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Demographics Form Short

1,502 Shared Subjects

Clinical Assessments
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Query Element Name Data Type Size Required Description Value Range Notes Aliases
subjectkey GUID Required The NDAR Global Unique Identifier (GUID) for research subject NDAR*
src_subject_id String 20 Required Subject ID how it's defined in lab/project subject_id
interview_date Date Required Date on which the interview/genetic test/sampling/imaging/biospecimen was completed. MM/DD/YYYY date_ctq, v2_ctq_date
interview_age Integer Required Age in months at the time of the interview/test/sampling/imaging. 0 :: 1260 Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month. v2_ctq_age
sex String 20 Required Sex of subject at birth M;F; O; NR M = Male; F = Female; O=Other; NR = Not reported gender
Query race String 30 Recommended Race of study subject
American Indian/Alaska Native; Asian; Hawaiian or Pacific Islander; Black or African American; White; More than one race; Unknown or not reported; Other Non-White; Other
Query ethnicity String 30 Recommended Ethnicity of participant
Hispanic or Latino; Not Hispanic or Latino; Unknown
Query demo_maritial_status Integer Recommended Marital Status: 1 :: 7 1=Single/Never married; 2=Married or living with someone as if married; 3= Divorced or annulled; 4= Separated; 5=Widowed; 6=Other; 7= Remarried dem3
Query dem4 Integer Recommended Please check the highest level of schooling that you completed. 1::8 1=Elementary school; 2=Junior high school; 3=High school; 4=Some college; 5=Technical school; 6= Junior college; 7=Four-year college; 8= Graduate or professional school
Query educat Float Recommended Number of years in formal education 999=Unknown/Missing dem5, year_of_education
resp_occupation String 255 Recommended Respondent's occupation dem6
Query fmincome String 100 Recommended family income
under 10,000; under 25,000; between 10,000 and 25,000;25,000 to 49,999;50,000 to 74,999;75,000 to 99,999; above 100,000; 100,000 to 124,999;125,000 and above;not provided
Query cepisode String 150 Recommended Current diagnosis diagnosis
Query smoker Integer Recommended Smoker? 0 :: 4; 9 0=No; 1=Yes; 2= Yes, but not regularly (less than 10 per day); 3= Yes, regularly (10 or more a day); 4= Former smoker; 9=NK/missing current_cigarette_status
Query smoke_current_packs Float Recommended how many packs per day if yes? 0::10 current_cigarette_packs_per_day
Query current_medication String 300 Recommended subject's current medications
Query mental_ill Integer Recommended Do you have a family history of mental illness? 0;1 0 = No; 1 = Yes family_mental_illness_history
Query notes String 200 Recommended Any additional notes note
Query handedness String 29 Recommended handedness R;L;B;999 R = Right; L = Left; B = Both
Query height Float Recommended Medical history and physical development - Height (inches) inches
weight String 50 Recommended weight
Query bmi Float Recommended body mass index of subject -9 = Missing
demo_arc08 Date Recommended Opiates: Date of last use MM/DD/YYYY
demo_arc01 Integer Recommended What is your usual pattern of employment over the past 3 years? 1 :: 9 1= Full time (40 hours per week); 2= Part time (regular hours); 3= Part time (irregular hours); 4= Student; 5= Military service; 6= Retired, disability; 7= Homemaker; 8= Unemployed ;9= In controlled environment
demo_arc02 Integer Recommended Are you currently taking any medications? 0;1 0= No; 1= Yes
demo_arc03 Integer Recommended Have you used THC in the past 12 months? 0;1 0= No; 1= Yes
demo_arc04 Date Recommended THC: Date of last use MM/DD/YYYY
demo_arc05 Integer Recommended Have you used Cocaine in the past 12 months? 0;1 0= No; 1= Yes
demo_arc06 Date Recommended Cocaine: Date of last use MM/DD/YYYY
demo_arc07 Integer Recommended Have you used Opiates in the past 12 months? 0;1 0= No; 1= Yes
nimh_re_dem_03 Integer Recommended
