[EDITORIAL NOTE]{.underline}: Section II asks for a detailed history of
SUBJECT's relatives on his/her father's side. It is to be filled out by
SUBJECT's father if possible.

[SECTION II]{.underline}. FAther\'s module

SUBJECT ID: F-\|\_\_\|\_\_\|\_\_\|\_\_\|

IF FATHER IS NOT AVAILABLE, ASK RESPONDENT.

Alt. F1. Is (NAME)\'s father still living?

YES 1 (F1)

NO 2

Alt. F2. What was his year of death? How old was he?

\|\_\_\|\_\_\|\_\_\|\_\_\|

YEAR

\|\_\_\|\_\_\|

AGE

Alt F3. What was his cause of death? SHOW CARD L ON PAGE F18.

\|\_\_\|\_\_\|

GO TO F1

Now I have some questions about (NAME)\'s parents. Let\'s start with
you.

F1. What was your date of birth?

\|\_\_\|\_\_\| \|\_\_\|\_\_\| 19 \|\_\_\|\_\_\|

MONTH DAY YEAR

F2. Are you related by blood to (NAME)\'s mother?

YES 1

NO 2

IF YES, SPECIFY

F3. In what country were you born?

F4. Were you born with any abnormal conditions or birth defects listed
there?

YES 1

NO 2 (F6)

DON\'T KNOW 9 (F6)

F5. IF YES, SPECIFY UP TO 3.

\|\_\_\|\_\_\|

\|\_\_\|\_\_\|

\|\_\_\|\_\_\|

F6. Did you ever have cancer?

YES 1

NO 2 (F9)

DON\'T KNOW 9 (F9)

F7. What kind of cancer was it? SHOW CARD J 1. \|\_\_\|\_\_\|

ON PAGE F18.

2\. \|\_\_\|\_\_\|

F8. At what age was the (first/next) cancer diagnosed?

First Cancer 1. \|\_\_\|\_\_\|

AGE IN YRS

Second Cancer 2. \|\_\_\|\_\_\|

AGE IN YRS

F9. Did you ever have a benign tumor? SHOW CARD K ON PAGE F18.

YES 1

NO 2 (F13)

DON\'T KNOW 9 (F13)

F10. SHOW CARD K ON PAGE F18. Please tell me what kind it was.

\|\_\_\|\_\_\|

F11. How old were you when it was diagnosed?

\|\_\_\|\_\_\|

AGE IN YRS

F12. How was the benign tumor treated? Was it treated by surgery or by
observation only?

Observation 1

Surgery 2

F13. What is your main occupation?

F14. How many years of school did you complete?

\|\_\_\|\_\_\|

F15. Are you adopted?

YES 1

NO 2 (F15b)

F15a. Do you know the family history of your biological parents or
siblings?

YES 1

NO 2 (ASK QUESTION F15b AND END THE INTERVIEW

F15b. Have you fathered children by a woman other than (NAME)\'s mother?

YES 1

NO 2

> INTERVIEWER CHECK: REVIEW SIBLING INFORMATION ON PAGE S3. BE SURE THIS
> CHILD HAS BEEN RECORDED. IF NOT, ADD TO SIBLING INFORMATION ON PAGE
> S3.

PATERNAL grandparents of (name)

I am now going to ask you about (NAME)\'s grandparents. We\'ll start
with your father.

