**FAMILY HISTORY OF CANCER QUESTIONNAIRE 1**

**INTRODUCTION**

CONSENT You are eligible for the Family Health Study. The first
interview will take about 20 minutes. May we begin now?\
**\[BEGIN\]**

YES 1

NO 2 (CALL BACK)

  -----------------------------------------------------------------------
  GO TO SECTION A.

  -----------------------------------------------------------------------

FAMILY HISTORY OF CANCER QUESTIONNAIRE 1

SECTION A

+-----------------------------------------------------------------------+
| **INTRODUCTION:**                                                     |
+-----------------------------------------------------------------------+
| You may not know the answers to all the questions I ask you. That's   |
| okay, just give me your best guess or simply say that you don't know. |
| If you remember the answer to a question later in the interview,      |
| please let me know and I'll record it.                                |
|                                                                       |
| First, I would like to ask you some questions about yourself.         |
+-----------------------------------------------------------------------+
|                                                                       |
+-----------------------------------------------------------------------+

A1. What is your date of birth?

**\[RESP.QA1MM\] \[RESP.QA1DD\] \[RESP.QA1YYYY\]**

\|\_\_\_\|\_\_\_\| -- \|\_\_\_\|\_\_\_\| --
\|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

MONTH DAY YEAR

+-----------------------------------------------------------------------+
| BOX A-1                                                               |
|                                                                       |
| IF YEAR IN A1 = 7 OR 8 (RF OR DK), CONTINUE WITH A1a.                 |
|                                                                       |
| ELSE CATI WILL CALCULATE AGE BASED ON DOB OR YEAR OF BIRTH. IF AGE    |
| \<25 OR \>64, GO TO THANK04 (SEE SCREENER). ELSE CONTINUE WITH A2.    |
+-----------------------------------------------------------------------+

A1a. What is your age?

**\[RESP.QA1BAGE\]**

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

AGE

+-----------------------------------------------------------------------+
| BOX A-2                                                               |
|                                                                       |
| IF AGE IN A1a = 7 OR 8 (RF OR DK), CONTINUE WITH A1b. ELSE, IF THE    |
| AGE IN A1a \< 25 OR \>64, GO TO THANK04 (SEE SCREENER).               |
|                                                                       |
| ELSE CONTINUE WITH A2.                                                |
+-----------------------------------------------------------------------+

A1b. Would you describe yourself as:

\[IF R SAYS RF OR DK, SAY: This information is important in order to
continue with the interview.\]

**\[RESP.QA1A\]**

25 to 34 years old, 1

35 to 44 years old, 2

45 to 54 years old, or 3

55 to 64 years old? 4

YOUNGER THAN 25 OR OLDER THAN 64 5

REFUSED 7

DON'T KNOW 8

+-----------------------------------------------------------------------+
| BOX A-3                                                               |
|                                                                       |
| If A1b = 5 (\<25 OR \> 64), GO TO THANK04 (SEE SCREENER).             |
|                                                                       |
| IF A1b = 7, 8 (RF, DK), GO TO THANK03 (SEE SCREENER). ELSE, CONTINUE  |
| WITH A2.                                                              |
+-----------------------------------------------------------------------+

A2. The next questions ask about cancer. Throughout this interview when
we ask about cancer, include all types of cancer or malignant tumors.

Have you ever had cancer?

**\[RESP.QA2\]**

YES 1 (GO TO A4)

NO 2 (GO TO A3)

REFUSED 7 (GO TO A3)

DON'T KNOW 8 (GO TO A2a)

A2a. IF R ANSWERS DK TO A2 BUT OFFERS ANY MEDICAL/HEALTH INFORMATION,
SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RESP.QA2COMM1\] \[RESP.QA2COMM2\] \[RESP.QA2COMM3\]**

> To the best of your knowledge, would you say that you:
>
> **\[RESP.QA2PROBE\]**

Did have cancer, 1 (GO TO A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

A3. Would you say your chance of getting cancer in the future is:

\[IF NEEDED, LOW =BELOW AVERAGE, MEDIUM =AVERAGE, HIGH =ABOVE AVERAGE.\]

**\[RESP.QA3\]**

Low, 1 (GO TO SECTION B)

Medium, or 2 (GO TO SECTION B)

High? 3 (GO TO SECTION B)

**R'S FIRST REPORTED PRIMARY CANCER**

A4. What type of cancer did you have, or in what specific part of the
body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY: Please
tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER
TYPE/SITE:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX A-4                                                               |
|                                                                       |
| IF A4 = RF OR DK, GO TO A5.                                           |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}:** SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
A4 PROBES*

A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO A4d)

DON'T KNOW 8 (GO TO A4d)

A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX A-5                                                               |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (A4b = 1 (YES)                |
| [AND]{.underline} A4c = 2 (NO), GO TO A-9                             |
+-----------------------------------------------------------------------+

A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX A-6                                                               |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN A5, GO TO A6. ELSE CONTINUE WITH A5a.     |
+-----------------------------------------------------------------------+

A5a. Can you give me an estimate of when you were diagnosed? \[IF
NEEDED: Were you.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In your                              1800 to 1809 10          1900 to 1909 10
  teens,................ 1                                      

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX A-7                                                               |
|                                                                       |
| IF AGE RANGE IN A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO A6.     |
|                                                                       |
| IF A5a = 97 OR 98 (DK OR RF), GO TO A5c. ELSE, CONTINUE WITH A5b.     |
+-----------------------------------------------------------------------+

A5b. Would you say that was:

**\[CANC.TIMEAGE\] OR \[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN A5b}, 1 (GO TO A6)

Mid {AGE RANGE/YEAR RANGE IN A5b}, or 2 (GO TO A6)

Late {AGE RANGE/YEAR RANGE IN A5b} 3 (GO TO A6)

A5c. Would you say that you were under 50 when you were diagnosed with
this cancer, or were you 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

A6. Where were you [living]{.underline} when this {Cancer type/site} was
first diagnosed, that is, in what state?

**\[CANC.QA6\]**

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

STATE

DK 8 (GO TO A8)

RF 7 (GO TO A8)

OTHER (SPECIFY) 91

**\[CANC.QA6OV\]**

A7. And was the doctor or medical facility that made the diagnosis
located in {FULL NAME OF PLACE GIVEN IN A6}?

**\[CANC.QA7\]**

YES 1 (GO TO A9)

NO 2

DK 8 (GO TO A9)

RF 7 (GO TO A9)

A8. Where was the doctor of medical facility that made the diagnosis
located, that is, in what state?

**\[CANC.QA8\]**

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

STATE

OTHER (SPECIFY) 91

**\[CANC.QA8OV\]**

A9. Have you ever had any other kind of cancer?

**\[RESP.QA9\]**

YES 1 (GO TO A10)

NO 2 (GO TO SECTION B)

REFUSED 7 (GO TO SECTION B)

DON'T KNOW 8 (GO TO A9a)

A9a. IF R ANSWERS DK TO A9 BUT OFFERS ANY MEDICAL/HEALTH INFORMATION,
SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RESP.QA9COM1\] \[RESP.QA9COM2\]**

To the best of your knowledge, would you say that you

**\[RESP.QA9PROBE\]**

Did have another cancer, 1 (GO TO A10)

Did [not]{.underline} have another cancer, or 2 (GO TO SECTION B)

You're not sure? 3 (GO TO SECTION B)

**R'S SECOND REPORTED PRIMARY CANCER**

A10. What type of cancer did you have, or in what specific part of the
body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY: Please
tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER
TYPE/SITE:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX A-8                                                               |
|                                                                       |
| IF A4 = RF OR DK, GO TO A11.                                          |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
A10 PROBES*

A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO A10d)

DON'T KNOW 8 (GO TO A10d)

A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX A-9                                                               |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (A10b=1 [AND]{.underline}       |
| A10c=2), GO TO A15                                                    |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (A10b=1 [AND]{.underline} A10c=1, 7, OR 8), GO TO A11.                |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN A10e          |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO A11)

A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did it
spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO A15)

REFUSED 7

DON'T KNOW 8

A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX A-10                                                              |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN A11, GO TO A12. ELSE CONTINUE WITH A11a.  |
+-----------------------------------------------------------------------+

A11a. Can you give me an estimate of when you were diagnosed? \[IF
NEEDED: Were you.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In your                              1800 to 1809 10          1900 to 1909 10
  teens,................ 1                                      

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX A-11                                                              |
|                                                                       |
| IF A11a = 97 OR 98 (DK OR RF), GO TO A11c.                            |
|                                                                       |
| IF AGE RANGE IN A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO A12.   |
|                                                                       |
| ELSE, CONTINUE WITH A11b.                                             |
+-----------------------------------------------------------------------+

A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN A11a}, 1 (GO TO A12)

Mid {AGE RANGE/YEAR RANGE IN A11a}, or 2 (GO TO A12)

Late {AGE RANGE/YEAR RANGE IN A11a} 3 (GO TO A12)

A11c. Would you say that you were under 50 when you were diagnosed with
this cancer, or were you 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

A12. Where were you [living]{.underline} when this {Cancer type/site}
was first diagnosed, that is, in what state?

**\[CANC.QA6\]**

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

STATE

DK 8 (GO TO A14)

RF 7 (GO TO A14)

OTHER (SPECIFY) 91

> **\[CANC.QA6OV\]**

A13. And was the doctor or medical facility that made the diagnosis
located in {FULL NAME OF PLACE GIVEN IN A12}?

**\[CANC.QA7\]**

YES 1 (GO TO A15)

NO 2

DK 8 (GO TO A15)

RF 7 (GO TO A15)

A14. Where was the doctor of medical facility that made the diagnosis
located, that is, in what state?

**\[CANC.QA8\]**

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

STATE

OTHER (SPECIFY) 91

**\[CANC.QA8OV\]**

A15. \[IF COMING FROM A10F SAY: I won't ask any other questions about
this cancer since it's not the original cancer site, but\] have you ever
had any other kind of cancer?

**\[RESP.QA9\]**

YES 1 (GO TO BOX A-12)

NO 2 (GO TO BOX A-13)

REFUSED 7 (GO TO BOX A-13)

DON'T KNOW 8 (GO TO A15a)

BOX A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO A17 TO COLLECT THIRD PRIMARY
CANCER

A15a. IF R ANSWERS DK TO A15 BUT OFFERS ANY MEDICAL/HEALTH INFORMATION,
SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RESP.QA9COM1\] \[RESP.QA9COM2\]**
>
> To the best of your knowledge, would you say that you

**\[RESP.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX A-13                                                              |
|                                                                       |
| IF R'S FIRST REPORTED CANCER IS A SKIN CANCER (A4 = 1), GO TO SECTION |
| B. ELSE, GO TO A16.                                                   |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE A16 WITHOUT ASKING TO
ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK A16a.*

A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (SECTION B)

> A16a. Let's return to the first cancer you reported, the (FIRST CANCER
> TYPE). Did this cancer actually start in the (CANCER SITE) or did it
> spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1 (SECTION B)

SPREAD THERE 2 (SECTION B)

**R'S THIRD REPORTED PRIMARY CANCER**

A17. What type of cancer did you have, or in what specific part of the
body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY: Please
tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER
TYPE/SITE:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX A-14                                                              |
|                                                                       |
| IF A17 = RF OR DK, GO TO A18.                                         |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
A17 PROBES*

A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO A17d)

DON'T KNOW 8 (GO TO A17d)

A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX A-15                                                              |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (A17b=1 [AND]{.underline}       |
| A17c=2), GO TO BOX A-19                                               |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (A17b=1 [AND]{.underline} A17c=1, 7, OR 8), GO TO A18.                |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN A17e          |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE OF
THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND, BONE,
BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO A18)

A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did it
spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO A22)

REFUSED 7

DON'T KNOW 8

A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX A-16                                                              |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN A18, GO TO A19. ELSE CONTINUE WITH A18a.  |
+-----------------------------------------------------------------------+

A18a. Can you give me an estimate of when you were diagnosed? \[IF
NEEDED: Were you.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In your                              1800 to 1809 10          1900 to 1909 10
  teens,................ 1                                      

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX A-17                                                              |
|                                                                       |
| IF A18a = 97 OR 98 (DK OR RF), GO TO A18c.                            |
|                                                                       |
| IF AGE RANGE IN A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO A19.   |
|                                                                       |
| ELSE, CONTINUE WITH A18b.                                             |
+-----------------------------------------------------------------------+

A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN A18a}, 1 (GO TO A19)

Mid {AGE RANGE/YEAR RANGE IN A18a}, or 2 (GO TO A19)

Late {AGE RANGE/YEAR RANGE IN A18a} 3 (GO TO A19)

A18c. Would you say that you were under 50 when you were diagnosed with
this cancer, or were you 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

A19. Where were you [living]{.underline} when this {Cancer type/site}
was first diagnosed, that is, in what state?

**\[CANC.QA6\]**

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

STATE

DK 8 (GO TO A21)

RF 7 (GO TO A21)

OTHER (SPECIFY) 91

**\[CANC.QA6OV\]**

A20. And was the doctor or medical facility that made the diagnosis
located in {FULL NAME OF PLACE GIVEN IN A19}?

**\[CANC.QA7\]**

YES 1 (GO TO BOX A-18)

NO 2

DK 8 (GO TO BOX A-18)

RF 7 (GO TO BOX A-18)

A21. Where was the doctor of medical facility that made the diagnosis
located, that is, in what state?

**\[CANC.QA8\]**

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

STATE

OTHER (SPECIFY) 91

**\[CANC.QA8OV\]**

BOX A-18

GO TO BOX A-19

A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but have you ever had any other kind of
cancer?

**\[RESP.QA9\]**

YES 1 (GO TO A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX A-19)

REFUSED 7 (GO TO BOX A-19)

DON'T KNOW 8 (GO TO A22a)

A22a. IF R ANSWERS DK TO A22 BUT OFFERS ANY MEDICAL/HEALTH INFORMATION,
SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RESP.QA9COM1\] \[RESP.QA9COM2\]**
>
> To the best of your knowledge, would you say that you

**\[RESP.QA9PROBE\]**

Did have another cancer, 1 (GO TO A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX A-19                                                              |
|                                                                       |
| IF R'S FIRST REPORTED CANCER IS A SKIN CANCER (A4 = 1), GO TO SECTION |
| B. ELSE, GO TO A23.                                                   |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE A23 WITHOUT ASKING TO
ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK A23a.*

A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (SECTION B)

A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1 (SECTION B)

SPREAD THERE 2 (SECTION B)

**SECTION B (DAUGHTERS AND SONS)**

**INTRODUCTION:**

The following questions are about your [blood]{.underline} relatives
including your children, brothers, sisters, nieces, nephews, parents,
grandparents, aunts and uncles. Please include all living and deceased
relatives, even those who died as infants. Please include only
[biological]{.underline} or [blood]{.underline} relatives. Do
[not]{.underline} include step or adopted relatives.

B1. Do you have any biological daughters?

> **\[RESP.QB1\]**

YES 1

NO 2 (GO TO B3)

B2. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

DAUGHTER 1:

DAUGHTER 2:

DAUGHTER 3:

DAUGHTER 4:

\[UP TO DAUGHTER 16\]

B3. Do you have any biological sons?

> **\[RESP.QB3\]**

YES 1

NO 2 (GO TO BOX B-1)

B4. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

SON 1:

SON 2:

SON 3:

SON 4:

\[UP TO SON 16\]

+-----------------------------------------------------------------------+
| BOX B--1                                                              |
|                                                                       |
| IF B1 = 1 (YES) AND/OR B3 = 1(YES), CONTINUE TO B5 FOR FIRST          |
| DAUGHTER/SON LISTED IN B2/B4.                                         |
|                                                                       |
| ELSE, GO TO SECTION C.                                                |
+-----------------------------------------------------------------------+

B5. Is your {daughter/son} {First name} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO B6)

NO 2 (GO TO B7)

DK 8 (GO TO B6)

RF 7 (GO TO B6)

[FOR LIVING DAUGHTER/SON:]{.underline}

B6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX B-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN B6 = RF OR DK, GO TO B6a. ELSE, GO TO B-A2.   |
+-----------------------------------------------------------------------+

B6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX B-3                                                               |
|                                                                       |
| IF B6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO B-A2. ELSE, CONTINUE WITH B6b.                        |
+-----------------------------------------------------------------------+

B6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN B6a}, 1 (GO TO B-A2)

Mid {AGE /YEAR RANGE IN B6a}, or 2 (GO TO B-A2)

Late {AGE / RANGE IN B6a}? 3 (GO TO B-A2)

[FOR DECEASED SON/DAUGHTER:]{.underline}

B7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX B-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN B7, GO TO B8. ELSE, CONTINUE WITH B7a.         |
+-----------------------------------------------------------------------+

B7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

> **\[RELN.QL2AYR\]**

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX B-5                                                               |
|                                                                       |
| IF B7a = RF OR DK, GO TO B8. ELSE, CONTINUE WITH B7b.                 |
+-----------------------------------------------------------------------+

B7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN B7a} 1 (GO TO B8)

Mid {YEAR RANGE IN B7a} or 2 (GO TO B8)

Late {/YEAR RANGE IN B7a} 3 (GO TO B8)

B8. At what age or in what year did your {daughter/son} {First name}
die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF
OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX B-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN B8, GO TO B-A2. ELSE, CONTINUE WITH     |
| B8a.                                                                  |
+-----------------------------------------------------------------------+

B8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX B-7                                                               |
|                                                                       |
| IF B8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO B-A2. ELSE, CONTINUE WITH B8b.                        |
+-----------------------------------------------------------------------+

B8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN B8a}, 1

Mid {AGE YEAR RANGE IN B8a}, or 2

Late {AGE /YEAR RANGE IN B8a}? 3

**CANCER QUESTIONS**

***[NOTE]{.underline}**: THERE IS NO QUESTION B-A1*

B-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO B-A4)

NO 2 (GO TO BOX B-A-1)

REFUSED 7 (GO TO BOX B-A-1)

DON'T KNOW 8 (GO TO B-A2a)

B-A2a. IF R ANSWERS DK TO B-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

> To the best of your knowledge, would you say that {he/she}:
>
> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO B-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX B-A-1

GO TO B5 FOR NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER, GO TO SECTION C

**SON/DAUGHTER'S FIRST REPORTED PRIMARY CANCER**

*[NOTE:]{.underline} THERE IS NO QUESTION B-A3.*

B-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER
TYPE/SITE:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX B-A-2 OR B-A-3*

+-----------------------------------------------------------------------+
| BOX B-A-4                                                             |
|                                                                       |
| IF B-A4 = RF OR DK, GO TO B-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
B-A4 PROBES*

B-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

B-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO B-A4d)

DON'T KNOW 8 (GO TO B-A4d)

B-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

B-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX B-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (B-A4b = 1 (YES)              |
| [AND]{.underline} B-A4c = 2 (NO)), GO TO B-A9                         |
+-----------------------------------------------------------------------+

B-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX B-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN B-A5, GO TO B-A9. ELSE CONTINUE WITH      |
| B-A5a.                                                                |
+-----------------------------------------------------------------------+

B-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX B-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN B-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO B-A9. |
|                                                                       |
| IF B-A5a = 97 OR 98 (DK OR RF), GO TO B-A5c. ELSE, CONTINUE WITH      |
| B-A5b.                                                                |
+-----------------------------------------------------------------------+

B-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN B-A5a}, 1 (GO TO B-A9)

Mid {AGE RANGE/YEAR RANGE IN B-A5a}, or 2 (GO TO B-A9)

Late {AGE RANGE/YEAR RANGE IN B-A5a} 3 (GO TO B-A9)

B-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS B-A6, B-A7, OR B-A8*

B-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO B-A10)

NO 2 (GO TO BOX B-A-7A)

REFUSED 7 (GO TO BOX B-A-7A)

DON'T KNOW 8 (GO TO B-A9a)

B-A9a. IF R ANSWERS DK TO B-A9 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO B-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX B-A-7A)

You're not sure? 3 (GO TO BOX B-A-7A)

BOX B-A-7A

GO TO B5 FOR NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER, GO TO SECTION
C.

