Alcohol intake
Note: If more than 21 units of alcohol a week (14 units for females) or an average daily intake of greater than 4 units (3 units for females), the subject is not eligible for the study. Alcohol converter: 1 unit of alcohol in UK = half pint of beer (220 ml) or 1 glass (125 ml) of wine or 1 (25 ml) measure of spirits.
float
Urine test for drugs, cotinine and alcohol
day month year
date
Substances
integer
Note: If any of the above are positive, the subject is not eligible for the study
text
History of tobacco use
Never smoked: Never smoked. Current smoker: Currently smoking or has smoked within 6 months of screening visit. Former smoker: Previously smoked and has not smoked for at least 6 months prior to screening visit. Note: If the subject is not a non-smoker for at least the past 12 months with a pack history~ 5 pack years, the subject is not eligible for the study.
integer
da month year
date
Converter for tobacco products: 1 cigar = 7 cigarettes 1 gram (or 0.03 oz.) of tobacco = 1 cigarette
float
Smoking years (number)
integer
Calculation for number of pack years: (Average number of cigarettes smoked per day/20) x number of years smoked
integer