This Catalogue was archived on: 2013-12-09. Information included in this Catalogue is for informational purposes only.
General Information
| Name |
Man Self-Administered Questionnaire |
| Last update |
03/23/2010 |
| Version or reference year |
V3.6 - June 16, 2009 |
| Phase |
Baseline |
| Year interval |
2009 to -- |
Contact
|
Eunice Rousseau (Project Coordinator)
|
BC Cancer Agency
Vancouver V5Z 1L3
Phone: 604-675-8060
Email: |
Methods
|
Legend Yes No |
Respondent
Participant
Proxy
Administration environment
Over the phone
Hospital, clinic, university or recruitment center
Respondent / Proxy residence
Administration mode
Auto administered
Auto administrated with face to face validation by trained personnel
Administrated by trained personel / Physician
Administration format
Paper questionnaire
Computerized
Administration language
Documents
Available Format
NOTICE: HTML document format may differ slightly from the actual questionnaire. Please refer to the original PDF document for exact reproduction.
General Information
| Name |
Man Self-Administered Questionnaire |
| Number of Question Blocks |
51 |
Questionnaire and Question Block List
Click on the

to see the block of questions related to a domain or a group of domains.
- Block 1

-
- Sociodemographic Characteristics / Age/Birth Date / Subject age / birth date
- Block 2

-
- Sociodemographic Characteristics / Gender
- Block 3

-
- Health Information / Medical Health Intervention (C239)
- Block 4

-
- Health Information / Perception of health/quality of life
- Block 5

-
- Health Information / Individual Disease history / Injury, poisoning and certain other consequences of external causes
- Block 6

-
- Health Information / Individual Disease history / Diseases of the musculoskeletal system and connective tissue
- Health Information / Individual Disease history / Injury, poisoning and certain other consequences of external causes
- Block 7

-
- Health Information / Individual Disease history / Injury, poisoning and certain other consequences of external causes
- Block 8

-
- Body structures / Anthropometric structures / Anthropometric measures / Weight
- Block 9

-
- Health Information / Medical Health Intervention (C239) / Other Healthcare Interventions
- Health Information / Medical Health Intervention (C239) / Diagnostic Interventions / Diagnostic Interventions on the Orocraniofaciall Unit
- Health Information / Medical Health Intervention (C239) / Clinical Laboratory Interventions
- Block 10

-
- Socioeconomic Characteristics / Income
- Block 11

-
- Health Information / Medical Health Intervention (C239) / Other Healthcare Interventions
- Health Information / Medical Health Intervention (C239) / Other Healthcare Interventions / Other Healthcare Interventions, Promoting Health and Preventing Disease
- Block 12

-
- Health Information / Individual Disease history / Diseases of the genitourinary system
- Health Information / Men's health
- Block 13

-
- Health Information / Reproductive history / Number of children
- Block 14

-
- Health Information / Medical Health Intervention (C239) / Diagnostic Interventions / Diagnostic Interventions on the Genitourinary System
- Block 15

-
- Health Information / Medical Health Intervention (C239) / Clinical Laboratory Interventions
- Health Information / Medical Health Intervention (C239) / Diagnostic Interventions / Diagnostic Interventions on the Genitourinary System
- Block 16

-
- Health Information / Medical Health Intervention (C239) / Diagnostic Interventions / Diagnostic Interventions on the Digestive and Hepatobiliary Tract
- Health Information / Medical Health Intervention (C239) / Clinical Laboratory Interventions
- Block 17

-
- Health Information / Medical Health Intervention (C239) / Diagnostic Interventions / Diagnostic Interventions on the Digestive and Hepatobiliary Tract
- Health Information / Medical Health Intervention (C239) / Diagnostic Imaging Interventions / Diagnostic Imaging Interventions on the Digestive and Hepatobiliary Tract
- Block 18

-
- Health Information / Medical Health Intervention (C239) / Physical/Physiological Therapeutic Interventions / Therapeutic Interventions on the Digestive and Hepatobiliary Tract
- Block 19

-
- Life Habits/Behaviours / Sleep Behaviours
- Block 20

-
- Block 21

-
- Body structures / Skin
- Physical Environment / Environmental exposures / Physical environmental exposures / Radiation (ionizing and non ionizing)
- Block 23

-
- Life Habits/Behaviours / Tobacco use
- Block 24

-
- Physical Environment / Environmental exposures / Chemical environmental exposures / Passive Smoke Exposure
- Physical Environment / Occupational Exposures / Chemical Occupational Exposures / Passive Smoke Exposure
- Block 27

-
- Life Habits/Behaviours / Alcohol use
- Block 28

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Beverages (other than water or alcohol)
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Vegetables and Fruits
- Block 29

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Milk products
- Block 30

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Meat, Eggs, Fish and Alternatives
- Block 31