SON/DAUGHTER'S SECOND REPORTED PRIMARY CANCER

B-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER
TYPE/SITE:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX B-A-8                                                             |
|                                                                       |
| IF B-A10 = RF OR DK, GO TO B-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
B-A10 PROBES*

B-A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

B-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO B-A10d)

DON'T KNOW 8 (GO TO B-A10d)

> B-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

B-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX B-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (B-A10b=1 [AND]{.underline}     |
| B-A10c=2), GO TO B-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (B-A10b=1 [AND]{.underline} B-A10c=1, 7, OR 8), GO TO B-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN B-A10e        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE B-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK B-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

B-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO B-A11)

B-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO B-A15)

REFUSED 7

DON'T KNOW 8

B-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX B-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN B-A11, GO TO B-A15. ELSE CONTINUE WITH    |
| B-A11a.                                                               |
+-----------------------------------------------------------------------+

B-A11a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX B-A-11                                                            |
|                                                                       |
| IF B-A11a = 97 OR 98 (DK OR RF), GO TO B-A11c.                        |
|                                                                       |
| IF AGE RANGE IN B-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| B-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH B-A11b.                                           |
+-----------------------------------------------------------------------+

B-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN B-A11a}, 1 (GO TO B-A15)

Mid {AGE RANGE/YEAR RANGE IN B-A11a}, or 2 (GO TO B-A15)

Late {AGE RANGE/YEAR RANGE IN B-A11a} 3 (GO TO B-A15)

B-A11c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS B-A12, B-A13, OR B-A14.*

B-A15. \[IF COMING FROM B-A10F SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX B-A-12)

NO 2 (GO TO BOX B-A-13)

REFUSED 7 (GO TO BOX B-A-13)

DON'T KNOW 8 (GO TO B-A15a)

BOX B-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO B-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO B-A17 TO COLLECT THIRD
PRIMARY CANCER

B-A15a. IF R ANSWERS DK TO B-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX B-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX B-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (B-A4b = 1), GO TO NEXT     |
| SON/DAUGHTER. ELSE, GO TO B-A16.                                      |
|                                                                       |
| IF NO MORE SON/DAUGHTER GO TO SECTION C.                              |
+-----------------------------------------------------------------------+

METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE B-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK B-A16a.*

B-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX B-A-13A)

B-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX B-A-13A

GO TO B5 FOR NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER, GO TO SECTION
C.

**DAUGHTER'S/SON'S THIRD REPORTED PRIMARY CANCER**

B-A17. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER
TYPE/SITE:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX B-A-14                                                            |
|                                                                       |
| IF B-A17 = RF OR DK, GO TO B-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
B-A17 PROBES*

B-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

B-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO B-A17d)

DON'T KNOW 8 (GO TO B-A17d)

B-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

B-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX B-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (B-A17b=1 [AND]{.underline}     |
| B-A17c=2), GO TO BOX B-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (B-A17b=1 [AND]{.underline} B-A17c=1, 7, OR 8), GO TO B-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN B-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE B-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK B-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

B-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO B-A18)

B-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO B-A22)

REFUSED 7

DON'T KNOW 8

B-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX B-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN B-A18, GO TO BOX B-A-19. ELSE CONTINUE    |
| WITH B-A18a.                                                          |
+-----------------------------------------------------------------------+

B-A18a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX B-A-17                                                            |
|                                                                       |
| IF B-A18a = 97 OR 98 (DK OR RF), GO TO B-A18c.                        |
|                                                                       |
| IF AGE RANGE IN B-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| B-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH B-A18b.                                           |
+-----------------------------------------------------------------------+

B-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN B-A18a}, 1 (GO TO BOX B-A-19)

Mid {AGE RANGE/YEAR RANGE IN B-A18a}, or 2 (GO TO BOX B-A-19)

Late {AGE RANGE/YEAR RANGE IN B-A18a} 3 (GO TO BOX B-A-19)

> B-A18c. Would you say that {he/she} was under 50 when {he/she} was
> diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX B-A-19)

AGE 50 OR OLDER 2 (GO TO BOX B-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS B-A19, B-A20, OR B-A21
AND NO BOX B-A-18.*

B-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO B-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX B-A-19)

REFUSED 7 (GO TO BOX B-A-19)

DON'T KNOW 8 (GO TO B-A22a)

B-A22a. IF R ANSWERS DK TO B-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO B-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX B-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (B-A4b = 1), GO TO B5 FOR   |
| NEXT SON/DAUGHTER. ELSE, GO TO B-A23.                                 |
|                                                                       |
| IF NO MORE SON/DAUGHTER GO TO SECTION C.                              |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE B-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK B-A23a.*

B-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX B-A-20)

B-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX B-A-20

GO TO B5 FOR NEXT SON/DAUGHTER. IF NO MORE/ SON DAUGHTER, GO TO SECTION
C.

SECTION c (full sisters and brothers)

**INTRODUCTION:**

Now I am going to ask you about your full sisters and brothers, who have
the same biological mother [and]{.underline} father as you.

C1. Do you have any full sisters?

> **\[RESP.QC1\]**

YES 1

NO 2 (GO TO C3)

C2. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

SISTER 1:

SISTER 2:

SISTER 3:

SISTER 4:

\[UP TO SISTER 16\]

C3. Do you have any full brothers?

> **\[RESP.QC3\]**

YES 1

NO 2 (GO TO BOX C-1)

C4. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

BROTHER 1:

BROTHER 2:

BROTHER 3:

BROTHER 4:

\[UP TO BROTHER 16\]

+-----------------------------------------------------------------------+
| BOX C--1                                                              |
|                                                                       |
| IF C1 = 1 (YES) AND/OR C3 = 1(YES), CONTINUE TO C5 FOR FIRST          |
| SISTER/BROTHER LISTED IN C2/C4.                                       |
|                                                                       |
| ELSE, GO TO SECTION F.                                                |
+-----------------------------------------------------------------------+

C5. Is your {sister/brother} {FIRST NAME} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO C6)

NO 2 (GO TO C7)

DK 8 (GO TO C6)

RF 7 (GO TO C6)

[FOR LIVING SISTER/BROTHER:]{.underline}

C6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX C-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN C6 = RF OR DK, GO TO C6a. ELSE, GO TO C-A2.   |
+-----------------------------------------------------------------------+

C6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX C-3                                                               |
|                                                                       |
| IF C6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO C-A2. ELSE, CONTINUE WITH C6b.                        |
+-----------------------------------------------------------------------+

C6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN C6a}, 1 (GO TO C-A2)

Mid {AGE /YEAR RANGE IN C6a}, or 2 (GO TO C-A2)

Late {AGE / RANGE IN C6a}? 3 (GO TO C-A2)

[FOR DECEASED BROTHER/SISTER:]{.underline}

C7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX C-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN C7, GO TO C8. ELSE, CONTINUE WITH C7a.         |
+-----------------------------------------------------------------------+

C7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

> **\[RELN.QL2AYR\]**

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX C-5                                                               |
|                                                                       |
| IF C7a = RF OR DK, GO TO C8. ELSE, CONTINUE WITH C7b.                 |
+-----------------------------------------------------------------------+

C7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN C7a} 1 (GO TO C8)

Mid {YEAR RANGE IN C7a} or 2 (GO TO C8)

Late {/YEAR RANGE IN C7a} 3 (GO TO C8)

C8. At what age or in what year did your {sister/brother} {First name}
die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF
OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX C-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN C8, GO TO C-A2. ELSE, CONTINUE WITH     |
| C8a.                                                                  |
+-----------------------------------------------------------------------+

C8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX C-7                                                               |
|                                                                       |
| IF C8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO C-A2. ELSE, CONTINUE WITH C8b.                        |
+-----------------------------------------------------------------------+

C8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN C8A}, 1

Mid {AGE YEAR RANGE IN C8A}, or 2

Late {AGE /YEAR RANGE IN C8A}? 3

CANCER QUESTIONS

***[NOTE]{.underline}**: THERE IS NO QUESTION C-A1*

C-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO C-A4)

NO 2 (GO TO BOX C-A-1)

REFUSED 7 (GO TO BOX C-A-1)

DON'T KNOW 8 (GO TO C-A2a)

C-A2a. IF R ANSWERS DK TO C-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

> To the best of your knowledge, would you say that {he/she}:
>
> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO C-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX C-A-1

GO TO C5 FOR NEXT BROTHER/SISTER.

IF NO MORE BROTHER/SISTER, AND R REPORTED ONE OR MORE SISTERS (C1=1) GO
TO SECTION D. ELSE IF R HAS NO SISTERS, BUT REPORTED ONE OR MORE
BROTHERS (D3=1), GO TO SECTION E. ELSE IF R HAS NO SISTERS OR BROTHERS
GO TO SECTION F.

**BROTHER/SISTER'S FIRST REPORTED PRIMARY CANCER**

*[NOTE]{.underline}: THERE IS NO QUESTION C-A3.*

C-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX C-A-2 OR C-A-3*

+-----------------------------------------------------------------------+
| BOX C-A-4                                                             |
|                                                                       |
| IF C-A4 = RF OR DK, GO TO C-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
C-A4 PROBES*

C-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

C-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO C-A4d)

DON'T KNOW 8 (GO TO C-A4d)

C-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

C-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX C-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (C-A4b = 1 (YES)              |
| [AND]{.underline} C-A4c = 2 (NO)), GO TO C-A9                         |
+-----------------------------------------------------------------------+

C-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX C-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN C-A5, GO TO C-A9. ELSE CONTINUE WITH      |
| C-A5a.                                                                |
+-----------------------------------------------------------------------+

C-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX C-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN C-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO C-A9. |
|                                                                       |
| IF C-A5a = 97 OR 98 (DK OR RF), GO TO C-A5c. ELSE, CONTINUE WITH      |
| C-A5b.                                                                |
+-----------------------------------------------------------------------+

C-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN C-A5A}, 1 (GO TO C-A9)

Mid {AGE RANGE/YEAR RANGE IN C-A5A}, or 2 (GO TO C-A9)

Late {AGE RANGE/YEAR RANGE IN C-A5A} 3 (GO TO C-A9)

C-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS C-A6, C-A7, OR C-A8*

C-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO C-A10)

NO 2 (GO TO BOX C-A-7A)

REFUSED 7 (GO TO BOX C-A-7A)

DON'T KNOW 8 (GO TO C-A9a)

> C-A9a. IF R ANSWERS DK TO C-A9 BUT OFFERS ANY MEDICAL/HEALTH
> INFORMATION, SUMMARIZE HERE:
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO C-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX C-A-7A)

You're not sure? 3 (GO TO BOX C-A-7A)

BOX C-A-7A

GO TO C5 FOR NEXT BROTHER/SISTER.

IF NO MORE BROTHER/SISTER, AND R REPORTED ONE OR MORE SISTERS (C1=1) GO
TO SECTION D. ELSE IF R HAS NO SISTERS, BUT REPORTED ONE OR MORE
BROTHERS (D3=1), GO TO SECTION E. ELSE IF R HAS NO SISTERS OR BROTHERS
GO TO SECTION F.

**BROTHER/SISTER'S SECOND REPORTED PRIMARY CANCER**

C-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX C-A-8                                                             |
|                                                                       |
| IF C-A10 = RF OR DK, GO TO C-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
C-A10 PROBES*

C-A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

C-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO C-A10d)

DON'T KNOW 8 (GO TO C-A10d)

C-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

C-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX C-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (C-A10b=1 [AND]{.underline}     |
| C-A10c=2), GO TO C-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (C-A10b=1 [AND]{.underline} C-A10c=1, 7, OR 8), GO TO C-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN C-A10e        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE C-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK C-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

C-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO C-A11)

C-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO C-A15)

REFUSED 7

DON'T KNOW 8

C-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX C-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN C-A11, GO TO C-A15. ELSE CONTINUE WITH    |
| C-A11a.                                                               |
+-----------------------------------------------------------------------+

C-A11a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX C-A-11                                                            |
|                                                                       |
| IF C-A11a = 97 OR 98 (DK OR RF), GO TO C-A11c.                        |
|                                                                       |
| IF AGE RANGE IN C-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| C-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH C-A11b.                                           |
+-----------------------------------------------------------------------+

C-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN C-A11a}, 1 (GO TO C-A15)

Mid {AGE RANGE/YEAR RANGE IN C-A11a}, or 2 (GO TO C-A15)

Late {AGE RANGE/YEAR RANGE IN C-A11a} 3 (GO TO C-A15)

C-A11c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS C-A12, C-A13, OR C-A14.*

C-A15. \[IF COMING FROM C-A10F SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX C-A-12)

NO 2 (GO TO BOX C-A-13)

REFUSED 7 (GO TO BOX C-A-13)

DON'T KNOW 8 (GO TO C-A15a)

BOX C-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO C-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO C-A17 TO COLLECT THIRD
PRIMARY CANCER

C-A15a. IF R ANSWERS DK TO C-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX C-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX C-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (C-A4b = 1), GO TO NEXT     |
| BROTHER/SISTER. ELSE, GO TO C-A16.                                    |
|                                                                       |
| IF NO MORE BROTHER/SISTER, AND R REPORTED ONE OR MORE SISTERS (C1=1)  |
| GO TO SECTION D. ELSE IF R HAS NO SISTERS, BUT REPORTED ONE OR MORE   |
| BROTHERS (D3=1), GO TO SECTION E. ELSE IF R HAS NO SISTERS OR         |
| BROTHERS GO TO SECTION F.                                             |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE C-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK C-A16a.*

C-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX C-A-13A)

C-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX C-A-13A

GO TO C5 FOR NEXT BROTHER/SISTER.

IF NO MORE BROTHER/SISTER, AND R REPORTED ONE OR MORE SISTERS (C1=1) GO
TO SECTION D. ELSE IF R HAS NO SISTERS, BUT REPORTED ONE OR MORE
BROTHERS (D3=1), GO TO SECTION E. ELSE IF R HAS NO SISTERS OR BROTHERS
GO TO SECTION F.

**SISTER'S/BROTHER'S THIRD REPORTED PRIMARY CANCER**

C-A17. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX C-A-14                                                            |
|                                                                       |
| IF C-A17 = RF OR DK, GO TO C-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
C-A17 PROBES*

C-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

C-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO C-A17d)

DON'T KNOW 8 (GO TO C-A17d)

C-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

C-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX C-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (C-A17b=1 [AND]{.underline}     |
| C-A17c=2), GO TO BOX C-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (C-A17b=1 [AND]{.underline} C-A17c=1, 7, OR 8), GO TO C-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN C-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE C-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK C-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

C-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO C-A18)

C-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO C-A22)

REFUSED 7

DON'T KNOW 8

C-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX C-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN C-A18, GO TO BOX C-A-19. ELSE CONTINUE    |
| WITH C-A18a.                                                          |
+-----------------------------------------------------------------------+

> C-A18a. Can you give me an estimate of when {he/she} was diagnosed?
> \[IF NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX C-A-17                                                            |
|                                                                       |
| IF C-A18a = 97 OR 98 (DK OR RF), GO TO C-A18c.                        |
|                                                                       |
| IF AGE RANGE IN C-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| C-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH C-A18b.                                           |
+-----------------------------------------------------------------------+

C-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN C-A18a}, 1 (GO TO BOX C-A-19)

Mid {AGE RANGE/YEAR RANGE IN C-A18a}, or 2 (GO TO BOX C-A-19)

Late {AGE RANGE/YEAR RANGE IN C-A18a} 3 (GO TO BOX C-A-19)

C-A18c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX C-A-19)

AGE 50 OR OLDER 2 (GO TO BOX C-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS C-A19, C-A20, OR C-A21
AND NO BOX C-A-18.*

C-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO C-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX C-A-19)

REFUSED 7 (GO TO BOX C-A-19)

DON'T KNOW 8 (GO TO C-A22a)

C-A22a. IF R ANSWERS DK TO C-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO C-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX C-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (C-A4b = 1), GO TO C5 FOR   |
| NEXT BROTHER/SISTER. ELSE, GO TO C-A23.                               |
|                                                                       |
| IF NO MORE BROTHER/SISTER, AND R REPORTED ONE OR MORE SISTERS (C1=1)  |
| GO TO SECTION D. ELSE IF R HAS NO SISTERS, BUT REPORTED ONE OR MORE   |
| BROTHERS (D3=1), GO TO SECTION E. ELSE IF R HAS NO SISTERS OR         |
| BROTHERS GO TO SECTION F.                                             |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE C-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK C-A23a.*

C-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX C-A-20)

C-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX C-A-20

GO TO C5 FOR NEXT BROTHER/SISTER.