+-------------------------------------+---------------+---------------+
|                                     | FATHER\'S     |               |
+-------------------------------------+---------------+---------------+
|                                     | A: FATHER     | B: MOTHER     |
+-------------------------------------+---------------+---------------+
|                                     | \             | \             |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
+-------------------------------------+---------------+---------------+
| F16. What was your                  | \|\_\_\|\_\_\ | \|\_\_\|\_\_\ |
| father\'s/mother\'s year of birth?  | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     |               |               |
|                                     | YEAR          | YEAR          |
+-------------------------------------+---------------+---------------+
| F17. Is (RELATIVE) related by blood | 1             | 1             |
| to his/her spouse/\                 |               |               |
| partner?                            | 2             | 2             |
|                                     |               |               |
| Yes                                 | 9             | 9             |
|                                     |               |               |
| No                                  | \             | \             |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
| DON\'T KNOW                         | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
| IF RELATED, SPECIFY HOW             |               |               |
|                                     | \             | \             |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
+-------------------------------------+---------------+---------------+
| F18. What is (RELATIVE)\'s race?    | 01            | 01            |
| SHOW CARD A                         |               |               |
|                                     | 02            | 02            |
| WHITE, NOT OF HISPANIC ORIGIN       |               |               |
|                                     | 03            | 03            |
| BLACK, NOT OF HISPANIC ORIGIN       |               |               |
|                                     | 04            | 04            |
| ASIAN OR PACIFIC ISLANDER           |               |               |
|                                     | 05            | 05            |
| AMERICAN INDIAN OR ALASKAN          |               |               |
|                                     |               |               |
| NATIVE                              |               |               |
|                                     |               |               |
| HISPANIC                            |               |               |
+-------------------------------------+---------------+---------------+
| F19. In what country was (RELATIVE) | \             | \             |
| born? IF USA, ASK: What country did | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
| his/her people come from before     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
| they came to the US?                | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
+-------------------------------------+---------------+---------------+
| F20. Was (RELATIVE) born with any   | 1             | 1             |
| birth defects or other abnormal     |               |               |
| conditions?                         | 2 (F22)       | 2 (F22)       |
|                                     |               |               |
| Yes                                 | 9 (F22)       | 9 (F22)       |
|                                     |               |               |
| No                                  |               |               |
|                                     |               |               |
| DON\'T KNOW                         |               |               |
+-------------------------------------+---------------+---------------+
| F21. IF YES, SPECIFY UP TO 3.       | \             | \             |
|                                     | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     | \_            | \_            |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     |               |               |
|                                     | \             | \             |
|                                     | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     | \_            | \_            |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     |               |               |
|                                     | \             | \             |
|                                     | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     | \_            | \_            |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
+-------------------------------------+---------------+---------------+
| F22. Did (RELATIVE) ever have       | 1             | 1             |
| cancer?                             |               |               |
|                                     | 2 (F25)       | 2 (F25)       |
| Yes                                 |               |               |
|                                     | 9 (F25)       | 9 (F25)       |
| No                                  |               |               |
|                                     |               |               |
| DON\'T KNOW                         |               |               |
+-------------------------------------+---------------+---------------+

+-------------------------------------+---------------+---------------+
|                                     | FATHER\'S     |               |
+-------------------------------------+---------------+---------------+
|                                     | A: FATHER     | B: MOTHER     |
+-------------------------------------+---------------+---------------+
|                                     | \             | \             |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
+-------------------------------------+---------------+---------------+
| F23. If yes, what type of cancer    | \             | \             |
| was it? SHOW CARD J ON PAGE F18.    | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     | \_            | \_            |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     |               |               |
|                                     | \             | \             |
|                                     | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     | \_            | \_            |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     |               |               |
|                                     | \             | \             |
|                                     | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     | \_            | \_            |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
+-------------------------------------+---------------+---------------+
| F24. At what age was (RELATIVE)     | \             | \             |
| diagnosed with cancer for the first | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
| time? CODE AGE OR 99 = DON\'T KNOW. |               |               |
|                                     | YRS           | YRS           |
+-------------------------------------+---------------+---------------+
| F25. Did (RELATIVE) ever have a     | 1             | 1             |
| benign tumor?\                      |               |               |
| SHOW CARD K ON PAGE F18.            | 2 (F29)       | 2 (F29)       |
|                                     |               |               |
| Yes                                 | 9 (F29)       | 9 (F29)       |
|                                     |               |               |
| No                                  |               |               |
|                                     |               |               |
| DON\'T KNOW                         |               |               |
+-------------------------------------+---------------+---------------+
| F26. SHOW CARD K ON PAGE F18.       | \             | \             |
| Please tell me what kind it was.    | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
+-------------------------------------+---------------+---------------+
| F27. How old was (RELATIVE) in      | \             | \             |
| years when it was diagnosed?        | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     |               |               |
|                                     | AGE IN YRS    | AGE IN YRS    |
+-------------------------------------+---------------+---------------+
| F28. How was the benign tumor       | 1             | 1             |
| treated? Was it treated by surgery  |               |               |
| or observation only?                | 2             | 2             |
|                                     |               |               |
| Observation                         |               |               |
|                                     |               |               |
| Surgery                             |               |               |
+-------------------------------------+---------------+---------------+
| F29. Is he/she still living?        | 1 (F32)       | 1 (F32)       |
|                                     |               |               |
| Yes                                 | 2             | 2             |
|                                     |               |               |
| No                                  | 9 (F32)       | 9 (F32)       |
|                                     |               |               |
| DON\'T KNOW                         |               |               |
+-------------------------------------+---------------+---------------+
| F30. What was his/her year of death | \|\_\_\|\_\_\ | \|\_\_\|\_\_\ |
| and how old was he/she?             | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     |               |               |
|                                     | YEAR          | YEAR          |
|                                     |               |               |
|                                     | \             | \             |
|                                     | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
|                                     |               |               |
|                                     | AGE           | AGE           |
+-------------------------------------+---------------+---------------+
| F31. What was (RELATIVE)\'s cause   | \             | \             |
| of death?\                          | |\_\_\|\_\_\| | |\_\_\|\_\_\| |
| SHOW CARD L ON PAGE F18.            |               |               |
+-------------------------------------+---------------+---------------+
| F32. What is/was (RELATIVE)\'s main | \             | \             |
| occupation?                         | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     |               |               |
|                                     | \             | \             |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
|                                     | \_\_\_\_\_\_\ | \_\_\_\_\_\_\ |
|                                     | _\_\_\_\_\_\_ | _\_\_\_\_\_\_ |
+-------------------------------------+---------------+---------------+
| F33. How many years of school did   | \_\_\_\_\_\_  | \_\_\_\_\_\_  |
| (RELATIVE) complete?                |               |               |
+-------------------------------------+---------------+---------------+

F34. Thinking about all the possible pregnancy outcomes, how many
pregnancies did your mother have?

