Data type

float

Measurement units
  • Units/Week
Units/Week
Name of Substance
Description

Type of Alcohol

Data type

text

Substance Use Consumption
Description

Quantity

Data type

text

Use Frequency Per Interval
Description

One alcohol unit = 1 can of beer, 1 glass of wine or 1 shot of hard liquor.

Data type

text

Consumption Units
Description

Consumption Units

Data type

text

Category for Substance Use
Description

Category for Substance Use

Data type

text

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Visit 1 Run-In Substance Use: Alcohol History NCT01117584

1 forms
Name
Type
Description | Question | Decode (Coded Value)
Data type
Alias
Item Group
General Information
Item
Alcohol History
text
Alcohol History
Code List
Alcohol History
CL Item
Never Used Alcohol (1)
CL Item
Former Alcohol User (2)
CL Item
Current Alcohol User (3)
Specification of Quantity if Alcohol User
Item
For Former Alcohol User or Current Alcohol User, please specify quantity
float
Type of Alcohol
Item
Name of Substance
text
Quantity
Item
Substance Use Consumption
text
Use Frequency
Item
Use Frequency Per Interval
text
Consumption Units
Item
Consumption Units
text
Category for Substance Use
Item
Category for Substance Use
text
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