IF NO MORE BROTHER/SISTER, AND R REPORTED ONE OR MORE SISTERS (C1=1) GO
TO SECTION D. ELSE IF R HAS NO SISTERS, BUT REPORTED ONE OR MORE
BROTHERS (D3=1), GO TO SECTION E. ELSE IF R HAS NO SISTERS OR BROTHERS
GO TO SECTION F.

SECTION D (SISTER'S dAUGHTERS AND SONS)

**INTRODUCTION:**

Now I would like to ask you about the biological children of your full
sisters, that is, your nieces and nephews.

D1. Does your sister (SISTER'S FIRST NAME) have any biological
daughters?

> **\[RESP.QD1\]**

YES 1

NO 2 (GO TO D3)

D2. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

SISTER'S DAUGHTER 1:

SISTER'S DAUGHTER 2:

SISTER'S DAUGHTER 3:

SISTER'S DAUGHTER 4:

\[UP TO SISTER'S DAUGHTER 16\]

D3. Do your sister (SISTER'S FIRST NAME) have any biological sons?

> **\[RESP.QD3\]**

YES 1

NO 2 (GO TO BOX D-1)

D4. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

SISTER'S SON 1:

SISTER'S SON 2:

SISTER'S SON 3:

SISTER'S SON 4:

\[UP TO SISTER'S SON 16\]

+-----------------------------------------------------------------------+
| BOX D--1                                                              |
|                                                                       |
| IF D1 = 1 (YES) AND/OR D3 = 1(YES), CONTINUE TO D5 FOR THIS SISTER'S  |
| FIRST DAUGHTER/SON LISTED IN D2/D4.                                   |
|                                                                       |
| ELSE, IF THIS SISTER HAS NO DAUGHTERS (D1=2, 7,8) OR SONS (D3=2, 7,8) |
| GO TO D1 TO ASK ABOUT NEXT SISTER'S DAUGHTERS/ SONS.                  |
|                                                                       |
| ELSE, IF THERE ARE NO MORE SISTERS, AND R [DOES]{.underline} HAVE     |
| BROTHERS GO TO SECTION E. ELSE IF THERE ARE NO MORE SISTERS AND R     |
| [DOES NOT]{.underline} HAVE ANY BROTHERS, GO TO SECTION F.            |
+-----------------------------------------------------------------------+

D5. Is your {sister's daughter/sister's son} {FIRST NAME} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO D6)

NO 2 (GO TO D7)

DK 8 (GO TO D6)

RF 7 (GO TO D6)

[FOR LIVING SISTER'S DAUGHTER/SISTER'S SON:]{.underline}

D6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX D-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN D6 = RF OR DK, GO TO D6a. ELSE, GO TO D-A2.   |
+-----------------------------------------------------------------------+

D6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX D-3                                                               |
|                                                                       |
| IF D6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO D-A2. ELSE, CONTINUE WITH D6b.                        |
+-----------------------------------------------------------------------+

D6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN D6a}, 1 (GO TO D-A2)

Mid {AGE /YEAR RANGE IN D6a}, or 2 (GO TO D-A2)

Late {AGE / RANGE IN D6a}? 3 (GO TO D-A2)

[FOR DECEASED SISTER'S DAUGHTER/SISTER'S SON:]{.underline}

D7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX D-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN D7, GO TO D8. ELSE, CONTINUE WITH D7a.         |
+-----------------------------------------------------------------------+

D7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

> **\[RELN.QL2AYR\]**

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX D-5                                                               |
|                                                                       |
| IF D7a = RF OR DK, GO TO D8. ELSE, CONTINUE WITH D7b.                 |
+-----------------------------------------------------------------------+

D7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN D7a} 1 (GO TO D8)

Mid {YEAR RANGE IN D7a} or 2 (GO TO D8)

Late {/YEAR RANGE IN D7a} 3 (GO TO D8)

D8. At what age or in what year did your {sister's daughter/sister's
son} {FIRST NAME} die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR
BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX D-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN D8, GO TO D-A2. ELSE, CONTINUE WITH     |
| D8a.                                                                  |
+-----------------------------------------------------------------------+

D8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX D-7                                                               |
|                                                                       |
| IF D8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO D-A2. ELSE, CONTINUE WITH D8b.                        |
+-----------------------------------------------------------------------+

D8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN D8A}, 1

Mid {AGE YEAR RANGE IN D8A}, or 2

Late {AGE /YEAR RANGE IN D8A}? 3

**CANCER QUESTIONS**

***[NOTE]{.underline}**: THERE IS NO QUESTION D-A1*

D-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO D-A4)

NO 2 (GO TO BOX D-A-1)

REFUSED 7 (GO TO BOX D-A-1)

DON'T KNOW 8 (GO TO D-A2a)

D-A2a. IF R ANSWERS DK TO D-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

To the best of your knowledge, would you say that {he/she}:

> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO D-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX D-A-1

GO TO D5 FOR SISTER'S NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER FOR
THIS SISTER, GO TO D1 TO ASK ABOUT NEXT SISTER'S DAUGHTERS AND SONS.

IF NO MORE SISTERS AND R [DOES]{.underline} HAVE BROTHERS, GO TO SECTION
E. IF NO MORE SISTERS AND R [DOES NOT]{.underline} HAVE BROTHERS, GO TO
SECTION F.

**SON/DAUGHTER'S FIRST REPORTED PRIMARY CANCER**

*[NOTE]{.underline}: THERE IS NO QUESTION D-A3.*

D-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX D-A-2 OR D-A-3*

+-----------------------------------------------------------------------+
| BOX D-A-4                                                             |
|                                                                       |
| IF D-A4 = RF OR DK, GO TO D-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
D-A4 PROBES*

D-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

D-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO D-A4d)

DON'T KNOW 8 (GO TO D-A4d)

D-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

D-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX D-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (D-A4b = 1 (YES)              |
| [AND]{.underline} D-A4c = 2 (NO)), GO TO D-A9                         |
+-----------------------------------------------------------------------+

D-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX D-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN D-A5, GO TO D-A9. ELSE CONTINUE WITH      |
| D-A5a.                                                                |
+-----------------------------------------------------------------------+

D-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX D-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN D-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO D-A9. |
|                                                                       |
| IF D-A5a = 97 OR 98 (DK OR RF), GO TO D-A5c. ELSE, CONTINUE WITH      |
| D-A5b.                                                                |
+-----------------------------------------------------------------------+

D-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN D-A5a}, 1 (GO TO D-A9)

Mid {AGE RANGE/YEAR RANGE IN D-A5a}, or 2 (GO TO D-A9)

Late {AGE RANGE/YEAR RANGE IN D-A5a} 3 (GO TO D-A9)

D-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS D-A6, D-A7, OR D-A8*

D-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO D-A10)

NO 2 (GO TO BOX D-A-7A)

REFUSED 7 (GO TO BOX D-A-7A)

DON'T KNOW 8 (GO TO D-A9a)

D-A9a. IF R ANSWERS DK TO D-A9 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO D-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX D-A-7A)

You're not sure? 3 (GO TO BOX D-A-7A)

BOX D-A-7A

GO TO D5 FOR SISTER'S NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER FOR
THIS SISTER, GO TO D1 TO ASK ABOUT NEXT SISTER'S DAUGHTERS AND SONS.

IF NO MORE SISTERS AND R [DOES]{.underline} HAVE BROTHERS, GO TO SECTION
E. IF NO MORE SISTERS AND R [DOES NOT]{.underline} HAVE BROTHERS, GO TO
SECTION F.

**SON/DAUGHTER'S SECOND REPORTED PRIMARY CANCER**

D-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX D-A-8                                                             |
|                                                                       |
| IF D-A10 = RF OR DK, GO TO D-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
D-A10 PROBES*

D-A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

D-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO D-A10d)

DON'T KNOW 8 (GO TO D-A10d)

D-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

D-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX D-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (D-A10b=1 [AND]{.underline}     |
| D-A10c=2), GO TO D-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (D-A10b=1 [AND]{.underline} D-A10c=1, 7, OR 8), GO TO D-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN D-A10E        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE D-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK D-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

D-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO D-A11)

D-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO D-A15)

REFUSED 7

DON'T KNOW 8

D-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX D-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN D-A11, GO TO D-A15. ELSE CONTINUE WITH    |
| D-A11a.                                                               |
+-----------------------------------------------------------------------+

> D-A11a. Can you give me an estimate of when {he/she} was diagnosed?
> \[IF NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX D-A-11                                                            |
|                                                                       |
| IF D-A11a = 97 OR 98 (DK OR RF), GO TO D-A11c.                        |
|                                                                       |
| IF AGE RANGE IN D-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| D-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH D-A11b.                                           |
+-----------------------------------------------------------------------+

> D-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN D-A11a}, 1 (GO TO D-A15)

Mid {AGE RANGE/YEAR RANGE IN D-A11a}, or 2 (GO TO D-A15)

Late {AGE RANGE/YEAR RANGE IN D-A11a} 3 (GO TO D-A15)

> D-A11c. Would you say that {he/she} was under 50 when {he/she} was
> diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS D-A12, D-A13, OR D-A14.*

D-A15. \[IF COMING FROM D-A10F SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX D-A-12)

NO 2 (GO TO BOX D-A-13)

REFUSED 7 (GO TO BOX D-A-13)

DON'T KNOW 8 (GO TO D-A15a)

BOX D-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO D-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO D-A17 TO COLLECT THIRD
PRIMARY CANCER

D-A15a. IF R ANSWERS DK TO D-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX D-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX D-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (D-A4b = 1), GO TO D5 FOR   |
| SISTER'S NEXT SON/DAUGHTER. ELSE, GO TO D-A16.                        |
|                                                                       |
| IF NO MORE SON/DAUGHTER FOR THIS SISTER, GO TO D1 TO ASK ABOUT NEXT   |
| SISTER'S DAUGHTERS AND SONS.                                          |
|                                                                       |
| IF NO MORE SISTERS AND R [DOES]{.underline} HAVE BROTHERS, GO TO      |
| SECTION E. IF NO MORE SISTERS AND R [DOES NOT]{.underline} HAVE       |
| BROTHERS, GO TO SECTION F.                                            |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE D-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK D-A16a.*

D-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX D-A-13A)

D-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX D-A-13A

GO TO D5 FOR SISTER'S NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER FOR
THIS SISTER, GO TO D1 TO ASK ABOUT NEXT SISTER'S DAUGHTERS AND SONS.

IF NO MORE SISTERS AND R [DOES]{.underline} HAVE BROTHERS, GO TO SECTION
E. IF NO MORE SISTERS AND R [DOES NOT]{.underline} HAVE BROTHERS, GO TO
SECTION F.

**SISTER'S DAUGHTER'S/SON'S THIRD REPORTED PRIMARY CANCER**

D-A17. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX D-A-14                                                            |
|                                                                       |
| IF D-A17 = RF OR DK, GO TO D-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
D-A17 PROBES*

D-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

D-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO D-A17d)

DON'T KNOW 8 (GO TO D-A17d)

> D-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

D-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX D-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (D-A17b=1 [AND]{.underline}     |
| D-A17c=2), GO TO BOX D-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (D-A17b=1 [AND]{.underline} D-A17c=1, 7, OR 8), GO TO D-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN D-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE D-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK D-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

D-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO D-A18)

> D-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
> it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO D-A22)

REFUSED 7

DON'T KNOW 8

D-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX D-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN D-A18, GO TO BOX D-A-19. ELSE CONTINUE    |
| WITH D-A18a.                                                          |
+-----------------------------------------------------------------------+

D-A18a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX D-A-17                                                            |
|                                                                       |
| IF D-A18a = 97 OR 98 (DK OR RF), GO TO D-A18c.                        |
|                                                                       |
| IF AGE RANGE IN D-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| D-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH D-A18b.                                           |
+-----------------------------------------------------------------------+

> D-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN D-A18a}, 1 (GO TO BOX D-A-19)

Mid {AGE RANGE/YEAR RANGE IN D-A18a}, or 2 (GO TO BOX D-A-19)

Late {AGE RANGE/YEAR RANGE IN D-A18a} 3 (GO TO BOX D-A-19)

> D-A18c. Would you say that {he/she} was under 50 when {he/she} was
> diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX D-A-19)

AGE 50 OR OLDER 2 (GO TO BOX D-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS D-A19, D-A20, OR D-A21
AND NO BOX D-A-18.*

D-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO D-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX D-A-19)

REFUSED 7 (GO TO BOX D-A-19)

DON'T KNOW 8 (GO TO D-A22a)

D-A22a. IF R ANSWERS DK TO D-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO D-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX D-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (D-A4b = 1), GO TO D5 FOR   |
| SISTER'S NEXT SON/DAUGHTER. ELSE, GO TO D-A23.                        |
|                                                                       |
| IF NO MORE SON/DAUGHTER FOR THIS SISTER, GO TO D1 TO ASK ABOUT NEXT   |
| SISTER'S DAUGHTERS AND SONS.                                          |
|                                                                       |
| IF NO MORE SISTERS AND R [DOES]{.underline} HAVE BROTHERS, GO TO      |
| SECTION E. IF NO MORE SISTERS AND R [DOES NOT]{.underline} HAVE       |
| BROTHERS, GO TO SECTION F.                                            |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE D-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK D-A23a.*

D-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX D-A-20)

D-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX D-A-20

GO TO D5 FOR SISTER'S NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER FOR
THIS SISTER, GO TO D1 TO ASK ABOUT NEXT SISTER'S DAUGHTERS AND SONS.

IF NO MORE SISTERS AND R [DOES]{.underline} HAVE BROTHERS, GO TO SECTION
E. IF NO MORE SISTERS AND R [DOES NOT]{.underline} HAVE BROTHERS, GO TO
SECTION F.

SECTION E (BROTHER'S dAUGHTERS AND SONS)

**INTRODUCTION:**

Now I would like to ask you about the biological children of your full
brothers, that is, your nieces and nephews.

E1. Does your brother (BROTHER'S FIRST NAME) have any biological
daughters?

> **\[RESP.QE1\]**

YES 1

NO 2 (GO TO E3)

E2. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

BROTHER'S DAUGHTER 1:

BROTHER'S DAUGHTER 2:

BROTHER'S DAUGHTER 3:

BROTHER'S DAUGHTER 4:

\[UP TO BROTHER'S DAUGHTER 16\]

E3. Do your brother (BROTHER'S FIRST NAME) have any biological sons?

> **\[RESP.QE3\]**

YES 1

NO 2 (GO TO BOX E-1)

E4. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

BROTHER'S SON 1:

BROTHER'S SON 2:

BROTHER'S SON 3:

BROTHER'S SON 4:

\[UP TO BROTHER'S SON 16\]

+-----------------------------------------------------------------------+
| BOX E--1                                                              |
|                                                                       |
| IF E1 = 1 (YES) AND/OR E3 = 1(YES), CONTINUE TO E5 FOR THIS BROTHER'S |
| FIRST DAUGHTER/SON LISTED IN E2/E4.                                   |
|                                                                       |
| ELSE, IF THIS BROTHER HAS NO DAUGHTERS (E1=2, 7,8) OR SONS (E3=2,     |
| 7,8) GO TO E1 TO ASK ABOUT NEXT BROTHER'S DAUGHTERS/ SONS.            |
|                                                                       |
| ELSE, IF THERE ARE NO MORE BROTHERS, GO TO SECTION F.                 |
+-----------------------------------------------------------------------+

E5. Is your {brother's daughter/brother's son} {FIRST NAME} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO E6)

NO 2 (GO TO E7)

DK 8 (GO TO E6)

RF 7 (GO TO E6)

[FOR LIVING BROTHER'S DAUGHTER/BROTHER'S SON:]{.underline}

E6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX E-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN E6 = RF OR DK, GO TO E6a. ELSE, GO TO E-A2.   |
+-----------------------------------------------------------------------+

E6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX E-3                                                               |
|                                                                       |
| IF E6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO E-A2. ELSE, CONTINUE WITH E6b.                        |
+-----------------------------------------------------------------------+

E6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN E6a}, 1 (GO TO E-A2)

Mid {AGE /YEAR RANGE IN E6a}, or 2 (GO TO E-A2)

Late {AGE / RANGE IN E6a}? 3 (GO TO E-A2)

[FOR DECEASED BROTHER'S DAUGHTER/BROTHER'S SON:]{.underline}

E7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX E-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN E7, GO TO E8. ELSE, CONTINUE WITH E7a.         |
+-----------------------------------------------------------------------+

E7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

> **\[RELN.QL2AYR\]**

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX E-5                                                               |
|                                                                       |
| IF E7a = RF OR DK, GO TO E8. ELSE, CONTINUE WITH E7b.                 |
+-----------------------------------------------------------------------+

E7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN E7a} 1 (GO TO E8)

Mid {YEAR RANGE IN E7a} or 2 (GO TO E8)

Late {/YEAR RANGE IN E7a} 3 (GO TO E8)

E8. At what age or in what year did your {brother's daughter/brother's
son} {FIRST NAME} die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR
BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX E-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN E8, GO TO E-A2. ELSE, CONTINUE WITH     |
| E8a.                                                                  |
+-----------------------------------------------------------------------+

E8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX E-7                                                               |
|                                                                       |
| IF E8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO E-A2. ELSE, CONTINUE WITH E8b.                        |
+-----------------------------------------------------------------------+

E8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN E8A}, 1

Mid {AGE YEAR RANGE IN E8A}, or 2

Late {AGE /YEAR RANGE IN E8A}? 3

CANCER QUESTIONS

***[NOTE]{.underline}**: THERE IS NO QUESTION E-A1*

E-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO E-A4)

NO 2 (GO TO BOX E-A-1)

REFUSED 7 (GO TO BOX E-A-1)

DON'T KNOW 8 (GO TO E-A2a)

E-A2a. IF R ANSWERS DK TO E-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

To the best of your knowledge, would you say that {he/she}:

> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO E-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX E-A-1

GO TO E5 FOR BROTHER'S NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER FOR
THIS BROTHER, GO TO E1 TO ASK ABOUT NEXT BROTHER'S DAUGHTERS AND SONS.

IF NO MORE BROTHERS, GO TO SECTION F.