yearlyincome Integer Recommended What is your current yearly income? Please estimate the wages from all jobs, public assistance, disability, and money earned off the books. 1::7 1 = Under $15,000; 2 = $15,000 - $24,999; 3 = $25,000 - $34,999; 4 = $35,000 - $49,999; 5 = $50,000 - $74,999; 6 = $75,000 - $99,999; 7 = $100,000 and over
demo_wom01 Integer Recommended At present which statement best describes your menstrual cycle? My periods are regular 0;1 0=No; 1=Yes
demo_wom02 Integer Recommended At present which statement best describes your menstrual cycle? My periods are irregular 0;1 0=No; 1=Yes
demo_wom03 Integer Recommended At present which statement best describes your menstrual cycle? I am pregnant, or my last pregnancy ended within the past 2 months 0;1 0=No; 1=Yes
demo_wom04 Integer Recommended At present which statement best describes your menstrual cycle? My periods have stopped due to menopause 0;1 0=No; 1=Yes
demo_wom05 Integer Recommended At present which statement best describes your menstrual cycle? I have had menopause, but now have periods because I am taking hormones 0;1 0=No; 1=Yes
demo_wom06 Integer Recommended At present which statement best describes your menstrual cycle? I have had an operation (surgery) which has stopped my periods 0;1 0=No; 1=Yes
demo_wom07 Integer Recommended At present which statement best describes your menstrual cycle? I am taking a medication other than birth control which has stopped my periods 0;1 0=No; 1=Yes
demo_wom08 Integer Recommended Specify other medications
demo_wom09 Integer Recommended Specify average length of period in days: Number of Days
demo_wom10 Integer Recommended Approximate first date of last period: MM/DD/YYYY
demo_wom11 Integer Recommended Are you currently taking birth control? 0;1 0=No; 1=Yes
demo_wom12 String 500 Recommended If yes, specify the type of birth control:
dem_emp01 Integer Recommended Are you currently employed? 1 :: 4 1= Yes, I work full time, and I am not a student; 2= Yes, I work part time and I am not a student; 3= No, I am not currently employed; 4= I am a full time student
dem_emp02 Integer Recommended If not employed, why are not you employed? 1 :: 4 1= Because of alcohol or other drug problems; 2= Because of other health problems; 3= Laid Off; 4= Other
dem_emp03 String 500 Recommended If other, please specify why you are not employed:
dem_ment01 String 50 Recommended Did a first degree relative (mother, father, siblings) have any of the following mental health problems? If no mental health problems among first degree relatives, leave this question blank. Anxiety; Depression; Alcoholism; Drug Addiction; Other Mental Health Problem
dem_ment02 String 500 Recommended Other mental health problem, specify:
dem_ment03 String 50 Recommended For each mental health problem checked above, please specify which relative had the problem (e.g., mother, father, sister, brother), if they received treatment for the problem, and if the treatment was inpatient or outpatient:
dem_ment04 Integer Recommended If your mother had alcoholism, did she drink heavily or regularly while she was pregnant with you? 0;1; 88;99 0=No; 1=Yes; 88= Unknown; 99= N/A, my mother did not have alcoholism
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

  • Element Name: This is the standard element name
  • Data Type: Which type of data this element is, e.g. String, Float, File location.
  • Size: If applicable, the character limit of this element
  • Required: This column displays whether the element is Required for valid submissions, Recommended for valid submissions, Conditional on other elements, or Optional
  • Description: A basic description
  • Value Range: Which values can appear validly in this element (case sensitive for strings)
  • Notes: Expanded description or notes on coding of values
  • Aliases: A list of currently supported Aliases (alternate element names)
  • For valid elements with shared data, on the far left is a Filter button you can use to view a summary of shared data for that element and apply a query filter to your Cart based on selected value ranges

At the top of this page you can also:

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