\|\_\_\|\_\_\|

NUMBER

Did any of your mother\'s pregnancies end in:

Premature live birth? Yes 1 How many? \_\_\_\_\_\_

No 2

Stillbirth at or after 28 weeks? Yes 1 How many? \_\_\_\_\_\_

No 2

Miscarriage before 28 weeks? Yes 1 How many? \_\_\_\_\_\_

No 2

F35. Were there any birth defects or other abnormal conditions
associated with any of your mother\'s pregnancies?

Yes 1

No 2 (F37)

F36. Calling the first pregnancy number 1, the next number 2, etc.,
please tell me the pregnancy number and condition or defect.

PREGNANCY NUMBER \|\_\_\| CONDITION \|\_\_\|\_\_\|

PREGNANCY NUMBER \|\_\_\| CONDITION \|\_\_\|\_\_\|

PREGNANCY NUMBER \|\_\_\| CONDITION \|\_\_\|\_\_\|

PREGNANCY NUMBER \|\_\_\| CONDITION \|\_\_\|\_\_\|

F37. Was your father the father of this/ all these pregnancy(ies)?

Yes 1

No 2 (SPECIFY PREG\[S\]. NOT HIS)

\|\_\_\|\_\_\| \|\_\_\|\_\_\|

F38. How many siblings does/did your mother have (include living and
deceased)?

\|\_\_\|\_\_\| (IF NONE, F52)

NUMBER

F39. Do/did any of her siblings have any birth defects or other abnormal
conditions?

Yes 1

No 2 (F41)

F40. Calling the oldest sibling number 1, the next number 2, etc.,
please tell me the sibling number, sex, and the condition or defect.

SIBLING NUMBER \|\_\_\| M F CONDITION \|\_\_\|\_\_\|

SIBLING NUMBER \|\_\_\| M F CONDITION \|\_\_\|\_\_\|

SIBLING NUMBER \|\_\_\| M F CONDITION \|\_\_\|\_\_\|

SIBLING NUMBER \|\_\_\| M F CONDITION \|\_\_\|\_\_\|

F41. Did any of your mother\'s siblings have cancer?

Yes 1

No 2 (F52)

F42. Which sibling? \|\_\_\|\_\_\| Male or Female? M F

NUMBER

(BIRTH ORDER)

F43. What type of cancer? \|\_\_\|\_\_\|

SHOW CARD J ON PAGE F18.

F44. What year was it diagnosed? \|\_\_\|\_\_\|\_\_\|\_\_\|

YEAR

F44A. How old was he/she? \|\_\_\|\_\_\|

AGE

F45. Is the sibling still living?

Yes 1

No 2

F46. Did any other of your mother\'s siblings have cancer?

Yes 1

No 2 (F52)

F47. Which sibling? \|\_\_\|\_\_\| Male or Female? M F

NUMBER

(BIRTH ORDER)

F48. What type of cancer? \|\_\_\|\_\_\|

SHOW CARD J ON PAGE F18.

F49. What year was it diagnosed? \|\_\_\|\_\_\|\_\_\|\_\_\|

YEAR

F49a. How old was he/she? \|\_\_\|\_\_\|

AGE

F50. Is the sibling still living?

Yes 1

No 2

F52. How many siblings does/did your father have (include living and
deceased)?

\|\_\_\|\_\_\| (IF NONE, F67)

NUMBER

F53. Do/did any of his siblings have any birth defects or other abnormal
conditions?

Yes 1

No 2 (F55)

F54. Calling the oldest sibling number 1, the next number 2, etc.,
please tell me the sibling number, sex, and the condition or defect.

SIBLING NUMBER \|\_\_\| M F CONDITION \|\_\_\|\_\_\|

SIBLING NUMBER \|\_\_\| M F CONDITION \|\_\_\|\_\_\|

SIBLING NUMBER \|\_\_\| M F CONDITION \|\_\_\|\_\_\|

SIBLING NUMBER \|\_\_\| M F CONDITION \|\_\_\|\_\_\|

F55. Did any of your father\'s siblings have cancer?

Yes 1

No 2 (F67)

F56. Which sibling? \|\_\_\|\_\_\| Male or Female? M F

NUMBER

(BIRTH ORDER)

F57. What type of cancer? \|\_\_\|\_\_\|

SHOW CARD J ON PAGE F18.