**SON/DAUGHTER'S FIRST REPORTED PRIMARY CANCER**

*[NOTE]{.underline}: THERE IS NO QUESTION E-A3.*

E-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX E-A-2 OR E-A-3*

+-----------------------------------------------------------------------+
| BOX E-A-4                                                             |
|                                                                       |
| IF E-A4 = RF OR DK, GO TO E-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
E-A4 PROBES*

E-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

E-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO E-A4d)

DON'T KNOW 8 (GO TO E-A4d)

E-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

E-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX E-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (E-A4b = 1 (YES)              |
| [AND]{.underline} E-A4c = 2 (NO)), GO TO E-A9                         |
+-----------------------------------------------------------------------+

E-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX E-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN E-A5, GO TO E-A9. ELSE CONTINUE WITH      |
| E-A5a.                                                                |
+-----------------------------------------------------------------------+

E-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX E-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN E-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO E-A9. |
|                                                                       |
| IF E-A5a = 97 OR 98 (DK OR RF), GO TO E-A5c. ELSE, CONTINUE WITH      |
| E-A5b.                                                                |
+-----------------------------------------------------------------------+

E-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN E-A5a}, 1 (GO TO E-A9)

Mid {AGE RANGE/YEAR RANGE IN E-A5a}, or 2 (GO TO E-A9)

Late {AGE RANGE/YEAR RANGE IN E-A5a} 3 (GO TO E-A9)

E-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS E-A6, E-A7, OR E-A8*

E-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO E-A10)

NO 2 (GO TO BOX E-A-7A)

REFUSED 7 (GO TO BOX E-A-7A)

DON'T KNOW 8 (GO TO E-A9a)

E-A9a. IF R ANSWERS DK TO E-A9 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO E-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX E-A-7A)

You're not sure? 3 (GO TO BOX E-A-7A)

BOX E-A-7A

GO TO E5 FOR BROTHER'S NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER FOR
THIS BROTHER, GO TO E1 TO ASK ABOUT NEXT BROTHER'S DAUGHTERS AND SONS.

IF NO MORE BROTHERS, GO TO SECTION F.

**SON/DAUGHTER'S SECOND REPORTED PRIMARY CANCER**

E-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER
TYPE/SITE:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX E-A-8                                                             |
|                                                                       |
| IF E-A10 = RF OR DK, GO TO E-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
E-A10 PROBES*

E-A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> E-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
> skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO E-A10d)

DON'T KNOW 8 (GO TO E-A10d)

E-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

E-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX E-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (E-A10b=1 [AND]{.underline}     |
| E-A10c=2), GO TO E-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (E-A10b=1 [AND]{.underline} E-A10c=1, 7, OR 8), GO TO E-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN E-A10e        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE E-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK E-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

E-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO E-A11)

E-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO E-A15)

REFUSED 7

DON'T KNOW 8

E-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX E-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN E-A11, GO TO E-A15. ELSE CONTINUE WITH    |
| E-A11a.                                                               |
+-----------------------------------------------------------------------+

E-A11a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX E-A-11                                                            |
|                                                                       |
| IF E-A11a = 97 OR 98 (DK OR RF), GO TO E-A11c.                        |
|                                                                       |
| IF AGE RANGE IN E-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| E-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH E-A11b.                                           |
+-----------------------------------------------------------------------+

E-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN E-A11a}, 1 (GO TO E-A15)

Mid {AGE RANGE/YEAR RANGE IN E-A11a}, or 2 (GO TO E-A15)

Late {AGE RANGE/YEAR RANGE IN E-A11a} 3 (GO TO E-A15)

> E-A11c. Would you say that {he/she} was under 50 when {he/she} was
> diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS E-A12, E-A13, OR E-A14.*

E-A15. \[IF COMING FROM E-A10F SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX E-A-12)

NO 2 (GO TO BOX E-A-13)

REFUSED 7 (GO TO BOX E-A-13)

DON'T KNOW 8 (GO TO E-A15a)

BOX E-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO E-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO E-A17 TO COLLECT THIRD
PRIMARY CANCER

E-A15a. IF R ANSWERS DK TO E-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX E-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX E-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (E-A4b = 1), GO TO E5 FOR   |
| BROTHER'S NEXT SON/DAUGHTER. ELSE, GO TO E-A16.                       |
|                                                                       |
| IF NO MORE SON/DAUGHTER FOR THIS BROTHER, GO TO E1 TO ASK ABOUT NEXT  |
| BROTHER'S DAUGHTERS AND SONS.                                         |
|                                                                       |
| IF NO MORE BROTHERS, GO TO SECTION F.                                 |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE E-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK E-A16a.*

E-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX E-A-13A)

E-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX E-A-13A

GO TO E5 FOR BROTHER'S NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER FOR
THIS BROTHER, GO TO E1 TO ASK ABOUT NEXT BROTHER'S DAUGHTERS AND SONS.

IF NO MORE BROTHERS, GO TO SECTION F.

**BROTHER'S DAUGHTER'S/SON'S THIRD REPORTED PRIMARY CANCER**

E-A17. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX E-A-14                                                            |
|                                                                       |
| IF E-A17 = RF OR DK, GO TO E-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
E-A17 PROBES*

E-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

E-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO E-A17d)

DON'T KNOW 8 (GO TO E-A17d)

E-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

E-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX E-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (E-A17b=1 [AND]{.underline}     |
| E-A17c=2), GO TO BOX E-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (E-A17b=1 [AND]{.underline} E-A17c=1, 7, OR 8), GO TO D-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN D-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE E-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK E-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

E-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO E-A18)

E-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO E-A22)

REFUSED 7

DON'T KNOW 8

E-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX E-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN E-A18, GO TO BOX E-A-19. ELSE CONTINUE    |
| WITH E-A18a.                                                          |
+-----------------------------------------------------------------------+

E-A18a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX E-A-17                                                            |
|                                                                       |
| IF E-A18a = 97 OR 98 (DK OR RF), GO TO E-A18c.                        |
|                                                                       |
| IF AGE RANGE IN E-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| E-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH E-A18b.                                           |
+-----------------------------------------------------------------------+

E-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN E-A18a}, 1 (GO TO BOX E-A-19)

Mid {AGE RANGE/YEAR RANGE IN E-A18a}, or 2 (GO TO BOX E-A-19)

Late {AGE RANGE/YEAR RANGE IN E-A18a} 3 (GO TO BOX E-A-19)

E-A18c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX E-A-19)

AGE 50 OR OLDER 2 (GO TO BOX E-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS E-A19, E-A20, OR E-A21
AND NO BOX E-A-18.*

E-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO E-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX E-A-19)

REFUSED 7 (GO TO BOX E-A-19)

DON'T KNOW 8 (GO TO E-A22a)

E-A22a. IF R ANSWERS DK TO E-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO E-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX E-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (E-A4b = 1), GO TO E5 FOR   |
| BROTHER'S NEXT SON/DAUGHTER. ELSE, GO TO E-A23.                       |
|                                                                       |
| IF NO MORE SON/DAUGHTER FOR THIS BROTHER, GO TO E1 TO ASK ABOUT NEXT  |
| BROTHER'S DAUGHTERS AND SONS.                                         |
|                                                                       |
| IF NO MORE BROTHERS, GO TO SECTION F.                                 |
+-----------------------------------------------------------------------+

METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE E-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK E-A23a.*

E-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX E-A-20)

E-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX E-A-20

GO TO E5 FOR BROTHER'S NEXT SON/DAUGHTER. IF NO MORE SON/DAUGHTER FOR
THIS BROTHER, GO TO E1 TO ASK ABOUT NEXT BROTHER'S DAUGHTERS AND SONS.

IF NO MORE BROTHERS, GO TO SECTION F.

SECTION F (half sisterS AND HALF BROTHERS)

**INTRODUCTION:**

Now I would like to ask you about half sisters and half brothers who
have only [one]{.underline} biological parent in common with you.

F1. Do you have any half sisters?

> **\[RESP.QF1\]**

YES 1

NO 2 (GO TO F3)

F2. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

F2a. Does she have the same mother or father in common with you?

**\[RELN.RELPARNT\]**

HALF SISTER 1: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_GO TO F2a)
MOTHER.......1 FATHER.......2

HALF SISTER 2: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(GO TO F2a)
MOTHER.......1 FATHER.......2

HALF SISTER 3: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(GO TO F2a)
MOTHER.......1 FATHER.......2

HALF SISTER 4: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(GO TO F2a)
MOTHER.......1 FATHER.......2

\[UP TO HALF SISTER 16\]

F3. Do you have any biological half brothers?

> **\[RESP.QF3\]**

YES 1

NO 2 (GO TO BOX F-1)

F4. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

F4a. Does she have the same mother or father in common with you?

**\[RELN.RELPARNT\]**

HALF BROTHER 1: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(GO TO F4a)
MOTHER.......1 FATHER.......2

HALF BROTHER 2: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(GO TO F4a)
MOTHER.......1 FATHER.......2

HALF BROTHER 3: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(GO TO F4a)
MOTHER.......1 FATHER.......2

HALF BROTHER 4: \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_(GO TO F4a)
MOTHER.......1 FATHER.......2

\[UP TO HALF BROTHER 16\]

+-----------------------------------------------------------------------+
| BOX F--1                                                              |
|                                                                       |
| IF F1 = 1 (YES) AND/OR F3 = 1(YES), CONTINUE TO F5 FOR FIRST HALF     |
| SISTER/HALF BROTHER LISTED IN F2/F4.                                  |
|                                                                       |
| ELSE, GO TO SECTION G.                                                |
+-----------------------------------------------------------------------+

F5. Is your {half sister/half brother} {First name} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO F6)

NO 2 (GO TO F7)

DK 8 (GO TO F6)

RF 7 (GO TO F6)

[FOR LIVING DAUGHTER/HALF BROTHER:]{.underline}

F6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX F-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN F6 = RF OR DK, GO TO F6a. ELSE, GO TO F-A2.   |
+-----------------------------------------------------------------------+

F6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX F-3                                                               |
|                                                                       |
| IF F6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO F-A2. ELSE, CONTINUE WITH F6b.                        |
+-----------------------------------------------------------------------+

F6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN F6a}, 1 (GO TO F-A2)

Mid {AGE /YEAR RANGE IN F6a}, or 2 (GO TO F-A2)

Late {AGE / RANGE IN F6a}? 3 (GO TO F-A2)

[FOR DECEASED HALF BROTHER/HALF SISTER:]{.underline}

F7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX F-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN F7, GO TO F8. ELSE, CONTINUE WITH F7a.         |
+-----------------------------------------------------------------------+

F7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

\[RELN.QL2AYR\]

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX F-5                                                               |
|                                                                       |
| IF F7a = RF OR DK, GO TO F8. ELSE, CONTINUE WITH F7b.                 |
+-----------------------------------------------------------------------+

F7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN F7a} 1 (GO TO F8)

Mid {YEAR RANGE IN F7a} or 2 (GO TO F8)

Late {/YEAR RANGE IN F7a} 3 (GO TO F8)

F8. At what age or in what year did your {half sister/half brother}
{First name} die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH.
RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX F-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN F8, GO TO F-A2. ELSE, CONTINUE WITH     |
| F8a.                                                                  |
+-----------------------------------------------------------------------+

F8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX F-7                                                               |
|                                                                       |
| IF F8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO F-A2. ELSE, CONTINUE WITH F8b.                        |
+-----------------------------------------------------------------------+

F8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN F8a}, 1

Mid {AGE YEAR RANGE IN F8a}, or 2

Late {AGE /YEAR RANGE IN F8a}? 3

**CANCER QUESTIONS**

***[NOTE]{.underline}**: THERE IS NO QUESTION F-A1*

F-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO F-A4)

NO 2 (GO TO BOX F-A-1)

REFUSED 7 (GO TO BOX F-A-1)

DON'T KNOW 8 (GO TO F-A2a)

F-A2a. IF R ANSWERS DK TO F-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

To the best of your knowledge, would you say that {he/she}:

> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO F-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX F-A-1

GO TO F5 FOR NEXT HALF BROTHER/HALF SISTER. IF NO MORE HALF BROTHER/HALF
SISTER, GO TO SECTION G.

**HALF BROTHER/HALF SISTER'S FIRST REPORTED PRIMARY CANCER**

*[NOTE]{.underline}: THERE IS NO QUESTION F-A3.*

F-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX F-A-2 OR F-A-3*

+-----------------------------------------------------------------------+
| BOX F-A-4                                                             |
|                                                                       |
| IF F-A4 = RF OR DK, GO TO F-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
F-A4 PROBES*

F-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

F-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO F-A4d)

DON'T KNOW 8 (GO TO F-A4d)

F-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

F-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX F-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (F-A4b = 1 (YES)              |
| [AND]{.underline} F-A4c = 2 (NO)), GO TO F-A9                         |
+-----------------------------------------------------------------------+

F-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX F-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN F-A5, GO TO F-A9. ELSE CONTINUE WITH      |
| F-A5a.                                                                |
+-----------------------------------------------------------------------+

F-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX F-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN F-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO F-A9. |
|                                                                       |
| IF F-A5a = 97 OR 98 (DK OR RF), GO TO F-A5c. ELSE, CONTINUE WITH      |
| F-A5b.                                                                |
+-----------------------------------------------------------------------+

F-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN F-A5a}, 1 (GO TO F-A9)

Mid {AGE RANGE/YEAR RANGE IN F-A5a}, or 2 (GO TO F-A9)

Late {AGE RANGE/YEAR RANGE IN F-A5a} 3 (GO TO F-A9)

F-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS F-A6, F-A7, OR F-A8*

F-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO F-A10)

NO 2 (GO TO BOX F-A-7A)

REFUSED 7 (GO TO BOX F-A-7A)

DON'T KNOW 8 (GO TO F-A9a)

F-A9a. IF R ANSWERS DK TO F-A9 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO F-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX F-A-7A)

You're not sure? 3 (GO TO BOX F-A-7A)

BOX F-A-7A

GO TO F5 FOR NEXT HALF BROTHER/HALF SISTER. IF NO MORE HALF BROTHER/HALF
SISTER, GO TO SECTION G.

**HALF BROTHER/HALF SISTER'S SECOND REPORTED PRIMARY CANCER**

F-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER
TYPE/SITE:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX F-A-8                                                             |
|                                                                       |
| IF F-A10 = RF OR DK, GO TO F-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
F-A10 PROBES*

F-A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> F-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
> skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO F-A10d)

DON'T KNOW 8 (GO TO F-A10d)

> F-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

F-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX F-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (F-A10b=1 [AND]{.underline}     |
| F-A10c=2), GO TO F-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (F-A10b=1 [AND]{.underline} F-A10c=1, 7, OR 8), GO TO F-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN F-A10e        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE F-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK F-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

F-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO F-A11)

F-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO F-A15)

REFUSED 7

DON'T KNOW 8

F-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX F-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN F-A11, GO TO F-A15. ELSE CONTINUE WITH    |
| F-A11a.                                                               |
+-----------------------------------------------------------------------+

F-A11a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX F-A-11                                                            |
|                                                                       |
| IF F-A11a = 97 OR 98 (DK OR RF), GO TO F-A11c.                        |
|                                                                       |
| IF AGE RANGE IN F-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| F-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH F-A11b.                                           |
+-----------------------------------------------------------------------+

F-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN F-A11a}, 1 (GO TO F-A15)

Mid {AGE RANGE/YEAR RANGE IN F-A11a}, or 2 (GO TO F-A15)

Late {AGE RANGE/YEAR RANGE IN F-A11a} 3 (GO TO F-A15)

F-A11c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS F-A12, F-A13, OR F-A14.*

F-A15. \[IF COMING FROM F-A10F SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX F-A-12)

NO 2 (GO TO BOX F-A-13)

REFUSED 7 (GO TO BOX F-A-13)

DON'T KNOW 8 (GO TO F-A15a)

BOX F-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO F-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO F-A17 TO COLLECT THIRD
PRIMARY CANCER

F-A15a. IF R ANSWERS DK TO F-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX F-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX F-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (F-A4b = 1), GO TO NEXT     |
| HALF BROTHER/HALF SISTER. ELSE, GO TO F-A16.                          |
|                                                                       |
| IF NO MORE HALF BROTHER/HALF SISTER GO TO SECTION G.                  |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE F-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK F-A16a.*

F-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX F-A-13A)

F-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX F-A-13A

GO TO F5 FOR NEXT HALF BROTHER/HALF SISTER. IF NO MORE HALF BROTHER/HALF
SISTER, GO TO SECTION G.

**HALF SISTER'S/HALF BROTHER'S THIRD REPORTED PRIMARY CANCER**

F-A17. What type of cancer did {he/she} have, or in what specific part
of the Fody did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4F\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX F-A-14                                                            |
|                                                                       |
| IF F-A17 = RF OR DK, GO TO F-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
F-A17 PROBES*

F-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

F-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO F-A17d)

DON'T KNOW 8 (GO TO F-A17d)

F-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

F-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX F-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (F-A17b=1 [AND]{.underline}     |
| F-A17c=2), GO TO BOX F-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (F-A17b=1 [AND]{.underline} F-A17c=1, 7, OR 8), GO TO F-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN F-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE F-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK F-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

F-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO F-A18)

F-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO F-A22)

REFUSED 7

DON'T KNOW 8

F-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX F-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN F-A18, GO TO BOX F-A-19. ELSE CONTINUE    |
| WITH F-A18a.                                                          |
+-----------------------------------------------------------------------+

F-A18a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX F-A-17                                                            |
|                                                                       |
| IF F-A18a = 97 OR 98 (DK OR RF), GO TO F-A18c.                        |
|                                                                       |
| IF AGE RANGE IN F-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| F-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH F-A18b.                                           |
+-----------------------------------------------------------------------+

F-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN F-A18a}, 1 (GO TO BOX F-A-19)

Mid {AGE RANGE/YEAR RANGE IN F-A18a}, or 2 (GO TO BOX F-A-19)

Late {AGE RANGE/YEAR RANGE IN F-A18a} 3 (GO TO BOX F-A-19)

F-A18c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX F-A-19)

AGE 50 OR OLDER 2 (GO TO BOX F-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS F-A19, F-A20, OR F-A21
AND NO BOX F-A-18.*

F-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO F-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX F-A-19)

REFUSED 7 (GO TO BOX F-A-19)

DON'T KNOW 8 (GO TO F-A22a)

F-A22a. IF R ANSWERS DK TO F-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO F-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX F-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (F-A4b = 1), GO TO F5 FOR   |
| NEXT HALF BROTHER/HALF SISTER. ELSE, GO TO F-A23.                     |
|                                                                       |
| IF NO MORE HALF BROTHER/HALF SISTER GO TO SECTION G.                  |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE F-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK F-A23a.*

F-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX F-A-20)

F-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX F-A-20

GO TO F5 FOR NEXT HALF BROTHER/HALF SISTER. IF NO MORE/ HALF BROTHER
HALF SISTER, GO TO SECTION G.

