By Anonymous - November 30, 2014

Baseline Page: E1

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Notes

* Differences between V1/2 and V3:
* Version 3 modifies the instructions to specify "group(s)" instead of "group"
* This page contains questions about date of birth, place of birth, and ethnicity.

Images

Version 1 Version 2 Version 3
Baseline Questionnaire - Version 1 - Page E1 Baseline Questionnaire - Version 2 - Page E1 Baseline Questionnaire - Version 3 - Page E1

Variable List

Description Variable Notes
Month of birth (write-in) MOBL
Month of birth MOB
Day of birth (write-in) DOBL
Day of birth DOB
Year of birth (write-in) YOBL
Year of birth YOB
Subject birthplace BPYOU
Father's birthplace BPFATHER
Mother's birthplace BPMOTHER
Other birthplace name BRTHPLL
Subject ethnicity ETHYOU
Race code definitions can be found here
Father's ethnicity ETHDAD
Mother's ethnicity ETHMOM
Other Black ethnicity ETHNIC1L
Other Hispanic ethnicity ETHNIC2L
Other Asian ethnicity ETHNIC3L