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Vegetables and Fruits
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Cereals, Bread, Starches
- Block 32

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Sweets, Baked goods
- Block 33

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Salt and Food Supplement
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Caffeine
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Milk products
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Beverages (other than water or alcohol)
- Block 34

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Beverages (other than water or alcohol)
- Block 35

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Fat Intake
- Block 36

-
- Socioeconomic Characteristics / Working status / Subject Working status/history
- Block 39

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 41

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 42

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 43

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 44

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 45

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Life Habits/Behaviours / Travel History and Habits
- Block 46

-
- Sociodemographic Characteristics / Residence / Residential History
- Sociodemographic Characteristics / Residence / Current Residence
- Block 47

-
- Physical Environment / Environmental exposures / Biological environmental exposures / Others
- Physical Environment / Environmental exposures
- Physical Environment / Environmental exposures / Chemical environmental exposures / Others
- Block 48

-
- Socioeconomic Characteristics / Education level / Subject education level
- Block 49

-
- Socioeconomic Characteristics / Working status / Subject Working status/history
- Block 51

-
- Sociodemographic Characteristics / Household Status / Subjet Household Status
- Block 52

-
- Sociodemographic Characteristics / Kinship
- Block 53

-
- Sociodemographic Characteristics / Language
- Block 54

-
- Sociodemographic Characteristics / Ethnicity/Race
- Block 55

-
- Socioeconomic Characteristics / Income
- Sociodemographic Characteristics / Household Status / Structure of the Household
- Block 56

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Cereals, Bread, Starches
- Block 57

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Salt and Food Supplement
- Block 58

-
- Life Habits/Behaviours / Nutrition / Nutritional Behaviours and Perception of Nutritional Habits
This Catalogue was archived on: 2013-12-09. Information included in this Catalogue is for informational purposes only.
General Information
| Name |
Medical History Questionnaire |
| Last update |
06/04/2009 |
| Version or reference year |
V2.6-July 8, 2009 |
| Phase |
Baseline |
| Year interval |
2009 to -- |
Contact
|
Eunice Rousseau (Project Coordinator)
|
BC Cancer Agency
Vancouver V5Z 1L3
Phone: 604-675-8060
Email: |
Methods
|
Legend Yes No |
Respondent
Participant
Proxy
Administration environment
Over the phone
Hospital, clinic, university or recruitment center
Respondent / Proxy residence
Administration mode
Auto administered
Auto administrated with face to face validation by trained personnel
Administrated by trained personel / Physician
Administration format
Paper questionnaire
Computerized
Administration language
Documents
Available Format
NOTICE: HTML document format may differ slightly from the actual questionnaire. Please refer to the original PDF document for exact reproduction.
This Catalogue was archived on: 2013-12-09. Information included in this Catalogue is for informational purposes only.
General Information
| Name |
Woman Self-Administered Questionnaire |
| Last update |
02/27/2009 |
| Version or reference year |
V3.6 - June 16, 2009 |
| Phase |
Baseline |
| Year interval |
2009 to -- |
Contact
|
Eunice Rousseau (Project Coordinator)
|
Vancouver V5Z 1L3
Phone: 604-675-8060
Email: |
Methods
|
Legend Yes No |
Respondent
Participant
Proxy
Administration environment
Over the phone
Hospital, clinic, university or recruitment center
Respondent / Proxy residence
Administration mode
Auto administered
Auto administrated with face to face validation by trained personnel
Administrated by trained personel / Physician
Administration format
Paper questionnaire
Computerized
Administration language
Documents
Available Format
NOTICE: HTML document format may differ slightly from the actual questionnaire. Please refer to the original PDF document for exact reproduction.
General Information
| Name |
Woman Self-Administered Questionnaire |
| Number of Question Blocks |
57 |
Questionnaire and Question Block List
Click on the

to see the block of questions related to a domain or a group of domains.
- Block 1

-
- Sociodemographic Characteristics / Age/Birth Date / Subject age / birth date
- Block 2

-
- Sociodemographic Characteristics / Gender
- Block 3

-
- Health Information / Medical Health Intervention (C239)
- Block 4

-
- Health Information / Perception of health/quality of life
- Block 5

-
- Health Information / Individual Disease history / Injury, poisoning and certain other consequences of external causes
- Block 6

-
- Health Information / Individual Disease history / Diseases of the musculoskeletal system and connective tissue
- Health Information / Individual Disease history / Injury, poisoning and certain other consequences of external causes
- Block 7

-
- Health Information / Individual Disease history / Injury, poisoning and certain other consequences of external causes
- Block 8

-
- Body structures / Anthropometric structures / Anthropometric measures / Weight
- Block 9