SECTION G (MOTHER AND FATHER)

**INTRODUCTION:**

Now I will ask about your biological parents.

G1. What is your mother's name?

> **\[RELN.RELFNAME\]**

MOTHER'S FIRST NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

G2. What is your father's name?

> **\[RELN.RELFNAME\]**

FATHER'S FIRST NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

BOX G-1

GO TO G5 TO ASK QUESTIONS ABOUT MOTHER.

***[NOTE]{.underline}**: There are no questions G3, G4*

G5. Is your {mother/father} {First name} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO G6)

NO 2 (GO TO G7)

DK 8 (GO TO G6)

RF 7 (GO TO G6)

[FOR LIVING MOTHER/FATHER:]{.underline}

G6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX G-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN G6 = RF OR DK, GO TO G6a. ELSE, GO TO G-A2.   |
+-----------------------------------------------------------------------+

G6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX G-3                                                               |
|                                                                       |
| IF G6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO G-A2. ELSE, CONTINUE WITH G6b.                        |
+-----------------------------------------------------------------------+

G6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN G6a}, 1 (GO TO G-A2)

Mid {AGE /YEAR RANGE IN G6a}, or 2 (GO TO G-A2)

Late {AGE / RANGE IN G6a}? 3 (GO TO G-A2)

[FOR DECEASED FATHER/MOTHER:]{.underline}

G7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX G-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN G7, GO TO G8. ELSE, CONTINUE WITH G7a.         |
+-----------------------------------------------------------------------+

G7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

> **\[RELN.QL2AYR\]**

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX G-5                                                               |
|                                                                       |
| IF G7a = RF OR DK, GO TO G8. ELSE, CONTINUE WITH G7b.                 |
+-----------------------------------------------------------------------+

G7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN G7a} 1 (GO TO G8)

Mid {YEAR RANGE IN G7a} or 2 (GO TO G8)

Late {/YEAR RANGE IN G7a} 3 (GO TO G8)

G8. At what age or in what year did your {mother/father} {First name}
die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF
OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX G-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN G8, GO TO G-A2. ELSE, CONTINUE WITH     |
| G8a.                                                                  |
+-----------------------------------------------------------------------+

G8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX G-7                                                               |
|                                                                       |
| IF G8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO G-A2. ELSE, CONTINUE WITH G8b.                        |
+-----------------------------------------------------------------------+

G8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN G8a}, 1

Mid {AGE YEAR RANGE IN G8a}, or 2

Late {AGE /YEAR RANGE IN G8a}? 3

CANCER QUESTIONS

***[NOTE]{.underline}**: THERE IS NO QUESTION G-A1*

G-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO G-A4)

NO 2 (GO TO BOX G-A-1)

REFUSED 7 (GO TO BOX G-A-1)

DON'T KNOW 8 (GO TO G-A2a)

G-A2a. IF R ANSWERS DK TO G-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

To the best of your knowledge, would you say that {he/she}:

> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO G-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX G-A-1

GO TO G5 TO ASK QUESTIONS ABOUT FATHER. IF ALREADY ASKED ABOUT FATHER,
GO TO SECTION H.

**FATHER/MOTHER'S FIRST REPORTED PRIMARY CANCER**

*[NOTE]{.underline}: THERE IS NO QUESTION G-A3.*

G-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX G-A-2 OR G-A-3*

+-----------------------------------------------------------------------+
| BOX G-A-4                                                             |
|                                                                       |
| IF G-A4 = RF OR DK, GO TO G-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
G-A4 PROBES*

G-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

G-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO G-A4d)

DON'T KNOW 8 (GO TO G-A4d)

G-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

G-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX G-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (G-A4b = 1 (YES)              |
| [AND]{.underline} G-A4c = 2 (NO)), GO TO G-A9                         |
+-----------------------------------------------------------------------+

G-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX G-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN G-A5, GO TO G-A9. ELSE CONTINUE WITH      |
| G-A5a.                                                                |
+-----------------------------------------------------------------------+

G-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX G-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN G-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO G-A9. |
|                                                                       |
| IF G-A5a = 97 OR 98 (DK OR RF), GO TO G-A5c. ELSE, CONTINUE WITH      |
| G-A5b.                                                                |
+-----------------------------------------------------------------------+

G-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN G-A5a}, 1 (GO TO G-A9)

Mid {AGE RANGE/YEAR RANGE IN G-A5a}, or 2 (GO TO G-A9)

Late {AGE RANGE/YEAR RANGE IN G-A5a} 3 (GO TO G-A9)

G-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS G-A6, G-A7, OR G-A8*

G-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO G-A10)

NO 2 (GO TO BOX G-A-7A)

REFUSED 7 (GO TO BOX G-A-7A)

DON'T KNOW 8 (GO TO G-A9a)

G-A9a. IF R ANSWERS DK TO G-A9 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO G-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX G-A-7A)

You're not sure? 3 (GO TO BOX G-A-7A)

BOX G-A-7A

GO TO G5 TO ASK QUESTIONS ABOUT FATHER. IF ALREADY ASKED ABOUT FATHER,
GO TO SECTION H.

**FATHER'S/MOTHER'S SECOND REPORTED PRIMARY CANCER**

G-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX G-A-8                                                             |
|                                                                       |
| IF G-A10 = RF OR DK, GO TO G-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
G-A10 PROBES*

G-A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

G-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO G-A10d)

DON'T KNOW 8 (GO TO G-A10d)

G-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

G-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX G-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (G-A10b=1 [AND]{.underline}     |
| G-A10c=2), GO TO G-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (G-A10b=1 [AND]{.underline} G-A10c=1, 7, OR 8), GO TO G-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN G-A10e        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE G-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK G-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

G-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO G-A11)

G-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO G-A15)

REFUSED 7

DON'T KNOW 8

G-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX G-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN G-A11, GO TO G-A15. ELSE CONTINUE WITH    |
| G-A11a.                                                               |
+-----------------------------------------------------------------------+

G-A11a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX G-A-11                                                            |
|                                                                       |
| IF G-A11a = 97 OR 98 (DK OR RF), GO TO G-A11c.                        |
|                                                                       |
| IF AGE RANGE IN G-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| G-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH G-A11b.                                           |
+-----------------------------------------------------------------------+

G-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN G-A11a}, 1 (GO TO G-A15)

Mid {AGE RANGE/YEAR RANGE IN G-A11a}, or 2 (GO TO G-A15)

Late {AGE RANGE/YEAR RANGE IN G-A11a} 3 (GO TO G-A15)

G-A11c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS G-A12, G-A13, OR G-A14.*

G-A15. \[IF COMING FROM G-A10F SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX G-A-12)

NO 2 (GO TO BOX G-A-13)

REFUSED 7 (GO TO BOX G-A-13)

DON'T KNOW 8 (GO TO G-A15a)

BOX G-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO G-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO G-A17 TO COLLECT THIRD
PRIMARY CANCER

G-A15a. IF R ANSWERS DK TO G-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX G-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX G-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (G-A4b = 1), GO TO G5 TO    |
| ASK ABOUT FATHER. ELSE, GO TO G-A16.                                  |
|                                                                       |
| IF ALREADY ASKED ABOUT FATHER, GO TO SECTION H.                       |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE G-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK G-A16a.*

G-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX G-A-13A)

G-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX G-A-13A

GO TO G5 TO ASK QUESTIONS ABOUT FATHER. IF ALREADY ASKED ABOUT FATHER,
GO TO SECTION H.

**MOTHER'S/FATHER'S THIRD REPORTED PRIMARY CANCER**

G-A17. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER
TYPE/SITE:\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX G-A-14                                                            |
|                                                                       |
| IF G-A17 = RF OR DK, GO TO G-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
G-A17 PROBES*

G-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

G-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO G-A17d)

DON'T KNOW 8 (GO TO G-A17d)

G-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

G-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX G-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (G-A17b=1 [AND]{.underline}     |
| G-A17c=2), GO TO BOX G-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (G-A17b=1 [AND]{.underline} G-A17c=1, 7, OR 8), GO TO G-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN G-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE G-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK G-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

G-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO G-A18)

G-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO G-A22)

REFUSED 7

DON'T KNOW 8

G-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX G-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN G-A18, GO TO BOX G-A-19. ELSE CONTINUE    |
| WITH G-A18a.                                                          |
+-----------------------------------------------------------------------+

G-A18a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX G-A-17                                                            |
|                                                                       |
| IF G-A18a = 97 OR 98 (DK OR RF), GO TO G-A18c.                        |
|                                                                       |
| IF AGE RANGE IN G-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| G-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH G-A18b.                                           |
+-----------------------------------------------------------------------+

G-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN G-A18a}, 1 (GO TO BOX G-A-19)

Mid {AGE RANGE/YEAR RANGE IN G-A18a}, or 2 (GO TO BOX G-A-19)

Late {AGE RANGE/YEAR RANGE IN G-A18a} 3 (GO TO BOX G-A-19)

G-A18c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX G-A-19)

AGE 50 OR OLDER 2 (GO TO BOX G-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS G-A19, G-A20, OR G-A21
AND NO BOX G-A-18.*

G-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO G-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX G-A-19)

REFUSED 7 (GO TO BOX G-A-19)

DON'T KNOW 8 (GO TO G-A22a)

G-A22a. IF R ANSWERS DK TO G-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO G-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX G-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (G-A4b = 1), GO TO G5 TO    |
| ASK QUESTIONS ABOUT FATHER. ELSE, GO TO G-A23.                        |
|                                                                       |
| IF ALREADY ASKED ABOUT FATHER, GO TO SECTION H.                       |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE G-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK G-A23a.*

G-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX G-A-20)

G-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX G-A-20

GO TO G5 TO ASK QUESTIONS ABOUT FATHER. IF ALREADY ASKED ABOUT FATHER,
GO TO SECTION H.

SECTION h (MOTHER's MOTHER AND MOTHER'S FATHER)

**INTRODUCTION:**

Now I will ask you about your grandparents, aunts, and uncles, both
living and deceased, on your mother's side of the family. Please include
only [biological]{.underline} or [blood]{.underline} relatives. Do
include step or adopted relatives.

H1. What is your mother's mother's name?

> **\[RELN.RELFNAME\]**

MOTHER'S MOTHER'S FIRST NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

H2. What is your mother's father's name?

> **\[RELN.RELFNAME\]**

MOTHER'S FATHER'S FIRST NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

BOX H-1

GO TO H5 TO ASK QUESTIONS ABOUT MOTHER'S MOTHER.

***[NOTE]{.underline}**: There are no questions H3, H4*

H5. Is your {mother's mother/mother's father} {First name} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO H6)

NO 2 (GO TO H7)

DK 8 (GO TO H6)

RF 7 (GO TO H6)

[FOR LIVING MOTHER'S MOTHER/MOTHER'S FATHER:]{.underline}

H6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX H-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN H6 = RF OR DK, GO TO H6a. ELSE, GO TO H-A2.   |
+-----------------------------------------------------------------------+

H6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX H-3                                                               |
|                                                                       |
| IF H6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO H-A2. ELSE, CONTINUE WITH H6b.                        |
+-----------------------------------------------------------------------+

H6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN H6a}, 1 (GO TO H-A2)

Mid {AGE /YEAR RANGE IN H6a}, or 2 (GO TO H-A2)

Late {AGE / RANGE IN H6a}? 3 (GO TO H-A2)

[FOR DECEASED MOTHER'S FATHER/MOTHER'S MOTHER:]{.underline}

H7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX H-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN H7, GO TO H8. ELSE, CONTINUE WITH H7a.         |
+-----------------------------------------------------------------------+

H7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

> **\[RELN.QL2AYR\]**

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX H-5                                                               |
|                                                                       |
| IF H7a = RF OR DK, GO TO H8. ELSE, CONTINUE WITH H7b.                 |
+-----------------------------------------------------------------------+

H7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN H7a} 1 (GO TO H8)

Mid {YEAR RANGE IN H7a} or 2 (GO TO H8)

Late {/YEAR RANGE IN H7a} 3 (GO TO H8)

H8. At what age or in what year did your {mother's mother/mother's
father} {First name} die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR
BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX H-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN H8, GO TO H-A2. ELSE, CONTINUE WITH     |
| H8a.                                                                  |
+-----------------------------------------------------------------------+

H8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX H-7                                                               |
|                                                                       |
| IF H8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO H-A2. ELSE, CONTINUE WITH H8b.                        |
+-----------------------------------------------------------------------+

H8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN H8a}, 1

Mid {AGE YEAR RANGE IN H8a}, or 2

Late {AGE /YEAR RANGE IN H8a}? 3

CANCER QUESTIONS

***[NOTE]{.underline}**: THERE IS NO QUESTION H-A1*

H-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO H-A4)

NO 2 (GO TO BOX H-A-1)

REFUSED 7 (GO TO BOX H-A-1)

DON'T KNOW 8 (GO TO H-A2a)

H-A2a. IF R ANSWERS DK TO H-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

To the best of your knowledge, would you say that {he/she}:

> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO H-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX H-A-1

GO TO H5 TO ASK QUESTIONS ABOUT MOTHER'S FATHER. IF ALREADY ASKED ABOUT
MOTHER'S FATHER, GO TO SECTION I.

**MOTHER'S FATHER/MOTHER'S MOTHER'S FIRST REPORTED PRIMARY CANCER**

*[NOTE]{.underline}: THERE IS NO QUESTION H-A3.*

H-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX H-A-2 OR H-A-3*

+-----------------------------------------------------------------------+
| BOX H-A-4                                                             |
|                                                                       |
| IF H-A4 = RF OR DK, GO TO H-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
H-A4 PROBES*

H-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

H-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO H-A4d)

DON'T KNOW 8 (GO TO H-A4d)

H-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

H-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX H-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (H-A4b = 1 (YES)              |
| [AND]{.underline} H-A4c = 2 (NO)), GO TO H-A9                         |
+-----------------------------------------------------------------------+

H-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX H-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN H-A5, GO TO H-A9. ELSE CONTINUE WITH      |
| H-A5a.                                                                |
+-----------------------------------------------------------------------+

H-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX H-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN H-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO H-A9. |
|                                                                       |
| IF H-A5a = 97 OR 98 (DK OR RF), GO TO H-A5c. ELSE, CONTINUE WITH      |
| H-A5b.                                                                |
+-----------------------------------------------------------------------+

H-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN H-A5a}, 1 (GO TO H-A9)

Mid {AGE RANGE/YEAR RANGE IN H-A5a}, or 2 (GO TO H-A9)

Late {AGE RANGE/YEAR RANGE IN H-A5a} 3 (GO TO H-A9)

H-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS H-A6, H-A7, OR H-A8*

H-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO H-A10)

NO 2 (GO TO BOX H-A-7A)

REFUSED 7 (GO TO BOX H-A-7A)

DON'T KNOW 8 (GO TO H-A9a)

> H-A9a. IF R ANSWERS DK TO H-A9 BUT OFFERS ANY MEDICAL/HEALTH
> INFORMATION, SUMMARIZE HERE:
>
> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO H-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX H-A-7A)

You're not sure? 3 (GO TO BOX H-A-7A)

BOX H-A-7A

GO TO H5 TO ASK QUESTIONS ABOUT MOTHER'S FATHER. IF ALREADY ASKED ABOUT
MOTHER'S FATHER, GO TO SECTION I.

**MOTHER'S FATHER'S/MOTHER'S MOTHER'S SECOND REPORTED PRIMARY CANCER**

H-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX H-A-8                                                             |
|                                                                       |
| IF H-A10 = RF OR DK, GO TO H-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
H-A10 PROBES*

H-A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

H-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO H-A10d)

DON'T KNOW 8 (GO TO H-A10d)

H-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

H-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX H-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (H-A10b=1 [AND]{.underline}     |
| H-A10c=2), GO TO H-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (H-A10b=1 [AND]{.underline} H-A10c=1, 7, OR 8), GO TO H-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN H-A10e        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE H-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK H-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

H-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO H-A11)

H-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO H-A15)

REFUSED 7

DON'T KNOW 8

H-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX H-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN H-A11, GO TO H-A15. ELSE CONTINUE WITH    |
| H-A11a.                                                               |
+-----------------------------------------------------------------------+

H-A11a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX H-A-11                                                            |
|                                                                       |
| IF H-A11a = 97 OR 98 (DK OR RF), GO TO H-A11c.                        |
|                                                                       |
| IF AGE RANGE IN H-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| H-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH H-A11b.                                           |
+-----------------------------------------------------------------------+

H-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN H-A11a}, 1 (GO TO H-A15)

Mid {AGE RANGE/YEAR RANGE IN H-A11a}, or 2 (GO TO H-A15)

Late {AGE RANGE/YEAR RANGE IN H-A11a} 3 (GO TO H-A15)

> H-A11c. Would you say that {he/she} was under 50 when {he/she} was
> diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS H-A12, H-A13, OR H-A14.*

H-A15. \[IF COMING FROM H-A10F SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX H-A-12)

NO 2 (GO TO BOX H-A-13)

REFUSED 7 (GO TO BOX H-A-13)

DON'T KNOW 8 (GO TO H-A15a)

BOX H-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO H-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO H-A17 TO COLLECT THIRD
PRIMARY CANCER

H-A15a. IF R ANSWERS DK TO H-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX H-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX H-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (H-A4b = 1), GO TO H5 TO    |
| ASK ABOUT MOTHER'S FATHER. ELSE, GO TO H-A16.                         |
|                                                                       |
| IF ALREADY ASKED ABOUT MOTHER'S FATHER, GO TO SECTION I.              |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE H-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK H-A16a.*

H-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX H-A-13A)

H-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX H-A-13A

GO TO H5 TO ASK QUESTIONS ABOUT MOTHER'S FATHER. IF ALREADY ASKED ABOUT
MOTHER'S FATHER, GO TO SECTION I.

