Form 1 Enrollment

National Institute of Environmental Health Sciences (NIEHS)

01/20/11

Telephone Enrollment and Baseline
Scripts and Questionnaires

OMB#0925-XXX
EXP:xx/xxxx

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Table of Contents
Part 1: Scripts – Pre-Telephone Enrollment Questionnaire (Estimated
Burden: 2 minutes) .................................................................................. 3 
SECTION A: Introduction ................................................................................... 4 
SECTION B: Deceased or Incapacitated Participants.................................... 12 

Part 2: Telephone Enrollment Questionnaire (Estimated Burden:
Shortest Path = 30 minutes; Longest Path = 50 minutes) .................. 24 
SECTION C: Background Information............................................................. 25 
SECTION D: Demographic Measures.............................................................. 28 
SECTION E: Clean-up Related Tasks and Exposures During Clean-up....... 31 
SECTION F: Health............................................................................................ 58 
SECTION G: Mental Health............................................................................... 81 
SECTION H: Reproductive History and Menopausal Status ......................... 87 
SECTION I: Lifestyle - Alcohol ......................................................................... 89 
SECTION J: Lifestyle - Tobacco ...................................................................... 92 
SECTION K: Socioeconomic Factors.............................................................. 95 
Part 3: Scripts – Post-Telephone Enrollment Questionnaire (Estimated
Burden: 2 minutes) .............................................................................. 110 
SECTION L: Wrap-up and Scheduling .......................................................... 111 
SECTION L.1: SSN and Transition.................................................................111 
SECTION L.2: Study Requirement for Active Subcohort ............................111 
SECTION L.3: Study Requirement for Biomedical Subcohort ....................113 
SECTION L.4: Study Requirement for Active and Biomedical Subcohort
Participants Who Live Outside of the Four Gulf States .................115 
SECTION L.4.c: Coordinate Home Visit Scheduling ....................................117 
SECTION L.5: Passive Subcohort .................................................................117 
SECTION L.6: Schedule Call to Confirm Participation ................................117 
SECTION L.7: Coordinate Home Visit Scheduling .......................................118 
SECTION L.8: Refusal to Participate .............................................................119 
SECTION L.9: Ineligible ..................................................................................119 

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National Institute of Environmental Health Sciences (NIEHS)

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Part 1: Scripts – Pre-Telephone
Enrollment Questionnaire (Estimated
Burden: 2 minutes)

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SECTION A: Introduction
SECTION A.1: Initial Contact
SECTION A.1.a: Voicemail Script:
Hello, this message is for [PARTICIPANT’S NAME] and I’m calling about the Gulf
Long-term Follow-up Study (GuLF Study), sponsored by the National Institutes of
Health. We would like to speak with you about participating in this important
study. We will try to contact you again soon. Thank you.
[TERMINATE CALL]
SECTION A.1.b: Contact Script:
Hello, I’m calling about the Gulf Long-term Follow-up Study (GuLF Study),
sponsored by the National Institutes of Health. May I please speak to
[PARTICIPANT’S NAME]?
CODE ONE OF THE FOLLOWING 5:
1. PARTICIPANT MOVED Æ CONTACT SCRIPT QUESTION A2
2. PARTICIPANT DECEASED Æ SECTION B.1
3. PARTICIPANT INCAPACITATED Æ SECTION B.2
4. PARTICIPANT LANGUAGE Æ DIRECT TO BOX BELOW
5. PARTICIPANT TEMPORARILY NOT AVAILABLE Æ CONTINUE TO A1
6. PARTICIPANT PREVIOUSLY CONTACTED Æ GO TO A.5
7. CONTINUE WITH SURVEY Æ GO TO SECTION A.2
[INTERVIEWER: IF THE PARTICIPANT DOES NOT SPEAK ENGLISH,
ATTEMPT TO FIND AN ENGLISH SPEAKER IN THE HOUSEHOLD TO
CONFIRM THAT THE TARGET RESPONDENT DOES NOT SPEAK ENGLISH
AND TO SCHEDULE A CALL BACK TO BE CONDUCTED IN THE
PARTICIPANT’S LANGUAGE]
1. PARTICIPANT SPEAKS ENGLISH – CONTINUE
2. PARTICIPANT DOES NOT SPEAK ENGLISH – CALL BACK SCHEDULED,
LANGUAGE FLAG SET
3. PARTICIPANT DOES NOT SPEAK ENGLISH – SOFT APPOINTMENT CALL
BACK SCHEDULED, LANGUAGE FLAG SET
4. PARTICIPANT DOES NOT SPEAK ENGLISH AND REFUSES – HARD
REFUSAL
5. PARTICIPANT IS UNABLE TO BE REACHED - REFER TO TRACING.
A1. I am sorry I missed [HIM/HER/NAME]. What is the best time to reach
[HIM/HER/NAME]?
DATE 1: __/__/___ [MM/DD/YYYY] [CALENDAR]
TIME OF DAY 1: _/_/ [AM/PM]