F58. What year was it diagnosed? \|\_\_\|\_\_\|\_\_\|\_\_\|

YEAR

F58a. How old was he/she? \|\_\_\|\_\_\|

AGE

F59. Is the sibling still living?

Yes 1

No 2

F60. Did any other of your father\'s siblings have cancer?

Yes 1

No 2 (F67)

F61. Which sibling? \|\_\_\|\_\_\| Male or Female? M F

NUMBER

(BIRTH ORDER)

F62. What type of cancer? \|\_\_\|\_\_\|

SHOW CARD J ON PAGE F18. NUMBER

F63. What year was it diagnosed? \|\_\_\|\_\_\|\_\_\|\_\_\|

YEAR

F64. How old was he/she? \|\_\_\|\_\_\|

AGE

F65. Is the sibling still living?

Yes 1

No 2

SIBLINGS OF THE SUBJECT\'S FATHER

Now I\'d like to ask about (NAME)\'s aunts and uncles on the father\'s
side (that is, your brothers and sisters). Please don\'t include
siblings who were adopted into your family.

F67. How many biological siblings do/did you have? \|\_\_\|\_\_\| (IF
NONE, F132)

\#

F68. Where are you in the birth order, going from oldest to youngest?
\|\_\_\|

+---------------------------+----------+----------+----------+----------+
|                           | SIBLINGS |          |          |          |
+---------------------------+----------+----------+----------+----------+
| Please tell me the first  | 1st      | 2nd      | 3rd      | 4th      |
| names of all your         | \_\_\_\_ | \_\_\_   | \_\_\_   | \_\_\_   |
| siblings, and name the    | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| siblings in birth order   | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| from oldest to youngest.  |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F69. What is (SIBLING)\'s | 1        | 1        | 1        | 1        |
| relationship to you. SHOW |          |          |          |          |
| CARD G                    | 2        | 2        | 2        | 2        |
|                           |          |          |          |          |
| Full sibling              | 3        | 3        | 3        | 3        |
|                           |          |          |          |          |
| Half sibling by mother    | 9 (GO TO | 9 (GO TO | 9 (GO TO | 9 (GO TO |
|                           |          |          |          |          |
| Half sibling by father    | NEXT     | NEXT     | NEXT     | NEXT     |
|                           |          |          |          |          |
| IF ADOPTED OUT OF FAMILY, | SIBLING) | SIBLING) | SIBLING) | SIBLING) |
|                           |          |          |          |          |
| HISTORY UNKNOWN, CODE 9   |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F70. What was his/her     | \|       | \|       | \|       | \|       |
| year of birth?            | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
|                           | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
+---------------------------+----------+----------+----------+----------+
| F71. CONFIRM: That is a . | 1        | 1        | 1        | 1        |
| . .                       |          |          |          |          |
|                           | 2        | 2        | 2        | 2        |
| Male                      |          |          |          |          |
|                           |          |          |          |          |
| Female                    |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F72. Did (SIBLING) have   | 1        | 1        | 1        | 1        |
| any birth defects or      |          |          |          |          |
| other abnormal            | 2 (F75)  | 2 (F75)  | 2 (F75)  | 2 (F75)  |
| conditions?               |          |          |          |          |
|                           | 9 (F75)  | 9 (F75)  | 9 (F75)  | 9 (F75)  |
| Yes                       |          |          |          |          |
|                           |          |          |          |          |
| No                        |          |          |          |          |
|                           |          |          |          |          |
| DON\'T KNOW               |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F73. SPECIFY 1ST BIRTH    | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| DEFECT.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F74. SPECIFY 2ND BIRTH    | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| DEFECT.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F75. Did (SIBLING) ever   | 1        | 1        | 1        | 1        |
| have cancer?              |          |          |          |          |
|                           | 2 (F78)  | 2 (F78)  | 2 (F78)  | 2 (F78)  |
| Yes                       |          |          |          |          |
|                           | 9 (F78)  | 9 (F78)  | 9 (F78)  | 9 (F78)  |
| No                        |          |          |          |          |
|                           |          |          |          |          |
| DON\'T KNOW               |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F76. If so, what type?    | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| SHOW CARD J ON PAGE F18.  | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F77. What year was it     | 19       | 19       | 19       | 19       |
| diagnosed?                | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| F77a. How old was he/she? |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+