**MOTHER'S MOTHER'S/MOTHER'S FATHER'S THIRD REPORTED PRIMARY CANCER**

H-A17. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX H-A-14                                                            |
|                                                                       |
| IF H-A17 = RF OR DK, GO TO H-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
H-A17 PROBES*

H-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

H-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO H-A17d)

DON'T KNOW 8 (GO TO H-A17d)

H-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

H-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX H-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (H-A17b=1 [AND]{.underline}     |
| H-A17c=2), GO TO BOX H-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (H-A17b=1 [AND]{.underline} H-A17c=1, 7, OR 8), GO TO H-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN H-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE H-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK H-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

H-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO H-A18)

H-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO H-A22)

REFUSED 7

DON'T KNOW 8

H-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX H-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN H-A18, GO TO BOX H-A-19. ELSE CONTINUE    |
| WITH H-A18a.                                                          |
+-----------------------------------------------------------------------+

H-A18a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX H-A-17                                                            |
|                                                                       |
| IF H-A18a = 97 OR 98 (DK OR RF), GO TO H-A18c.                        |
|                                                                       |
| IF AGE RANGE IN H-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| H-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH H-A18b.                                           |
+-----------------------------------------------------------------------+

H-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN H-A18a}, 1 (GO TO BOX H-A-19)

Mid {AGE RANGE/YEAR RANGE IN H-A18a}, or 2 (GO TO BOX H-A-19)

Late {AGE RANGE/YEAR RANGE IN H-A18a} 3 (GO TO BOX H-A-19)

> H-A18c. Would you say that {he/she} was under 50 when {he/she} was
> diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX H-A-19)

AGE 50 OR OLDER 2 (GO TO BOX H-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS H-A19, H-A20, OR H-A21
AND NO BOX H-A-18.*

H-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO H-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX H-A-19)

REFUSED 7 (GO TO BOX H-A-19)

DON'T KNOW 8 (GO TO H-A22a)

H-A22a. IF R ANSWERS DK TO H-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO H-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX H-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (H-A4b = 1), GO TO H5 TO    |
| ASK QUESTIONS ABOUT MOTHER'S FATHER. ELSE, GO TO H-A23.               |
|                                                                       |
| IF ALREADY ASKED ABOUT MOTHER'S FATHER, GO TO SECTION I.              |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE H-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK H-A23a.*

H-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX H-A-20)

H-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX H-A-20

GO TO H5 TO ASK QUESTIONS ABOUT MOTHER'S FATHER. IF ALREADY ASKED ABOUT
MOTHER'S FATHER, GO TO SECTION I.

SECTION I (MOTHER'S sisters and mother's brothers)

I1. {Does/Did} your mother have any full sisters, that is sisters who
share her same biological mother [and]{.underline} father?

> **\[RESP.QI1\]**

YES 1

NO 2 (GO TO I3)

I2. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

MOTHER'S SISTER 1:

MOTHER'S SISTER 2:

MOTHER'S SISTER 3:

MOTHER'S SISTER 4:

\[UP TO MOTHER'S SISTER 16\]

I3. {Does/Did} your mother have any full brothers?

> **\[RESP.QI3\]**

YES 1

NO 2 (GO TO BOX I-1)

I4. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

MOTHER'S BROTHER 1:

MOTHER'S BROTHER 2:

MOTHER'S BROTHER 3:

MOTHER'S BROTHER 4:

\[UP TO MOTHER'S BROTHER 16\]

+-----------------------------------------------------------------------+
| BOX I--1                                                              |
|                                                                       |
| IF I1 = 1 (YES) AND/OR I3 = 1(YES), CONTINUE TO I5 FOR FIRST MOTHER'S |
| SISTER/MOTHER'S BROTHER LISTED IN I2/I4.                              |
|                                                                       |
| ELSE, GO TO SECTION J.                                                |
+-----------------------------------------------------------------------+

I5. Is your {mother's sister/ mother's brother} {FIRST NAME} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO I6)

NO 2 (GO TO I7)

DK 8 (GO TO I6)

RF 7 (GO TO I6)

[FOR LIVING MOTHER'S SISTER/ MOTHER'S BROTHER:]{.underline}

I6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX I-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN I6 = RF OR DK, GO TO I6a. ELSE, GO TO I-A2.   |
+-----------------------------------------------------------------------+

I6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX I-3                                                               |
|                                                                       |
| IF I6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO I-A2. ELSE, CONTINUE WITH I6b.                        |
+-----------------------------------------------------------------------+

I6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN I6a}, 1 (GO TO I-A2)

Mid {AGE /YEAR RANGE IN I6a}, or 2 (GO TO I-A2)

Late {AGE / RANGE IN I6a}? 3 (GO TO I-A2)

[FOR DECEASED MOTHER'S SISTER/MOTHER'S BROTHER]{.underline}

I7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX I-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN I7, GO TO I8. ELSE, CONTINUE WITH I7a.         |
+-----------------------------------------------------------------------+

I7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

> **\[RELN.QL2AYR\]**

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX I-5                                                               |
|                                                                       |
| IF I7a = RF OR DK, GO TO I8. ELSE, CONTINUE WITH I7b.                 |
+-----------------------------------------------------------------------+

I7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN I7a} 1 (GO TO I8)

Mid {YEAR RANGE IN I7a} or 2 (GO TO I8)

Late {/YEAR RANGE IN I7a} 3 (GO TO I8)

I8. At what age or in what year did your {mother's sister/mother's
brother} {First name} die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR
BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX I-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN I8, GO TO I-A2. ELSE, CONTINUE WITH     |
| I8a.                                                                  |
+-----------------------------------------------------------------------+

I8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX I-7                                                               |
|                                                                       |
| IF I8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO I-A2. ELSE, CONTINUE WITH I8b.                        |
+-----------------------------------------------------------------------+

I8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN I8A}, 1

Mid {AGE YEAR RANGE IN I8A}, or 2

Late {AGE /YEAR RANGE IN I8A}? 3

**CANCER QUESTIONS**

***[NOTE]{.underline}:** THERE IS NO QUESTION I-A1*

I-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO I-A4)

NO 2 (GO TO BOX I-A-1)

REFUSED 7 (GO TO BOX I-A-1)

DON'T KNOW 8 (GO TO I-A2a)

I-A2a. IF R ANSWERS DK TO I-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

To the best of your knowledge, would you say that {he/she}:

> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO I-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX I-A-1

GO TO I5 FOR NEXT MOTHER'S SISTER/MOTHER'S BROTHER.

IF NO MORE MOTHER'S SISTER/MOTHER'S BROTHER, GO TO SECTION J.

**MOTHER'S SISTER'S/MOTHER'S BROTHER FIRST REPORTED PRIMARY CANCER**

*[NOTE]{.underline}: THERE IS NO QUESTION I-A3.*

I-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX I-A-2 OR I-A-3*

+-----------------------------------------------------------------------+
| BOX I-A-4                                                             |
|                                                                       |
| IF I-A4 = RF OR DK, GO TO I-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
I-A4 PROBES*

I-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

I-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO I-A4d)

DON'T KNOW 8 (GO TO I-A4d)

I-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

I-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX I-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (I-A4b = 1 (YES)              |
| [AND]{.underline} I-A4c = 2 (NO)), GO TO I-A9                         |
+-----------------------------------------------------------------------+

I-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX I-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN I-A5, GO TO I-A9. ELSE CONTINUE WITH      |
| I-A5a.                                                                |
+-----------------------------------------------------------------------+

I-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX I-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN I-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO I-A9. |
|                                                                       |
| IF I-A5a = 97 OR 98 (DK OR RF), GO TO I-A5c. ELSE, CONTINUE WITH      |
| I-A5b.                                                                |
+-----------------------------------------------------------------------+

I-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN I-A5A}, 1 (GO TO I-A9)

Mid {AGE RANGE/YEAR RANGE IN I-A5A}, or 2 (GO TO I-A9)

Late {AGE RANGE/YEAR RANGE IN I-A5A} 3 (GO TO I-A9)

I-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS I-A6, I-A7, OR I-A8*

I-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO I-A10)

NO 2 (GO TO BOX I-A-7A)

REFUSED 7 (GO TO BOX I-A-7A)

DON'T KNOW 8 (GO TO I-A9a)

I-A9a. IF R ANSWERS DK TO I-A9 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO I-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX I-A-7A)

You're not sure? 3 (GO TO BOX I-A-7A)

BOX I-A-7A

GO TO I5 FOR NEXT MOTHER'S SISTER/MOTHER'S BROTHER.

IF NO MORE MOTHER'S SISTER/MOTHER'S BROTHER, GO TO SECTION J.

**MOTHER'S SISTER'S/MOTHER'S BROTHER SECOND REPORTED PRIMARY CANCER**

I-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX I-A-8                                                             |
|                                                                       |
| IF I-A10 = RF OR DK, GO TO I-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
I-A10 PROBES*

I-A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

I-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO I-A10d)

DON'T KNOW 8 (GO TO I-A10d)

I-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

I-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX I-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (I-A10b=1 [AND]{.underline}     |
| I-A10c=2), GO TO I-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (I-A10b=1 [AND]{.underline} I-A10c=1, 7, OR 8), GO TO I-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN I-A10e        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE I-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK I-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

I-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO I-A11)

I-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO I-A15)

REFUSED 7

DON'T KNOW 8

I-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX I-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN I-A11, GO TO I-A15. ELSE CONTINUE WITH    |
| I-A11a.                                                               |
+-----------------------------------------------------------------------+

I-A11a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX I-A-11                                                            |
|                                                                       |
| IF I-A11a = 97 OR 98 (DK OR RF), GO TO I-A11c.                        |
|                                                                       |
| IF AGE RANGE IN I-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| I-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH I-A11b.                                           |
+-----------------------------------------------------------------------+

I-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN I-A11a}, 1 (GO TO I-A15)

Mid {AGE RANGE/YEAR RANGE IN I-A11a}, or 2 (GO TO I-A15)

Late {AGE RANGE/YEAR RANGE IN I-A11a} 3 (GO TO I-A15)

I-A11c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS I-A12, I-A13, OR I-A14.*

I-A15. \[IF COMING FROM I-A10F SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX I-A-12)

NO 2 (GO TO BOX I-A-13)

REFUSED 7 (GO TO BOX I-A-13)

DON'T KNOW 8 (GO TO I-A15a)

BOX I-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO I-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO I-A17 TO COLLECT THIRD
PRIMARY CANCER

I-A15a. IF R ANSWERS DK TO I-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX I-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX I-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (I-A4b = 1), GO TO NEXT     |
| MOTHER'S SISTER/MOTHER'S BROTHER. ELSE, GO TO I-A16.                  |
|                                                                       |
| IF NO MORE MOTHER'S SISTER/MOTHER'S BROTHER, GO TO SECTION J.         |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE I-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK I-A16a.*

I-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX I-A-13A)

I-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX I-A-13A

GO TO I5 FOR NEXT MOTHER'S SISTER/MOTHER'S BROTHER.

IF NO MORE MOTHER'S SISTER/MOTHER'S BROTHER, GO TO SECTION J.

**MOTHER'S SISTER'S/MOTHER'S BROTHER'S THIRD REPORTED PRIMARY CANCER**

I-A17. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX I-A-14                                                            |
|                                                                       |
| IF I-A17 = RF OR DK, GO TO I-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
I-A17 PROBES*

I-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

I-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO I-A17d)

DON'T KNOW 8 (GO TO I-A17d)

I-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

I-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX I-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (I-A17b=1 [AND]{.underline}     |
| I-A17c=2), GO TO BOX I-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (I-A17b=1 [AND]{.underline} I-A17c=1, 7, OR 8), GO TO I-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN I-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE I-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK I-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

I-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO I-A18)

I-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO I-A22)

REFUSED 7

DON'T KNOW 8

I-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX I-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN I-A18, GO TO BOX I-A-19. ELSE CONTINUE    |
| WITH I-A18a.                                                          |
+-----------------------------------------------------------------------+

I-A18a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX I-A-17                                                            |
|                                                                       |
| IF I-A18a = 97 OR 98 (DK OR RF), GO TO I-A18c.                        |
|                                                                       |
| IF AGE RANGE IN I-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| I-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH I-A18b.                                           |
+-----------------------------------------------------------------------+

I-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN I-A18a}, 1 (GO TO BOX I-A-19)

Mid {AGE RANGE/YEAR RANGE IN I-A18a}, or 2 (GO TO BOX I-A-19)

Late {AGE RANGE/YEAR RANGE IN I-A18a} 3 (GO TO BOX I-A-19)

I-A18c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX I-A-19)

AGE 50 OR OLDER 2 (GO TO BOX I-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS I-A19, I-A20, OR I-A21
AND NO BOX I-A-18.*

I-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO I-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX I-A-19)

REFUSED 7 (GO TO BOX I-A-19)

DON'T KNOW 8 (GO TO I-A22a)

I-A22a. IF R ANSWERS DK TO I-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO I-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX I-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (I-A4b = 1), GO TO I5 FOR   |
| NEXT MOTHER'S SISTER/MOTHER'S BROTHER. ELSE, GO TO I-A23.             |
|                                                                       |
| IF NO MORE MOTHER'S SISTER/MOTHER'S BROTHER, GO TO SECTION J.         |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE I-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK I-A23a.*

I-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX I-A-20)

I-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX I-A-20

GO TO I5 FOR NEXT MOTHER'S SISTER/MOTHER'S BROTHER.

IF NO MORE MOTHER'S SISTER/MOTHER'S BROTHER, GO TO SECTION J.

SECTION J (FATHER's MOTHER AND FATHER'S FATHER)

I**NTRODUCTION:**

Now I will ask you about your grandparents, aunts, and uncles, both
living and deceased, on your father's side of the family. Please include
only [biological]{.underline} or [blood]{.underline} relatives. Do
include step or adopted relatives.

J1. What is your father's mother's name?

> **\[RELN.RELFNAME\]**

FATHER'S MOTHER'S FIRST NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

J2. What is your father's father's name?

> **\[RELN.RELFNAME\]**

FATHER'S FATHER'S FIRST NAME:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

BOX J-1

GO TO J5 TO ASK QUESTIONS ABOUT FATHER'S MOTHER.

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS J3, J4*

J5. Is your {father's mother/father's father} {First name} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO J6)

NO 2 (GO TO J7)

DK 8 (GO TO J6)

RF 7 (GO TO J6)

[FOR LIVING FATHER'S MOTHER/FATHER'S FATHER:]{.underline}

J6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX J-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN J6 = RF OR DK, GO TO J6a. ELSE, GO TO J-A2.   |
+-----------------------------------------------------------------------+

J6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX J-3                                                               |
|                                                                       |
| IF J6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO J-A2. ELSE, CONTINUE WITH J6b.                        |
+-----------------------------------------------------------------------+

J6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN J6a}, 1 (GO TO J-A2)

Mid {AGE /YEAR RANGE IN J6a}, or 2 (GO TO J-A2)

Late {AGE / RANGE IN J6a}? 3 (GO TO J-A2)

[FOR DECEASED FATHER'S FATHER/FATHER'S MOTHER:]{.underline}

J7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX J-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN J7, GO TO J8. ELSE, CONTINUE WITH J7a.         |
+-----------------------------------------------------------------------+

J7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

> **\[RELN.QL2AYR\]**

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX J-5                                                               |
|                                                                       |
| IF J7a = RF OR DK, GO TO J8. ELSE, CONTINUE WITH J7b.                 |
+-----------------------------------------------------------------------+

J7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN J7a} 1 (GO TO J8)

Mid {YEAR RANGE IN J7a} or 2 (GO TO J8)

Late {/YEAR RANGE IN J7a} 3 (GO TO J8)

J8. At what age or in what year did your {father's mother/father's
father} {First name} die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR
BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX J-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN J8, GO TO J-A2. ELSE, CONTINUE WITH     |
| J8a.                                                                  |
+-----------------------------------------------------------------------+

J8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX J-7                                                               |
|                                                                       |
| IF J8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO J-A2. ELSE, CONTINUE WITH J8b.                        |
+-----------------------------------------------------------------------+

J8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN J8a}, 1

Mid {AGE YEAR RANGE IN J8a}, or 2

Late {AGE /YEAR RANGE IN J8a}? 3

**CANCER QUESTIONS**

***[NOTE]{.underline}:** THERE IS NO QUESTION J-A1*

J-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO J-A4)

NO 2 (GO TO BOX J-A-1)

REFUSED 7 (GO TO BOX J-A-1)

DON'T KNOW 8 (GO TO J-A2a)

J-A2a. IF R ANSWERS DK TO J-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

To the best of your knowledge, would you say that {he/she}:

> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO J-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX J-A-1

GO TO J5 TO ASK QUESTIONS ABOUT FATHER'S FATHER. IF ALREADY ASKED ABOUT
FATHER'S FATHER, GO TO SECTION K.

**FATHER'S FATHER/FATHER'S MOTHER'S FIRST REPORTED PRIMARY CANCER**

*[NOTE]{.underline}: THERE IS NO QUESTION J-A4.*

J-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX J-A-2 OR J-A-3*

+-----------------------------------------------------------------------+
| BOX J-A-4                                                             |
|                                                                       |
| IF J-A4 = RF OR DK, GO TO J-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
J-A4 PROBES*

J-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

J-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO J-A4d)

DON'T KNOW 8 (GO TO J-A4d)

J-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

J-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX J-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (J-A4b = 1 (YES)              |
| [AND]{.underline} J-A4c = 2 (NO)), GO TO J-A9                         |
+-----------------------------------------------------------------------+

J-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX J-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN J-A5, GO TO J-A9. ELSE CONTINUE WITH      |
| J-A5a.                                                                |
+-----------------------------------------------------------------------+

J-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX J-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN J-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO J-A9. |
|                                                                       |
| IF J-A5a = 97 OR 98 (DK OR RF), GO TO J-A5c. ELSE, CONTINUE WITH      |
| J-A5b.                                                                |
+-----------------------------------------------------------------------+

J-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN J-A5a}, 1 (GO TO J-A9)

Mid {AGE RANGE/YEAR RANGE IN J-A5a}, or 2 (GO TO J-A9)

Late {AGE RANGE/YEAR RANGE IN J-A5a} 3 (GO TO J-A9)

J-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS J-A6, J-A7, OR J-A8*

J-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO J-A10)

NO 2 (GO TO BOX J-A-7A)

REFUSED 7 (GO TO BOX J-A-7A)

DON'T KNOW 8 (GO TO J-A9a)

J-A9a. IF R ANSWERS DK TO J-A9 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO J-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX J-A-7A)

You're not sure? 3 (GO TO BOX J-A-7A)

BOX J-A-7A

GO TO J5 TO ASK QUESTIONS ABOUT FATHER'S FATHER. IF ALREADY ASKED ABOUT
FATHER'S FATHER, GO TO SECTION K.