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DATE 2: __/__/___ [MM/DD/YYYY] [CALENDAR]
TIME OF DAY 2: _/_/ [AM/PM]
[TERMINATE CALL]

[IF PARTICIPANT HAS DIFFERENT CONTACT INFORMATION
ACCORDING TO THE PERSON ANSWERING THE PHONE]
A2. It is important that we speak to [PARTICIPANT]. Do you have a telephone
number or address where the [PARTICIPANT] may be reached?
Yes......................... 1
No .......................... 2 [TERMINATE CALL]
DON’T KNOW........ 8 [TERMINATE CALL]
REFUSED.............. 9 [TERMINATE CALL]
A2a. What is the phone number?
I_I_I_I_I_I_I_I_I_I_I TEN DIGIT #
DON’T KNOW ........ 8
REFUSED .............. 9
A2b. What is the address?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
Zip Code: ___/___/___/___/___/
DON’T KNOW ........ 8
REFUSED .............. 9
Thank you.
[TERMINATE CALL]

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SECTION A.2: Introduction to the Study
[IF PARTICIPANT INITIALLY ANSWERED THE PHONE]
My name is [INTERVIEWER’S NAME]. The National Institutes of Health recently
sent you a letter and brochure about the Gulf Long-term Follow-up Study (GuLF
Study). I hope you received the letter.
Did you receive the study letter and brochure in the mail?
Yes......................... 1
No .......................... 2
Are you in a place where you can talk on the phone and answer my questions?
Yes......................... 1 [GO TO DID NOT RECEIVE MATERIALS OR CONTINUE
TO ALL PARTICIPANTS, AS APPROPRIATE]
No .......................... 2
GO TO SECTION A.3 IF PARTICIPANT ASKS TO RESCHEDULE
I will attempt to contact you again soon. Thank you for your time.

[IF SOMEONE OTHER THAN THE PARTICIPANT INITIALLY ANSWERED
THE PHONE]
Hello [PARTICIPANT’S NAME]. My name is [INTERVIEWER’S NAME]. I’m
calling about the Gulf Long-term Follow-up Study (GuLF Study), sponsored by
the National Institutes of Health. The National Institutes of Health recently sent
you a letter and brochure about the Gulf Long-term Follow-up Study (GuLF
Study). I hope you received the letter.
A.2.a.1. Did you receive the study letter and brochure in the mail?
Yes......................... 1
No .......................... 2
Are you in a place where you can talk on the phone and answer my questions?
Yes......................... 1 [GO TO DID NOT RECEIVE MATERIALS OR CONTINUE
TO ALL PARTICIPANTS, AS APPROPRIATE]
No .......................... 2
GO TO SECTION A.3 IF PARTICIPANT ASKS TO RESCHEDULE
I will attempt to contact you again soon. Thank you for your time.

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[IF PARTICIPANT DID NOT RECEIVE THE MATERIALS]

I would like to take a minute to tell you a little about this study. First, I would like
to update your address so we can resend you the letter and study brochure.
A.2a.What is your mailing address?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
Zip Code: ___/___/___/___/___/
REFUSED MAILING ......... 8
REFUSED STUDY............ 9 [GO TO SECTION A.4]

[CONTINUE FOR ALL PARTICIPANTS]

The purpose of the GuLF Study is to learn more about any health effects of the
oil spill. The study will include people who were involved in oil spill clean-up and
others who did not do clean-up work. Findings from the study will identify health
needs of people involved in oil spills and may change public health responses to
similar disasters.
If you agree to participate, I will ask you questions about oil spill clean-up
activities you may have done, your usual work, and your health. The telephone
interview will take about 30 minutes.
I will also ask you to provide contact information and other information such as
your birth date and Social Security Number that we can use to follow your health
through available public health records like cancer registries and death
certificates. If you agree to be in the GuLF Study, we will follow your health for at
least 10 years.
Participation is voluntary. If you agree to answer the questions, you are giving
consent to be part of the GuLF Study. Your privacy will be protected to the extent
allowed by U.S. law. Data we collect may be shared with other qualified
researchers, but your name and other information that can identify you will not be
used in any study reports. You do not have to answer every question. If there is
a question you don’t want to answer, just let me know.
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At the end of the telephone interview, you may be asked to be in a second part of
the GuLF Study that includes a home visit and collects more health information.
Agreeing to do the telephone interview does not mean you are agreeing to the
second part of the study.
So, if I have your permission, I'll continue.
[INTERVIEWER: PAUSE FOR RESPONSE]
[IF YES CONTINUE TO BOX BELOW; IF PARTICIPANT ASKS TO
RESCHEDULE CALL GO TO SECTION A.3; IF NO GO TO SECTION
A.4]

DID THE PARTICIPANT REPORT RECEIVING THE MAILING?
[PROGRAMMER NOTE: PIPE IN RESPONSE FROM A.2.a.1] IF YES, READ
SCRIPT BELOW; IF NO PROCEED TO PART 2, SECTION C:
BACKGROUND INFORMATION

Before we begin, did you have an opportunity to use the work history form that
came with the letter and brochure you received?
Yes......................... 1
No .......................... 2 [GO TO SECTION C]
DON’T KNOW........ 8 [GO TO SECTION C]
REFUSED.............. 9 [GO TO SECTION C]
Great! If you would like, please take a moment to locate the form as it may be
helpful during the interview. [GO TO SECTION C].