+---------------------------+----------+----------+----------+----------+
|                           | SIBLINGS |          |          |          |
+---------------------------+----------+----------+----------+----------+
|                           | 1st      | 2nd      | 3rd      | 4th      |
|                           | \_\_\_\_ | \_\_\_   | \_\_\_   | \_\_\_   |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
+---------------------------+----------+----------+----------+----------+
| F78. Did (SIBLING) ever   | 1        | 1        | 1        | 1        |
| have a benign tumor?      |          |          |          |          |
|                           | 2 (F82)  | 2 (F82)  | 2 (F82)  | 2 (F82)  |
| SHOW CARD K ON PAGE F18.  |          |          |          |          |
|                           | 9 (F82)  | 9 (F82)  | 9 (F82)  | 9 (F82)  |
| YES                       |          |          |          |          |
|                           |          |          |          |          |
| NO                        |          |          |          |          |
|                           |          |          |          |          |
| DON\'T KNOW               |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F79. Looking at SHOW CARD | 1        | 1        | 1        | 1        |
| K, please tell me what    |          |          |          |          |
| kind of tumor it was.     | 2        | 2        | 2        | 2        |
|                           |          |          |          |          |
| Adenomas colorectal       | 3        | 3        | 3        | 3        |
|                           |          |          |          |          |
| Ovarian fibroma           | 4        | 4        | 4        | 4        |
|                           |          |          |          |          |
| Cardiac fibroma           | 5        | 5        | 5        | 5        |
|                           |          |          |          |          |
| Jaw cysts                 | 6        | 6        | 6        | 6        |
|                           |          |          |          |          |
| Meningioma                | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| Other (SPECIFY)           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
|                           |          |          |          |          |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
+---------------------------+----------+----------+----------+----------+
| F80. How old was          | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| (SIBLING) when the benign | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| tumor was diagnosed?      |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+
| F81. How was the benign   | 1        | 1        | 1        | 1        |
| tumor treated? Was it     |          |          |          |          |
| treated with surgery or   | 2        | 2        | 2        | 2        |
| observation only?         |          |          |          |          |
|                           |          |          |          |          |
| OBSERVATION               |          |          |          |          |
|                           |          |          |          |          |
| SURGERY                   |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F82. How many pregnancies | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| did (SIBLING) parent?     | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| CODE \"99\" IF NOT KNOWN. |          |          |          |          |
|                           | NONE =   | NONE =   | NONE =   | NONE =   |
|                           | 00 (F85) | 00 (F85) | 00 (F85) | 00 (F85) |
+---------------------------+----------+----------+----------+----------+
| F83. Did (SIBLING) (or    | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| partner) have any         |          |          |          |          |
| miscarriages (before 28   | NONE = 0 | NONE = 0 | NONE = 0 | NONE = 0 |
| weeks)?\                  |          |          |          |          |
| Please specify number.    | DK = 9   | DK = 9   | DK = 9   | DK = 9   |
+---------------------------+----------+----------+----------+----------+
| F84. How many live births | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| did (SIBLING) have?       | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F85. Is (SIBLING) living? | 1 (NEXT  | 1 (NEXT  | 1 (NEXT  | 1 (F88)  |
|                           |          |          |          |          |
| Yes                       | SIBLING) | SIBLING) | SIBLING) | 2        |
|                           |          |          |          |          |
| No                        | 2        | 2        | 2        | 9        |
|                           |          |          |          |          |
| DON\'T KNOW               | 9        | 9        | 9        |          |
+---------------------------+----------+----------+----------+----------+
| F86. What was the year of | \|       | \|       | \|       | \|       |
| death and (SIBLING)\'s    | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
| age at death?             | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+
| F87. What was the cause   | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| of death?\                | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| SHOW CARD L ON PAGE F18.  |          |          |          |          |
|                           |          |          |          |          |
| > GO TO NEXT SIBLING OR   |          |          |          |          |
| > F88                     |          |          |          |          |
+---------------------------+----------+----------+----------+----------+

FIRST COUSINS ON FATHER\'S SIDE

Now I would like to ask some questions about the health of (NAME)\'s
first cousins on the father\'s side. First, please give me the first
name of each of your siblings who parented a child, starting with the
oldest. FILL IN SIBLING\'S NAME ABOVE CHILD COLUMNS IN EACH \'FIRST
COUSIN\' BOX, STARTING WITH OLDEST. IF NONE, GO TO QUESTION F132.

Now going to your oldest sibling (NAME OF SIB1), please tell me the
first name of each first cousin, that is every child born to (SIBLING
1). FILL IN NAME UNDER CHILD 1, 2, ETC. IN EACH COLUMN IN FIRST COUSIN
BOX. GO TO NEXT PAGE FOR CHILDREN OF SIBLING 2.

Now we will start with (CHILD 1), the first child of (SIBLING NAME).

