Engelsk

Visit 1 Run-In Substance Use: Alcohol History NCT01117584

1 Formulär  
General Information
Beskrivning

General Information

Alcohol History
Beskrivning

Alcohol History

Datatyp

text

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

Specification of Quantity if Alcohol User

Datatyp

float

Måttenheter
  • Units/Week
Units/Week
Name of Substance
Beskrivning

Type of Alcohol

Datatyp

text

Substance Use Consumption
Beskrivning

Quantity

Datatyp

text

Use Frequency Per Interval
Beskrivning

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

Datatyp

text

Consumption Units
Beskrivning

Consumption Units

Datatyp

text

Category for Substance Use
Beskrivning

Category for Substance Use

Datatyp

text

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Similar models

Visit 1 Run-In Substance Use: Alcohol History NCT01117584

1 Formulär
Name
Typ
Description | Question | Decode (Coded Value)
Datatyp
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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