-
- Health Information / Medical Health Intervention (C239) / Clinical Laboratory Interventions
- Health Information / Medical Health Intervention (C239) / Other Healthcare Interventions
- Health Information / Medical Health Intervention (C239) / Diagnostic Interventions / Diagnostic Interventions on the Orocraniofaciall Unit
- Block 10

-
- Socioeconomic Characteristics / Income
- Block 11

-
- Health Information / Medical Health Intervention (C239) / Other Healthcare Interventions
- Health Information / Medical Health Intervention (C239) / Other Healthcare Interventions / Other Healthcare Interventions, Promoting Health and Preventing Disease
- Block 12

-
- Health Information / Women's health / Menstruation
- Block 13

-
- Health Information / Medication Intake (ATC/DDD) / Genito urinary system and sex hormones (G)
- Block 14

-
- Health Information / Reproductive history / Number of children
- Health Information / Reproductive history / Parity/Gravidity
- Block 15

-
- Health Information / Medical Health Intervention (C239) / Other Healthcare Interventions
- Health Information / Medication Intake (ATC/DDD) / Genito urinary system and sex hormones (G)
- Health Information / Medical Health Intervention (C239) / Physical/Physiological Therapeutic Interventions / Therapeutic Interventions on the Genitourinary System
- Block 16

-
- Health Information / Women's health / Menopause
- Block 17

-
- Health Information / Medication Intake (ATC/DDD) / Genito urinary system and sex hormones (G)
- Block 18

-
- Health Information / Medical Health Intervention (C239) / Physical/Physiological Therapeutic Interventions / Therapeutic Interventions on the Genitourinary System
- Block 21

-
- Health Information / Medical Health Intervention (C239) / Clinical Laboratory Interventions
- Health Information / Medical Health Intervention (C239) / Diagnostic Interventions / Diagnostic Interventions on the Genitourinary System
- Block 22

-
- Health Information / Medical Health Intervention (C239) / Diagnostic Imaging Interventions / Diagnostic Imaging Interventions on the Skin, Subcutaneous Tissue, and Breast
- Block 23

-
- Health Information / Medical Health Intervention (C239) / Diagnostic Interventions / Diagnostic Interventions on the Digestive and Hepatobiliary Tract
- Health Information / Medical Health Intervention (C239) / Clinical Laboratory Interventions
- Block 24

-
- Health Information / Medical Health Intervention (C239) / Diagnostic Interventions / Diagnostic Interventions on the Digestive and Hepatobiliary Tract
- Health Information / Medical Health Intervention (C239) / Diagnostic Imaging Interventions / Diagnostic Imaging Interventions on the Digestive and Hepatobiliary Tract
- Block 25

-
- Health Information / Medical Health Intervention (C239) / Physical/Physiological Therapeutic Interventions / Therapeutic Interventions on the Digestive and Hepatobiliary Tract
- Block 26

-
- Life Habits/Behaviours / Sleep Behaviours
- Block 27

-
- Block 28

-
- Body structures / Skin
- Physical Environment / Environmental exposures / Physical environmental exposures / Radiation (ionizing and non ionizing)
- Block 30

-
- Life Habits/Behaviours / Tobacco use
- Block 31

-
- Physical Environment / Environmental exposures / Chemical environmental exposures / Passive Smoke Exposure
- Physical Environment / Occupational Exposures / Chemical Occupational Exposures / Passive Smoke Exposure
- Block 34

-
- Life Habits/Behaviours / Alcohol use
- Block 35

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Beverages (other than water or alcohol)
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Vegetables and Fruits
- Block 36

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Cereals, Bread, Starches
- Block 37

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Milk products
- Block 38

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Meat, Eggs, Fish and Alternatives
- Block 39

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Vegetables and Fruits
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Cereals, Bread, Starches
- Block 40

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Sweets, Baked goods
- Block 41

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Caffeine
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Milk products
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Beverages (other than water or alcohol)
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Salt and Food Supplement
- Block 42

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Beverages (other than water or alcohol)
- Block 43

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Fat Intake
- Block 44

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Socioeconomic Characteristics / Working status / Subject Working status/history
- Block 47

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Life Habits/Behaviours / Travel History and Habits
- Block 49

-
- Life Habits/Behaviours / Travel History and Habits
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 50

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 51

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 52

-
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 53

-
- Life Habits/Behaviours / Travel History and Habits
- Life Habits/Behaviours / Physical activity / Activities/Exercise and Frequency
- Block 54

-
- Sociodemographic Characteristics / Residence / Current Residence
- Sociodemographic Characteristics / Residence / Residential History
- Block 55

-
- Physical Environment / Environmental exposures / Chemical environmental exposures / Others
- Socioeconomic Characteristics / Income
- Physical Environment / Environmental exposures / Biological environmental exposures / Others
- Block 56