+---------------------------+----------+----------+----------+----------+
| \'FIRST COUSINS\' \--     |          |          |          |          |
| CHILDREN OF (FATHER)\'S   |          |          |          |          |
| SIBLINGS                  |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
|                           | SIBLING  |          |          |          |
|                           | 1        |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
+---------------------------+----------+----------+----------+----------+
| Please tell me the first  | CHILD 1  | CHILD 2  | CHILD 3  | CHILD 4  |
| names of each cousin --   |          |          |          |          |
| every child to (SIBLING   | \_\_     | \_\_     | \_\_     | \_\_     |
| 1)                        | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| F88. (CHILD), is that a   | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| boy or a girl?            |          |          |          |          |
|                           | 1        | 1        | 1        | 1        |
| Male                      |          |          |          |          |
|                           | 2        | 2        | 2        | 2        |
| Female                    |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F89. And the year of      | \|       | \|       | \|       | \|       |
| birth?                    | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
|                           | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
+---------------------------+----------+----------+----------+----------+
| F90. Did (COUSIN) have    | 1        | 1        | 1        | 1        |
| any birth defects or      |          |          |          |          |
| other abnormal            | 2 (F93)  | 2 (F93)  | 2 (F93)  | 2 (F93)  |
| conditions?               |          |          |          |          |
|                           |          |          |          |          |
| Yes                       |          |          |          |          |
|                           |          |          |          |          |
| No                        |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F91. Specify 1st birth    | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| defect.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F92. Specify 2nd birth    | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| defect.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F93. Did (COUSIN) ever    | 1        | 1        | 1        | 1        |
| have cancer?              |          |          |          |          |
|                           | 2 (F96)  | 2 (F96)  | 2 (F96)  | 2 (F96)  |
| Yes                       |          |          |          |          |
|                           |          |          |          |          |
| No                        |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F94. What type of cancer? | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| SHOW CARD J ON PAGE F18.  | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F95. What year was it     | \|       | \|       | \|       | \|       |
| diagnosed and how old was | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
| he/she?                   | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+
| F96. Is (COUSIN) living?  | 1 (NEXT  | 1 (NEXT  | 1 (NEXT  | 1 (F99)  |
|                           |          |          |          |          |
| Yes                       | CHILD)   | CHILD)   | CHILD)   | 2        |
|                           |          |          |          |          |
| No                        | 2        | 2        | 2        |          |
+---------------------------+----------+----------+----------+----------+
| F97. What was the cause   | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| of death?\                | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| SHOW CARD L ON PAGE F18.  |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F98. What was the year of | \|       | \|       | \|       | \|       |
| death and how old was     | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
| he/she?                   | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| > GO TO NEXT CHILD OR F99 |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+

+---------------------------+----------+----------+----------+----------+
| \'FIRST COUSINS\' \--     |          |          |          |          |
| CHILDREN OF (FATHER)\'S   |          |          |          |          |
| SIBLINGS                  |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
|                           | SIBLING  |          |          |          |
|                           | 2        |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F99. Please tell me the   | CHILD 1  | CHILD 2  | CHILD 3  | CHILD 4  |
| first name of each cousin |          |          |          |          |
| \-- every child born to   | \_\_     | \_\_     | \_\_     | \_\_     |
| (SIBLING 2). (CHILD) Is   | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| that a boy or a girl?     | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| Male                      |          |          |          |          |
|                           | 1        | 1        | 1        | 1        |
| Female                    |          |          |          |          |
|                           | 2        | 2        | 2        | 2        |
+---------------------------+----------+----------+----------+----------+
| F100. And the year of     | \|       | \|       | \|       | \|       |
| birth?                    | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
|                           | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
+---------------------------+----------+----------+----------+----------+
| F101. Did (COUSIN) have   | 1        | 1        | 1        | 1        |
| any birth defects or      |          |          |          |          |
| other abnormal            | 2 (F104) | 2 (F104) | 2 (F104) | 2 (F104) |
| conditions?               |          |          |          |          |
|                           |          |          |          |          |
| Yes                       |          |          |          |          |
|                           |          |          |          |          |
| No                        |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F102. Specify 1st birth   | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| defect.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F103. Specify 2nd birth   | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| defect.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F104. Did (COUSIN) ever   | 1        | 1        | 1        | 1        |
| have cancer?              |          |          |          |          |
|                           | 2 (F107) | 2 (F107) | 2 (F107) | 2 (F107) |
| Yes                       |          |          |          |          |
|                           |          |          |          |          |
| No                        |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F105. What type of        | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| cancer? SHOW CARD J ON    | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| PAGE F18.                 |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F106. What year was it    | \|       | \|       | \|       | \|       |
| diagnosed and how old was | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
| she/he?                   | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+
| F107. Is (COUSIN) living? | 1 (NEXT  | 1 (NEXT  | 1 (NEXT  | 1 (F110) |
|                           |          |          |          |          |
| Yes                       | CHILD)   | CHILD)   | CHILD)   | 2        |
|                           |          |          |          |          |
| No                        | 2        | 2        | 2        |          |
+---------------------------+----------+----------+----------+----------+
| F108. What was the cause  | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| of death?\                | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| SHOW CARD L ON PAGE F18.  |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F109. What was the year   | \|       | \|       | \|       | \|       |
| of death and how old was  | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
| he/she?                   | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| > GO TO NEXT CHILD OR     |          |          |          |          |
| > F110                    | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+