**FATHER'S FATHER'S/FATHER'S MOTHER'S SECOND REPORTED PRIMARY CANCER**

J-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX J-A-8                                                             |
|                                                                       |
| IF J-A10 = RF OR DK, GO TO J-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
J-A10 PROBES*

J-A10a. \[IF CANzCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

J-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO J-A10d)

DON'T KNOW 8 (GO TO J-A10d)

J-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

J-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX J-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (J-A10b=1 [AND]{.underline}     |
| J-A10c=2), GO TO J-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (J-A10b=1 [AND]{.underline} J-A10c=1, 7, OR 8), GO TO J-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN J-A10e        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE J-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK J-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

J-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO J-A11)

J-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO J-A15)

REFUSED 7

DON'T KNOW 8

J-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX J-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN J-A11, GO TO J-A15. ELSE CONTINUE WITH    |
| J-A11a.                                                               |
+-----------------------------------------------------------------------+

J-A11a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX J-A-11                                                            |
|                                                                       |
| IF J-A11a = 97 OR 98 (DK OR RF), GO TO J-A11c.                        |
|                                                                       |
| IF AGE RANGE IN J-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| J-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH J-A11b.                                           |
+-----------------------------------------------------------------------+

J-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN J-A11a}, 1 (GO TO J-A15)

Mid {AGE RANGE/YEAR RANGE IN J-A11a}, or 2 (GO TO J-A15)

Late {AGE RANGE/YEAR RANGE IN J-A11a} 3 (GO TO J-A15)

J-A11c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS J-A12, J-A13, OR J-A14.*

J-A15. \[IF COMING FROM J-A10f SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX J-A-12)

NO 2 (GO TO BOX J-A-13)

REFUSED 7 (GO TO BOX J-A-13)

DON'T KNOW 8 (GO TO J-A15a)

BOX J-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO J-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO J-A17 TO COLLECT THIRD
PRIMARY CANCER

J-A15a. IF R ANSWERS DK TO J-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX J-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX J-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (J-A4b = 1), GO TO J5 TO    |
| ASK ABOUT FATHER'S FATHER. ELSE, GO TO J-A16.                         |
|                                                                       |
| IF ALREADY ASKED ABOUT FATHER'S FATHER, GO TO SECTION K.              |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE J-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK J-A16a.*

J-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX J-A-13A)

J-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX J-A-13A

GO TO J5 TO ASK QUESTIONS ABOUT FATHER'S FATHER. IF ALREADY ASKED ABOUT
FATHER'S FATHER, GO TO SECTION K.

**FATHER'S MOTHER'S/FATHER'S FATHER'S THIRD REPORTED PRIMARY CANCER**

J-A17. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX J-A-14                                                            |
|                                                                       |
| IF J-A17 = RF OR DK, GO TO J-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
J-A17 PROBES*

J-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

J-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO J-A17d)

DON'T KNOW 8 (GO TO J-A17d)

J-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

J-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX J-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (J-A17b=1 [AND]{.underline}     |
| J-A17c=2), GO TO BOX J-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (J-A17b=1 [AND]{.underline} J-A17c=1, 7, OR 8), GO TO J-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN J-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE J-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK J-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

J-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO J-A18)

J-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO J-A22)

REFUSED 7

DON'T KNOW 8

J-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX J-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN J-A18, GO TO BOX J-A-19. ELSE CONTINUE    |
| WITH J-A18a.                                                          |
+-----------------------------------------------------------------------+

J-A18a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX J-A-17                                                            |
|                                                                       |
| IF J-A18a = 97 OR 98 (DK OR RF), GO TO J-A18c.                        |
|                                                                       |
| IF AGE RANGE IN J-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| J-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH J-A18b.                                           |
+-----------------------------------------------------------------------+

J-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN J-A18a}, 1 (GO TO BOX J-A-19)

Mid {AGE RANGE/YEAR RANGE IN J-A18a}, or 2 (GO TO BOX J-A-19)

Late {AGE RANGE/YEAR RANGE IN J-A18a} 3 (GO TO BOX J-A-19)

J-A18c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX J-A-19)

AGE 50 OR OLDER 2 (GO TO BOX J-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS J-A19, J-A20, OR J-A21
AND NO BOX J-A-18.*

J-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO J-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX J-A-19)

REFUSED 7 (GO TO BOX J-A-19)

DON'T KNOW 8 (GO TO J-A22a)

J-A22a. IF R ANSWERS DK TO J-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO J-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX J-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (J-A4b = 1), GO TO J5 TO    |
| ASK QUESTIONS ABOUT FATHER'S FATHER. ELSE, GO TO J-A23.               |
|                                                                       |
| IF ALREADY ASKED ABOUT FATHER'S FATHER, GO TO SECTION K.              |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE J-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK J-A23a.*

J-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX J-A-20)

J-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX J-A-20

GO TO J5 TO ASK QUESTIONS ABOUT FATHER'S FATHER. IF ALREADY ASKED ABOUT
FATHER'S FATHER, GO TO SECTION K.

SECTION K (FATHER'S sisters and father's brothers)

K1. {Does/Did} your father have any full sisters, that is sisters who
share his same biological mother [and]{.underline} father?

> **\[RESP.QK1\]**

YES 1

NO 2 (GO TO K3)

K2. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

FATHER'S SISTER 1:

FATHER'S SISTER 2:

FATHER'S SISTER 3:

FATHER'S SISTER 4:

\[UP TO FATHER'S SISTER 16\]

K3. {Does/Did} your father have any full brothers?

> **\[RESP.QK3\]**

YES 1

NO 2 (GO TO BOX K-1)

K4. What are their first names starting with the oldest? \[PROBE: Any
others, living or deceased?\]

> **\[RELN.RELFNAME\]**

FATHER'S BROTHER 1:

FATHER'S BROTHER 2:

FATHER'S BROTHER 3:

FATHER'S BROTHER 4:

\[UP TO FATHER'S BROTHER 16\]

+-----------------------------------------------------------------------+
| BOX K--1                                                              |
|                                                                       |
| IF K1 = 1 (YES) AND/OR K3 = 1(YES), CONTINUE TO K5 FOR FIRST FATHER'S |
| SISTER/FATHER'S BROTHER LISTED IN K2/K4.                              |
|                                                                       |
| ELSE, GO TO SECTION J.                                                |
+-----------------------------------------------------------------------+

K5. Is your {father's sister/ father's brother} {FIRST NAME} alive?

> **\[RELN.QL1\]**

YES 1 (GO TO K6)

NO 2 (GO TO K7)

DK 8 (GO TO K6)

RF 7 (GO TO K6)

[FOR LIVING FATHER'S SISTER/ FATHER'S BROTHER:]{.underline}

K6. How old is {she/he} or in what year was {she/he} born? \[ACCEPT
EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL1_1AGE\] \[RELN.QL1YOB\]**

+-----------------------------------------------------------------------+
| BOX K-2                                                               |
|                                                                       |
| IF BOTH AGE AND YEAR IN K6 = RF OR DK, GO TO K6a. ELSE, GO TO K-A2.   |
+-----------------------------------------------------------------------+

K6a. Could you estimate {her/his} age or when {she/he} was born? \[IF
NEEDED: {Is (she/he).../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- --------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**              

  **\[RELN.QL2AAGE\]**            **\[RELN.QL2AYR\]**         

  A child under 13, 0             **1800's**            OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10             1900 to 1909 10

  Twenties, 2                     1810's 11                   1910's 11

  Thirties, 3                     1820's 12                   1920's 12

  Forties, 4                      1830's 13                   1930's 13

  Fifties, 5                      1840's 14                   1940's 14

  Sixties, 6                      1850's 15                   1950's 15

  Seventies, 7                    1860's 16                   1960's 16

  Eighties, 8                     1870's 17                   1970's 17

  Nineties, or 9                  1880's 18                   1980's 18

  One hundred or more?            1890's 19                   1990's 19
  10                                                          
  ---------------------- -------- --------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX K-3                                                               |
|                                                                       |
| IF K6a = RF OR DK OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED   |
| OR MORE), GO TO K-A2. ELSE, CONTINUE WITH K6b.                        |
+-----------------------------------------------------------------------+

K6b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {AGE /YEAR RANGE IN K6a}, 1 (GO TO K-A2)

Mid {AGE /YEAR RANGE IN K6a}, or 2 (GO TO K-A2)

Late {AGE / RANGE IN K6a}? 3 (GO TO K-A2)

[FOR DECEASED FATHER'S SISTER/FATHER'S BROTHER]{.underline}

K7. In what year was {she/he} born?

> **\[RELN.QL1YOB\]**

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

YEAR

+-----------------------------------------------------------------------+
| BOX K-4                                                               |
|                                                                       |
| IF YEAR IS PROVIDED IN K7, GO TO K8. ELSE, CONTINUE WITH K7a.         |
+-----------------------------------------------------------------------+

K7a. Could you estimate when {she/he} was born? \[IF NEEDED, SAY: Was it
in the 1800's or 1900's?\]

> **\[RELN.QL2AYR\]**

  ------------------------------- ------- -------------------------------
  **YEAR RANGE**                          

  **1800's**                      OR      **1900's**

  1800 to 1809 10                         1900 to 1909 10

  1810's 11                               1910's 11

  1820's 12                               1920's 12

  1830's 13                               1930's 13

  1840's 14                               1940's 14

  1850's 15                               1950's 15

  1860's 16                               1960's 16

  1870's 17                               1970's 17

  1880's 18                               1980's 18

  1890's 19                               1990's 19
  ------------------------------- ------- -------------------------------

+-----------------------------------------------------------------------+
| BOX K-5                                                               |
|                                                                       |
| IF K7a = RF OR DK, GO TO K8. ELSE, CONTINUE WITH K7b.                 |
+-----------------------------------------------------------------------+

K7b. Would you say that was:

> **\[RELN.QL2ATIME\]**

Early {YEAR RANGE IN K7a} 1 (GO TO K8)

Mid {YEAR RANGE IN K7a} or 2 (GO TO K8)

Late {/YEAR RANGE IN K7a} 3 (GO TO K8)

K8. At what age or in what year did your {father's sister/father's
brother} {First name} die? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR
BOTH. RECORD BOTH IF OFFERED.\]

\|\_\_\_\|\_\_\_\| **OR** \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

**\[RELN.QL4AGE\] \[RELN.QL4YOD\]**

+-----------------------------------------------------------------------+
| BOX K-6                                                               |
|                                                                       |
| IF AGE OR YEAR IS PROVIDED IN K8, GO TO K-A2. ELSE, CONTINUE WITH     |
| K8a.                                                                  |
+-----------------------------------------------------------------------+

K8a. Can you give me an estimate of when {she/he} died? \[IF NEEDED: Was
{he/she}.../ Was it in the 1800's or 1900's?}\]

  ---------------------- -------- ---------------------- ----- -------------------
  **AGE RANGE**          **OR**   **YEAR RANGE**               

  **\[RELN.QL4AAGE\]**            **\[RELN.QL4ADYR\]**         

  A child under 13, 0             **1800's**             OR    **1900's**

  In {her/his} teens, 1           1800 to 1809 10              1900 to 1909 10

  Twenties, 2                     1810's 11                    1910's 11

  Thirties, 3                     1820's 12                    1920's 12

  Forties, 4                      1830's 13                    1930's 13

  Fifties, 5                      1840's 14                    1940's 14

  Sixties, 6                      1850's 15                    1950's 15

  Seventies, 7                    1860's 16                    1960's 16

  Eighties, 8                     1870's 17                    1970's 17

  Nineties, or 9                  1880's 18                    1980's 18

  One hundred or more?            1890's 19                    1990's 19
  10                                                           
  ---------------------- -------- ---------------------- ----- -------------------

+-----------------------------------------------------------------------+
| BOX K-7                                                               |
|                                                                       |
| IF K8a = DK OR RF, OR IF AGE RANGE = 0 (UNDER 13) OR 10 (ONE HUNDRED  |
| OR MORE), GO TO K-A2. ELSE, CONTINUE WITH K8b.                        |
+-----------------------------------------------------------------------+

K8b. Would you say that was:

> **\[RELN.QL4AYEAR\] IF AGE RANGE \[RELN.QL4ADTM\] IF YEAR RANGE**

Early {AGE /YEAR RANGE IN K8A}, 1

Mid {AGE YEAR RANGE IN K8A}, or 2

Late {AGE /YEAR RANGE IN K8A}? 3

**CANCER QUESTIONS**

***[NOTE]{.underline}:** THERE IS NO QUESTION K-A1*

K-A2. {Did/Has} {he/she} ever {have/had} cancer?

**\[RELN.QA2\]**

YES 1 (GO TO K-A4)

NO 2 (GO TO BOX K-A-1)

REFUSED 7 (GO TO BOX K-A-1)

DON'T KNOW 8 (GO TO K-A2a)

K-A2a. IF R ANSWERS DK TO K-A2 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[RELN.QA2COMM1\] \[RELN.QA2COMM2\] \[RELN.QA2COMM3\]**

> To the best of your knowledge, would you say that {he/she}:
>
> **\[RELN.QA2PROBE\]**

Did have cancer, 1 (GO TO K-A4)

Did [not]{.underline} have cancer, or 2

You're not sure? 3

REFUSED 7

DON'T KNOW 8

BOX K-A-1

GO TO K5 FOR NEXT FATHER'S SISTER/FATHER'S BROTHER.

IF NO MORE FATHER'S SISTER/FATHER'S BROTHER, GO TO SECTION J.

**FATHER'S SISTER'S/FATHER'S BROTHER FIRST REPORTED PRIMARY CANCER**

*[NOTE]{.underline}: THERE IS NO QUESTION K-A3.*

K-A4. What type of cancer did {he/she} have, or in what specific part of
the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the first cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

***[NOTE]{.underline}**: THERE IS NO BOX K-A-2 OR K-A-3*

+-----------------------------------------------------------------------+
| BOX K-A-4                                                             |
|                                                                       |
| IF K-A4 = RF OR DK, GO TO K-A5.                                       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
K-A4 PROBES*

K-A4a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

K-A4b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it skin
cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO K-A4d)

DON'T KNOW 8 (GO TO K-A4d)

K-A4c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

K-A4d. INTERVIEWER: SUMMARIZE TYPE/SITE OF CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX K-A-5                                                             |
|                                                                       |
| IF CANCER IS A NON MELANOMA SKIN CANCER (K-A4b = 1 (YES)              |
| [AND]{.underline} K-A4c = 2 (NO)), GO TO K-A9                         |
+-----------------------------------------------------------------------+

K-A5. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX K-A-6                                                             |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN K-A5, GO TO K-A9. ELSE CONTINUE WITH      |
| K-A5a.                                                                |
+-----------------------------------------------------------------------+

K-A5a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

> **\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX K-A-7                                                             |
|                                                                       |
| IF AGE RANGE IN K-A5a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO K-A9. |
|                                                                       |
| IF K-A5a = 97 OR 98 (DK OR RF), GO TO K-A5c. ELSE, CONTINUE WITH      |
| K-A5b.                                                                |
+-----------------------------------------------------------------------+

K-A5b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN K-A5A}, 1 (GO TO K-A9)

Mid {AGE RANGE/YEAR RANGE IN K-A5A}, or 2 (GO TO K-A9)

Late {AGE RANGE/YEAR RANGE IN K-A5A} 3 (GO TO K-A9)

K-A5c. Would you say that {he/she} was under 50 when you were diagnosed
with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}:** THERE ARE NO QUESTIONS K-A6, K-A7, OR K-A8*

K-A9. {Did/Has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO K-A10)

NO 2 (GO TO BOX K-A-7A)

REFUSED 7 (GO TO BOX K-A-7A)

DON'T KNOW 8 (GO TO K-A9a)

K-A9a. IF R ANSWERS DK TO K-A9 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**
>
> To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO K-A10)

Did [not]{.underline} have another cancer, or 2 (GO TO BOX K-A-7A)

You're not sure? 3 (GO TO BOX K-A-7A)

BOX K-A-7A

GO TO K5 FOR NEXT FATHER'S SISTER/FATHER'S BROTHER.

IF NO MORE FATHER'S SISTER/FATHER'S BROTHER, GO TO SECTION J.

**FATHER'S SISTER'S/FATHER'S BROTHER SECOND REPORTED PRIMARY CANCER**

K-A10. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX K-A-8                                                             |
|                                                                       |
| IF K-A10 = RF OR DK, GO TO K-A11.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
K-A10 PROBES*

K-A10a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

K-A10b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO K-A10d)

DON'T KNOW 8 (GO TO K-A10d)

K-A10c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

K-A10d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX K-A-9                                                             |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (K-A10b=1 [AND]{.underline}     |
| K-A10c=2), GO TO K-A15                                                |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (K-A10b=1 [AND]{.underline} K-A10c=1, 7, OR 8), GO TO K-A11.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN K-A10e        |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE K-A10e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK K-A10f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

K-A10e. \[INTERVIEWER CODE WITHOUT ASKING: IS SECOND REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO K-A11)

K-A10f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO K-A15)

REFUSED 7

DON'T KNOW 8

K-A11. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX K-A-10                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN K-A11, GO TO K-A15. ELSE CONTINUE WITH    |
| K-A11a.                                                               |
+-----------------------------------------------------------------------+

K-A11a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,............ 1                                          

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX K-A-11                                                            |
|                                                                       |
| IF K-A11a = 97 OR 98 (DK OR RF), GO TO K-A11c.                        |
|                                                                       |
| IF AGE RANGE IN K-A11a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO      |
| K-A15.                                                                |
|                                                                       |
| ELSE, CONTINUE WITH K-A11b.                                           |
+-----------------------------------------------------------------------+

K-A11b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN K-A11a}, 1 (GO TO K-A15)

Mid {AGE RANGE/YEAR RANGE IN K-A11a}, or 2 (GO TO K-A15)

Late {AGE RANGE/YEAR RANGE IN K-A11a} 3 (GO TO K-A15)

K-A11c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1

AGE 50 OR OLDER 2

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS K-A12, K-A13, OR K-A14.*

K-A15. \[IF COMING FROM K-A10f SAY: I won't ask any other questions
about this cancer since it's not the original cancer site, but\]
{did/has} {he/she} ever {have/had} any other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO BOX K-A-12)

NO 2 (GO TO BOX K-A-13)

REFUSED 7 (GO TO BOX K-A-13)

DON'T KNOW 8 (GO TO K-A15a)

BOX K-A-12

IF ONLY ONE PRIMARY CANCER REPORTED, GO BACK TO K-A10 TO COLLECT SECOND
PRIMARY CANCER.