-
- Socioeconomic Characteristics / Education level / Subject education level
- Block 57

-
- Socioeconomic Characteristics / Working status / Subject Working status/history
- Block 59

-
- Sociodemographic Characteristics / Household Status / Subjet Household Status
- Block 60

-
- Sociodemographic Characteristics / Kinship
- Block 61

-
- Sociodemographic Characteristics / Language
- Block 62

-
- Sociodemographic Characteristics / Ethnicity/Race
- Block 63

-
- Sociodemographic Characteristics / Household Status / Structure of the Household
- Socioeconomic Characteristics / Income
- Block 64

-
- Health Information / Women's health / Breast feeding
- Block 65

-
- Life Habits/Behaviours / Nutrition / Food intake and Frequency / Salt and Food Supplement
- Block 66

-
- Life Habits/Behaviours / Nutrition / Nutritional Behaviours and Perception of Nutritional Habits
This Catalogue was archived on: 2013-12-09. Information included in this Catalogue is for informational purposes only.
GENERAL INFORMATION
| Study name |
BC Generations Project |
| Last update |
04/02/2009 |
| Collected at phase |
Baseline |
Contacts
|
Eunice Rousseau (Project Coordinator)
|
BC Generations Project
Vancouver V5Z 1L3
Phone: 604-675-8060
Email: |
Physical and cognitive measures collected
|
Legend Yes No |
BODY STRUCTURES
ANTHROPOMETRIC STRUCTURES
Anthropometric measures
Weight
Height
Standing height
Sitting height
Body circumferences
Waist circumference
Hip circumference
Body composition
Bioimpedance
Bone density
BODY FUNCTIONS
FUNCTIONS OF THE CARDIOVASCULAR AND RESPIRATORY SYSTEMS
Functions of the cardiovascular system
Blood pressure
Heart rate
Heart rate at rest
Functions of the respiratory system
Respiratory functions
NEUROMUSCULOSKELETAL AND MOVEMENT-RELATED FUNCTIONS
Grip strength
HANDEDNESS / LATERALITY
Handedness functions
Administration mode
|
Legend Yes No |
Administration environment
Hospital, clinic, university or recruitment center
Participant residence
Other
Staff administering test
Professionals (nurses, clinicians, etc)
Interviewers/research assistants
Other
Documentation on procedures
| Administration language |
English |
GENERAL INFORMATION
| Study name |
BC Generations Project |
| Last update |
01/31/2012 |
Contacts
No information available. See study information.
ACCESS
|
Legend Yes No |
Data or samples can be accessed by researchers outside the study/biobank (i.e. a researcher who is not an internal researcher of the study/biobank with research privileges)
Access to at least part of the collected data is available for researchers outside the study
Access to at least part of the collected samples is available for researchers outside the study
Data/samples can leave the study/biobank facility/country under the policies and regulations of your study
Data
Can leave study/biobank facility
Can leave the country
Samples
Can leave study/biobank facility
Can leave the country
Participants can not be contacted for additional information or sampling
Restriction to the category/type of investigator requesting access to your study
There are no restriction related to the categories of investigators requesting access
Limitations regarding the scientific scope of the projects that can use the study's data/samples
- There is no limitation to the scope of the projects using the data
- There is no limitation to the scope of the projects using the samples
ADDITIONAL INFORMATIONS
|
Legend Yes No |
Approval process leading to access
To grant access, the study requires approval/authorization/documents by the following entities of the applicant's institution
Ethics committee of applicant's institution (or another organization having jurisdiction or required by local governance rules)
Scientific committee of applicant's institution (or another organization having jurisdiction or required by local governance rules)
Others
To grant access, the study requires approval/authorization/documents by the following entities of the study
Ethics committee having jurisdiction over the study/biobank
Scientific committee having jurisdiction over the study/biobank
Another local committee/organization relevant to the study (Approval by an access committee.)
Information regarding fees to access data/samples
Data
Samples
To protect confidentiality, access will be provided in the following format
Samples are anonymized (irreversible�destruction of the identity of the participant)
Data is anonymised (irreversible�destruction of the identity of the participant)
Samples are coded (identification by a code(s), with possible�reversible�process to identify the participant)
Data are coded (identification by a code(s), with possible�reversible�process to identify the participant)
Additional information
Anonymization.
Investigators will be have to
Submit their publications (articles, presentation, etc) to the study for review prior to public disclosure
Periodically report to the study on the uses of data/samples and/or publications made possible thanks to the use of this research material
Recognize the study as a co-author on their publication
Acknowledge the study in their publication (either in the text or in the footnotes)
Others
Study in-house analysis services
| |
Offered |
Mandatory |
| In-house laboratory analysis for applicants |
 |
 |
| In-house statistical analysis for applicants |
 |
 |