+---------------------------+----------+----------+----------+----------+
| \'FIRST COUSINS\' \--     |          |          |          |          |
| CHILDREN OF (FATHER)\'S   |          |          |          |          |
| SIBLINGS                  |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
|                           | SIBLING  |          |          |          |
|                           | 3        |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F110. Please tell me the  | CHILD 1  | CHILD 2  | CHILD 3  | CHILD 4  |
| first name of each cousin |          |          |          |          |
| \-- every child born to   | \_\_     | \_\_     | \_\_     | \_\_     |
| (SIBLING 3). (CHILD) Is   | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| that a boy or a girl?     | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| Male                      |          |          |          |          |
|                           | 1        | 1        | 1        | 1        |
| Female                    |          |          |          |          |
|                           | 2        | 2        | 2        | 2        |
+---------------------------+----------+----------+----------+----------+
| F111. And the year of     | \|       | \|       | \|       | \|       |
| birth?                    | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
|                           | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
+---------------------------+----------+----------+----------+----------+
| F112. Did (COUSIN) have   | 1        | 1        | 1        | 1        |
| any birth defects or      |          |          |          |          |
| other abnormal            | 2 (F115) | 2 (F115) | 2 (F115) | 2 (F115) |
| conditions?               |          |          |          |          |
|                           |          |          |          |          |
| Yes                       |          |          |          |          |
|                           |          |          |          |          |
| No                        |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F113. Specify 1st birth   | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| defect.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F114. Specify 2nd birth   | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| defect.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F115. Did (COUSIN) ever   | 1        | 1        | 1        | 1        |
| have cancer?              |          |          |          |          |
|                           | 2 (F118) | 2 (F118) | 2 (F118) | 2 (F118) |
| Yes                       |          |          |          |          |
|                           |          |          |          |          |
| No                        |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F116. What type of        | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| cancer? SHOW CARD J ON    | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| PAGE F18.                 |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F117. What year was it    | \|       | \|       | \|       | \|       |
| diagnosed and how old was | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
| she/he?                   | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+
| F118. Is (COUSIN) living? | 1 (NEXT  | 1 (NEXT  | 1 (NEXT  | 1 (F121) |
|                           |          |          |          |          |
| Yes                       | CHILD)   | CHILD)   | CHILD)   | 2        |
|                           |          |          |          |          |
| No                        | 2        | 2        | 2        |          |
+---------------------------+----------+----------+----------+----------+
| F119. What was the cause  | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| of death?\                | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| SHOW CARD L ON PAGE F18.  |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F120. What was the year   | \|       | \|       | \|       | \|       |
| of death and how old was  | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
| he/she?                   | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| > GO TO NEXT CHILD OR     |          |          |          |          |
| > F121                    | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+

+---------------------------+----------+----------+----------+----------+
| \'FIRST COUSINS\' \--     |          |          |          |          |
| CHILDREN OF (FATHER)\'S   |          |          |          |          |
| SIBLINGS                  |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
|                           | SIBLING  |          |          |          |
|                           | 4        |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
|                           | \_\_\_\_ |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F121. Please tell me the  | CHILD 1  | CHILD 2  | CHILD 3  | CHILD 4  |
| first name of each cousin |          |          |          |          |
| \-- every child born to   | \_\_     | \_\_     | \_\_     | \_\_     |
| (SIBLING 4). (CHILD) Is   | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| that a boy or a girl?     | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
|                           | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ | \_\_\_\_ |
| Male                      |          |          |          |          |
|                           | 1        | 1        | 1        | 1        |
| Female                    |          |          |          |          |
|                           | 2        | 2        | 2        | 2        |
+---------------------------+----------+----------+----------+----------+
| F122. And the year of     | \|       | \|       | \|       | \|       |
| birth? \[CODE AS YYYY\]   | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
|                           | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
+---------------------------+----------+----------+----------+----------+
| F123. Did (COUSIN) have   | 1        | 1        | 1        | 1        |
| any birth defects or      |          |          |          |          |
| other abnormal            | 2 (F126) | 2 (F126) | 2 (F126) | 2 (F126) |
| conditions?               |          |          |          |          |
|                           |          |          |          |          |
| Yes                       |          |          |          |          |
|                           |          |          |          |          |
| No                        |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F124. Specify 1st birth   | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| defect.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F125. Specify 2nd birth   | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| defect.                   | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
+---------------------------+----------+----------+----------+----------+
| F126. Did (COUSIN) ever   | 1        | 1        | 1        | 1        |
| have cancer?              |          |          |          |          |
|                           | 2 (F129) | 2 (F129) | 2 (F129) | 2 (F129) |
| Yes                       |          |          |          |          |
|                           |          |          |          |          |
| No                        |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F127. What type of        | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| cancer? SHOW CARD J ON    | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| PAGE F18.                 |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F128. What year was it    | \|       | \|       | \|       | \|       |
| diagnosed and how old was | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
| she/he?                   | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+
| F129. Is (COUSIN) living? | 1 (NEXT  | 1 (NEXT  | 1 (NEXT  | 1 (F132) |
|                           |          |          |          |          |
| Yes                       | CHILD)   | CHILD)   | CHILD)   | 2        |
|                           |          |          |          |          |
| No                        | 2        | 2        | 2        |          |
+---------------------------+----------+----------+----------+----------+
| F130. What was the cause  | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
| of death?\                | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| SHOW CARD L ON PAGE F18.  |          |          |          |          |
+---------------------------+----------+----------+----------+----------+
| F131. What was the year   | \|       | \|       | \|       | \|       |
| of death and how old was  | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ | \_\_\|\_ |
| he/she?                   | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ | \_\|\_\_ |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
| > GO TO NEXT CHILD OR     |          |          |          |          |
| > F132                    | YEAR     | YEAR     | YEAR     | YEAR     |
|                           |          |          |          |          |
|                           | \|\_\_   | \|\_\_   | \|\_\_   | \|\_\_   |
|                           | \|\_\_\| | \|\_\_\| | \|\_\_\| | \|\_\_\| |
|                           |          |          |          |          |
|                           | AGE      | AGE      | AGE      | AGE      |
+---------------------------+----------+----------+----------+----------+