ELSE, IF TWO PRIMARY CANCERS REPORTED GO TO K-A17 TO COLLECT THIRD
PRIMARY CANCER

K-A15a. IF R ANSWERS DK TO K-A15 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO BOX K-A-12)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX K-A-13                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (K-A4b = 1), GO TO NEXT     |
| FATHER'S SISTER/FATHER'S BROTHER. ELSE, GO TO K-A16.                  |
|                                                                       |
| IF NO MORE FATHER'S SISTER/FATHER'S BROTHER, GO TO SECTION J.         |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE K-A16 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK K-A16a.*

K-A16. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX K-A-13A)

K-A16a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX K-A-13A

GO TO K5 FOR NEXT FATHER'S SISTER/FATHER'S BROTHER.

IF NO MORE FATHER'S SISTER/FATHER'S BROTHER, GO TO SECTION J.

**FATHER'S SISTER'S/FATHER'S BROTHER'S THIRD REPORTED PRIMARY CANCER**

K-A17. What type of cancer did {he/she} have, or in what specific part
of the body did the cancer start? \[IF R SAYS MORE THAN ONE KIND SAY:
Please tell me about the next cancer.\]

**\[CANC.QA4A\] \[CANC.QA4B\]**

CANCER TYPE/SITE:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

+-----------------------------------------------------------------------+
| BOX K-A-14                                                            |
|                                                                       |
| IF K-A17 = RF OR DK, GO TO K-A18.                                     |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: SEE INTERVIEWER PROBING INSTRUCTIONS FOR USING
K-A17 PROBES*

K-A17a. \[IF CANCER TYPE/SITE NOT A RECOGNIZABLE BODY PART, SAY:
Specifically, where in the body did the cancer start?\]

**\[CANC.QA4D\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

K-A17b. \[IF CANCER ON EXTERNAL BODY PART, OR IF NEEDED, ASK: Was it
skin cancer? ELSE CODE WITHOUT ASKING\]

**\[CANC.QA4E\]**

YES 1

NO 2 (GO TO K-A17d)

DON'T KNOW 8 (GO TO K-A17d)

K-A17c. Was it melanoma?

**\[CANC.QA4F\]**

YES 1

NO 2

REFUSED 7

DON'T KNOW 8

K-A17d. INTERVIEWER: SUMMARIZE TYPE/SITE OF THE CANCER:
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

**\[CANC.QA4G\]**

+-----------------------------------------------------------------------+
| BOX K-A-15                                                            |
|                                                                       |
| IF CANCER IS NON MELANOMA SKIN CANCER (K-A17b=1 [AND]{.underline}     |
| K-A17c=2), GO TO BOX K-A-19                                           |
|                                                                       |
| ELSE IF CANCER IS MELANOMA SKIN CANCER OR UNKNOWN TYPE OF SKIN CANCER |
| (K-A17b=1 [AND]{.underline} K-A17c=1, 7, OR 8), GO TO K-A18.          |
|                                                                       |
| FOR ALL OTHERS CANCERS CONTINUE TO METASTATIC PROBES IN K-A17e.       |
+-----------------------------------------------------------------------+

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE K-A17e WITHOUT ASKING
TO ASSESS IF THE REPORTED CANCER IS A COMMON METASTATIC SITE. IF SO,
INTERVIEWER WILL ASK K-A17f.*

***[DEFINITION]{.underline}**: ALL REPORTED CANCERS ARE ASSUMED PRIMARY
CANCERS UNLESS METASTATIC PROBES SUGGEST OTHERWISE.*

K-A17e. \[INTERVIEWER CODE WITHOUT ASKING: IS THIRD REPORTED CANCER ONE
OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

> **\[CANC.QA4_1\]**

YES 1

NO 2 (GO TO K-A18)

K-A17f. Did the cancer actually start in the {CANCER TYPE/SITE} or did
it spread there from another part of the body?

**\[CANC.QA4_1OV\]**

STARTED IN THE {cancer site} 1

SPREAD THERE 2 (GO TO K-A22)

REFUSED 7

DON'T KNOW 8

K-A18. At what age or in what year was the {CANCER SITE/TYPE} first
diagnosed? \[ACCEPT EITHER AGE OR YEAR, DO NOT PROBE FOR BOTH. RECORD
BOTH, IF OFFERED. IF R CAN ONLY GIVE A RANGE, ENTER DK\]

**\[CANC.QA5AGEDX\] \[CANC.QA5YRDX\]**

\|\_\_\_\|\_\_\_\| OR \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

AGE YEAR

+-----------------------------------------------------------------------+
| BOX K-A-16                                                            |
|                                                                       |
| IF AGE OR YEAR WAS GIVEN IN K-A18, GO TO BOX K-A-19. ELSE CONTINUE    |
| WITH K-A18a.                                                          |
+-----------------------------------------------------------------------+

K-A18a. Can you give me an estimate of when {he/she} was diagnosed? \[IF
NEEDED: Was {he/she}.../ Was it in the 1800's or 1900's?\]

**\[CANC.APPRXAGE\] \[CANC.APPROXYR\]**

  --------------------------- -------- ------------------- ---- ---------------------
  **AGE RANGE**               **OR**   **YEAR RANGE**           

                                                                

  A child under 13,                    **1800's**          OR   **1900's**
  ............ 0                                                

  In {his/her}                         1800 to 1809 10          1900 to 1909 10
  teens,........... 1                                           

  Twenties,                            1810's 11                1910's 11
  ..................... 2                                       

  Thirties,                            1820's 12                1920's 12
  ......................... 3                                   

  Forties,                             1830's 13                1930's 13
  ........................ 4                                    

  Fifties,                             1840's 14                1940's 14
  ........................ 5                                    

  Sixties,                             1850's 15                1950's 15
  ......................... 6                                   

  Seventies,                           1860's 16                1960's 16
  ..................... 7                                       

  Eighties,                            1870's 17                1970's 17
  .....................\... 8                                   

  Nineties, or                         1880's 18                1980's 18
  ................... 9                                         

  One hundred or more? ...10           1890's 19                1990's 19
  --------------------------- -------- ------------------- ---- ---------------------

RF 97

DK 98

+-----------------------------------------------------------------------+
| BOX K-A-17                                                            |
|                                                                       |
| IF K-A18a = 97 OR 98 (DK OR RF), GO TO K-A18c.                        |
|                                                                       |
| IF AGE RANGE IN K-A18a = 0 (UNDER 13) OR 10 (100 OR MORE), GO TO BOX  |
| K-A-19.                                                               |
|                                                                       |
| ELSE, CONTINUE WITH K-A18b.                                           |
+-----------------------------------------------------------------------+

K-A18b. Would you say that was:

**\[CANC.TIMEAGE\]** OR **\[CANC.TIMEYR\]**

Early {AGE RANGE/YEAR RANGE IN K-A18a}, 1 (GO TO BOX K-A-19)

Mid {AGE RANGE/YEAR RANGE IN K-A18a}, or 2 (GO TO BOX K-A-19)

Late {AGE RANGE/YEAR RANGE IN K-A18a} 3 (GO TO BOX K-A-19)

K-A18c. Would you say that {he/she} was under 50 when {he/she} was
diagnosed with this cancer, or was {he/she} 50 or older?

**\[CANC.QA5B\]**

UNDER AGE 50 1 (GO TO BOX K-A-19)

AGE 50 OR OLDER 2 (GO TO BOX K-A-19)

***[NOTE]{.underline}**: THERE ARE NO QUESTIONS K-A19, K-A20, OR K-A21
AND NO BOX K-A-18.*

K-A22. I won't ask any other questions about this cancer since it's not
the original cancer site, but {did/has} {he/she} ever {have/had} any
other kind of cancer?

**\[RELN.QA9\]**

YES 1 (GO TO K-A-17 TO COLLECT 3^RD^ CANCER)

NO 2 (GO TO BOX K-A-19)

REFUSED 7 (GO TO BOX K-A-19)

DON'T KNOW 8 (GO TO K-A22a)

K-A22a. IF R ANSWERS DK TO K-A22 BUT OFFERS ANY MEDICAL/HEALTH
INFORMATION, SUMMARIZE HERE:

> \_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
>
> **\[RELN.QA9COM1\] \[RELN.QA9COM2\]**

To the best of your knowledge, would you say that {he/she}

**\[RELN.QA9PROBE\]**

Did have another cancer, 1 (GO TO K-A17 TO COLLECT 3^RD^ CANCER)

Did [not]{.underline} have another cancer, or 2

You're not sure? 3

+-----------------------------------------------------------------------+
| BOX K-A-19                                                            |
|                                                                       |
| IF FIRST REPORTED CANCER IS A SKIN CANCER (K-A4b = 1), GO TO K5 FOR   |
| NEXT FATHER'S SISTER/FATHER'S BROTHER. ELSE, GO TO K-A23.             |
|                                                                       |
| IF NO MORE FATHER'S SISTER/FATHER'S BROTHER, GO TO SECTION J.         |
+-----------------------------------------------------------------------+

**METASTATIC PROBES FOR FIRST REPORTED PRIMARY CANCER**

***[NOTE]{.underline}**: THE INTERVIEWER WILL CODE K-A23 WITHOUT ASKING
TO ASSESS IF THE FIRST REPORTED CANCER IS A COMMON METASTATIC SITE. IF
SO, INTERVIEWER WILL ASK K-A23a.*

K-A23. \[FINISHED COLLECTING CANCER -- WILL NOW RETURN TO FIRST CANCER.
INTERVIEWER CODE WITHOUT ASKING: IS [FIRST]{.underline} REPORTED CANCER
ONE OF THE FOLLOWING COMMON METASTATIC SITES: "ABDOMEN", ADRENAL GLAND,
BONE, BRAIN, COLON/BOWEL/INTESTINE, LIVER, LUNG, LYMPH NODES/NODES OR
STOMACH?\]

**\[CANC.QA9_1\]**

YES 1

NO 2 (GO TO BOX K-A-20)

K-A23a. Let's return to the first cancer you reported, the (FIRST CANCER
TYPE). Did this cancer actually start in the (CANCER SITE) or did it
spread there from another part of the body?

**\[CANC.QA9_1OV\]**

STARTED IN THE {CANCER SITE} 1

SPREAD THERE 2

BOX K-A-20

GO TO K5 FOR NEXT FATHER'S SISTER/FATHER'S BROTHER.

IF NO MORE FATHER'S SISTER/FATHER'S BROTHER, GO TO SECTION J.

SECTION L (R contact information)

introduction:

In the second interview, we will ask detailed questions about a few of
your relatives that we will randomly choose from your family. We will
Fed-Ex to you a list of these relatives and the questions we will ask.
The Fed Ex package will include a 60‑minute pre-paid long distance
calling card, which may be helpful in contacting your relatives for
information. We will call you back in about 2 to 3 weeks to conduct the
second interview.

L1. May I please have your full name? \[VERIFY SPELLING.\]

FIRST NAME: MIDDLE INITIAL: LAST NAME:

> **\[RESP.QM1FNAM\] \[RESP.QM1MNAM\] \[RESP.QM1LNAM\]**

L1a. Is that Mr, Ms, or something else? \[ENTER MR, MISS, MS, MRS, DR,
REV, OR SPECIFY.\]

**\[RESP.QM1TITLE\]**

L1b. \[IF R IS MALE SAY\] Do you have a Junior, Senior, or something
else after your last name? \[ENTER JR, SR, ETC., IF APPLICABLE.\]

**\[RESP.QM1SUFFX\]**

L2. May I please have the mailing address where we can mail you your
list of relatives? \[IF R SAYS RF OR DK FOR ANY ITEM COMPRISING THE
ADDRESS, SAY: I will need an address in order to mail you the study
information and the pre-paid calling card. We can send it to a work
address.\]

\[VERIFY SPELLING\]

NUMBER AND STREET: APT. #:

**\[RESP.QM1ADDR\] \[RESP.QM1APT\]**

CITY/TOWN: STATE: ZIP CODE:

**\[RESP.QM1CITY\] \[RESP.QM1STAT\] \[RESP.QM1ZIP\]**

\[IF P.O. BOX GIVEN, SAY: We will send these materials by Federal
Express and they will not deliver to a post office box address. Please
give me a street address.\]

\[IF R REFUSES DELIVERY BY FED EX OR WILL GIVE PO ADDRESS, PLACE X HERE:
\_\_\_\_\_\_\]

**\[RESP.QM1FEDEX\]**

L3. Is this mailing address also your residence?

**\[RESP.QM2\]**

YES 1 (GO TO L4)

NO 2

REFUSED 7 (GO TO L4)

DON'T KNOW 8 (GO TO L4)

L3a. Whose address is it?

**\[RESP.QM2TYPE\]**

\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_

L3b. For our records, please also give me the address of your residence.

NUMBER AND STREET: APT. #:

**\[RESP.QM2ADDR\] \[RESP.QM2APT\]**

CITY/TOWN: STATE: ZIP CODE:

**\[RESP.QM2CITY \[RESP.QM2STAT\] \[RESP.QM2ZIP\]**

L4. In general, is it best to reach you during the:

**\[RESP.QM3DEW\]**

Day, 1 (GO TO L5)

Evening, or 2 (GO TO L5)

Weekend? 3 (GO TO L5)

EXACT APPOINTMENT 4 (GO TO L4a)

L4a. \[DO NOT SCHEDULE APPOINTMENT BEFORE MM/DD/YYYY THAT IS 3 WEEKS
FROM TODAY\]

**\[RESP.QM3MM\] \[RESP.QM3DD\] \[RESP.QM3YYYY\]**

\|\_\_\_\|\_\_\_\| - \|\_\_\_\|\_\_\_\| -
\|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

MONTH DAY YEAR

L4b. TIME: \|\_\_\_\|\_\_\_\| : \|\_\_\_\|\_\_\_\| 1 AM

2 PM

**\[RESP.QM3HR\] \[RESP.QM3MIN\] \[RESP.QM3AMPM\]**

L5. Are there other telephone numbers at which we might reach you?

**\[RESP.QM4\]**

YES 1

NO 2 (GO TO L6)

L5a. PHONE NUMBER: \|\_\_\_\|\_\_\_\|\_\_\_\| -
\|\_\_\_\|\_\_\_\|\_\_\_\| - \|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

**\[RESP.QM4AREA1\] \[RESP.QM4EXCH1\] \[RESP.QM4LOCL1\]**

\[PROBE: Is this a work number, a home number, or something else?\]

RECORD COMMENTS:

**\[RESP.QM4DESC1\]**

\[PROBE: Are there any other numbers?\]

PHONE NUMBER: \|\_\_\_\|\_\_\_\|\_\_\_\| - \|\_\_\_\|\_\_\_\|\_\_\_\| -
\|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

**\[RESP.QM4AREA2\] \[RESP.QM4EXCH2\] \[RESP.QM4DESC2\]**

\[PROBE: Is this a work number, a home number, or something else?\]

RECORD COMMENTS:

**\[RESP.QM4DESC2\]**

L6. Are you planning to move within the next month?

**\[RESP.QM5\]**

YES OR MAYBE 1

NO 2 (GO TO THANK07)

L7. Do you know what that new address or telephone number will be?

**\[RESP.QM6\]**

YES, HAS SOME INFORMATION 1

NO, HAS NO INFORMATION 2 (GO TO L8)

L7a. \[May I please have your new address and phone number?\]

NUMBER AND STREET: APT. #:

**\[RESP.QM6ADDR\] \[RESP.QM6APT\]**

CITY/TOWN: STATE: ZIP CODE:

**\[RESP.QM6CITY\] \[RESP.QM6STAT\] \[RESP.QM6ZIP\]**

PHONE NUMBER: \|\_\_\_\|\_\_\_\|\_\_\_\| - \|\_\_\_\|\_\_\_\|\_\_\_\| -
\|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

**\[RESP.QM6AREA\] \[RESP.QM6EXCH\] \[RESP.QM6LOCL\]**

\[IF VOLUNTEERED, RECORD MOVE DATE OR OTHER PERTINENT INFORMATION.\]

**\[RESP.QM6COM1\] \[RESP.QM6COM2\] \[RESP.QM6COM3\]**

L8. Would you be willing to give me the name, address, and telephone
number of a relative or friend, currently [not]{.underline} living in
your household, who would know where you could be contacted if we have
trouble reaching you?

FIRST NAME: LAST NAME:

**\[RESP.QM7FNAM\] \[RESP.QM7LNAM\]**

NUMBER AND STREET: APT. #:

**\[RESP.QM7ADDR\] \[RESP.QM7APT\]**

CITY/TOWN: STATE: ZIP CODE:

**\[RESP.QM7CITY\] RESP.QM7STAT\] \[RESP.QM7ZIP\]**

PHONE NUMBER: \|\_\_\_\|\_\_\_\|\_\_\_\| - \|\_\_\_\|\_\_\_\|\_\_\_\| -
\|\_\_\_\|\_\_\_\|\_\_\_\|\_\_\_\|

**\[RESP.QM7AREA\] \[RESP.QM7EXCH\] \[RESP.QM7LOCL\]**

THANK07 The information you have provided is very useful. In a few days
you will receive a 60-minute pre-paid calling card and a workbook
containing a list of relatives we will ask about in the second
interview. A check for \$20 will be sent to you after you complete the
second interview in about 2 to 3 weeks. Thank you for taking the time to
talk with me today.

**END OF INTERVIEW**