+-------------------------+---------------------+---------------------+
|                         | RELATIVE 1          | RELATIVE 2          |
+-------------------------+---------------------+---------------------+
| F132. Are there any     | YES 1               | YES 1               |
| other relatives on your |                     |                     |
| side who have or had    | NO 2 (F136)         | NO 2 (F136)         |
| cancer?                 |                     |                     |
+-------------------------+---------------------+---------------------+
| F133. How are they      |                     |                     |
| related to you?         |                     |                     |
+-------------------------+---------------------+---------------------+
| F134. What kind of      | \|\_\_\|\_\_\|      | \|\_\_\|\_\_\|      |
| cancer? SHOW CARD J ON  |                     |                     |
| PAGE F18.               |                     |                     |
+-------------------------+---------------------+---------------------+
| F135. How old was this  | \|\_\_\|\_\_\|      | \|\_\_\|\_\_\|      |
| relative when it was    |                     |                     |
| diagnosed?              | AGE                 | AGE                 |
+-------------------------+---------------------+---------------------+

Record Details Below

+-------------------------+---------------------+---------------------+
|                         | RELATIVE 1          | RELATIVE 2          |
+-------------------------+---------------------+---------------------+
| F136. Are there any     | YES 1               | YES 1               |
| other relatives on your |                     |                     |
| side who have or had a  | NO 2 (END)          | NO 2 (END)          |
| benign tumor? SHOW CARD |                     |                     |
| K ON PAGE F18.          |                     |                     |
+-------------------------+---------------------+---------------------+
| F137. How are they      |                     |                     |
| related?                |                     |                     |
+-------------------------+---------------------+---------------------+
| F138. What kind of      | \|\_\_\|\_\_\|      | \|\_\_\|\_\_\|      |
| tumor? SHOW CARD K ON   |                     |                     |
| PAGE F18.               |                     |                     |
+-------------------------+---------------------+---------------------+
| F139. How old was this  | \|\_\_\|\_\_\|      | \|\_\_\|\_\_\|      |
| relative when it was    |                     |                     |
| diagnosed?              | AGE                 | AGE                 |
+-------------------------+---------------------+---------------------+

Record Details Below

**[SHOW CARD J]{.underline}: TYPE OF CANCER**

1.  Leukemia

2.  Lung

3.  Liver

4.  Pancreas

5.  Spleen

6.  Breast

7.  Ovaries

8.  Prostate

9.  Colon or digestive tract

10. Stomach

11. Skin

12. Brain

13. Other type of cancer, specify (do not code)

14. Not defined but widespread cancer of unknown type

**[SHOW CARD K:]{.underline} TYPE OF BENIGN TUMOR**

1 colorectal adenomas

2.  Ovarian fibroma

3.  Cardiac fibroma

4.  Jaw cysts

5.  Meningioma

6.  Other (specify)

**[SHOW CARD L]{.underline}: CAUSE OF DEATH**

1.  Cancer, specify type

2.  Accident

3.  Heart disease/attack

4.  Stroke (clot of blood in brain)

5.  Natural causes (old age)

6.  Infection

7.  Spina bifida-related complications

8.  Renal failure

9.  Other, specify