SECTION A.3: Reschedule Enrollment Call
We appreciate your willingness to participate in the study. When might you have
time for a 30-minute call?
DATE 1: __/__/___ [MM/DD/YYYY] [CALENDAR]
TIME OF DAY 1: _/_/ [AM/PM]
DATE 2: __/__/___ [MM/DD/YYYY] [CALENDAR]
TIME OF DAY 2: _/_/ [AM/PM]
Thank you. We’ll call you then. In the meantime, if you have any questions or
would like to schedule the interview, you can call the toll-free phone number
Monday through Saturday between the hours of [9 AM AND 9 PM] and Sunday
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between the hours of [12PM AND 6PM] [CALL CENTER HOURS PRESENTED
IN LOCAL TIME]. The number is 1 855 NIH GuLF (1-855-644-4853). You can
also find this information in the letter and brochure we sent.
[TERMINATE CALL]

SECTION A.4: Response to Refusals
[IF A REASON IS GIVEN FOR REFUSAL GO TO SECTION A.4.a;
IF A REASON IS NOT GIVEN FOR REFUSAL GO TO SECTION A.4.b]
SECTION A.4.a: I understand you said …
[RESTATE REASONS AND USE TELEPHONE INTERVIEW Q & A
BENEFITS TO ATTEMPT A CONVERSION]

If you don't mind, I'd like to make a note of your reason. This information
will help us improve the GuLF Study.

[RECORD REASON – FREE TEXT FIELD]
[IF CONVERSION ATTEMPT IS SUCCESSFUL GO TO PART 2:
QUESTIONNAIRE SECTION C: BACKGROUND INFORMATION]

Thank you.
[TERMINATE CALL]
SECTION A.4.b: May I ask why you do not want to participate?

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[INTERVIEWER: USE TELEPHONE INTERVIEW Q & A TO
RESPOND TO REASON FOR REFUSAL BY STATING THE
BENEFITS]
[RECORD REASON – FREE TEXT FIELD]
[IF CONVERSION ATTEMPT IS SUCCESSFUL GO TO PART 2:
QUESTIONNAIRE SECTION C: BACKGROUND INFORMATION]
Thank you.
[TERMINATE CALL]

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SECTION A.5: Previously Contacted
[PARTICIPANT NAME], I apologize for the inconvenience. We thank you for
speaking with us previously and if you have any questions or concerns please
call the study hotline at 1 855 NIH GuLF (1-855-644-4853). You may call
Monday through Saturday between the hours of [9 AM AND 9 PM] and Sunday
between the hours of [12PM AND 6PM] [CALL CENTER HOURS PRESENTED
IN LOCAL TIME]. Thank you.
[TERMINATE CALL]

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SECTION B: Deceased or Incapacitated Participants
SECTION B.1: Apparently Deceased Subject
I’m very sorry to hear that.
Would it be okay if I asked you a few questions about [PARTICIPANT’S NAME]?
This will only take about 5 minutes. The information you provide will help us to
identify health needs of people involved in oil spills and could change public
health responses to similar disasters.
Yes..........................................................1
No…….. ..................................................2 [GO TO B.1.c]
NEEDS TIME TO CONSIDER ................3 [GO TO B.1.e]
REFUSED...............................................9 [GO TO B.1.c]
SECTION B.1.a: Collection of information and confirmation of identity
Thank you for doing this. I understand that this may be difficult for you. If there is
a question you don’t want to answer, just let me know.
B1. Was [PARTICIPANT’S NAME] a male or female? [ASK ONLY IF
UNKNOWN]
Male ..................... 1
Female................. 2
DON’T KNOW...... 8
REFUSED............ 9
B2. Did he/she work on the oil spill clean-up effort in any capacity, such as
cleaning up oil on the water or on the shore, cleaning wildlife, or oil clean-up
office work and support activities?
YES........................ 1
NO ......................... 2 [GO TO QUESTION B6]
DON’T KNOW........ 8 [GO TO QUESTION B6]
REFUSED.............. 9 [GO TO QUESTION B6]
B3. What type of work did he/she did for the oil spill clean-up effort? I would like
to know as much detail as you can provide.
[FREE TEXT]
DON’T KNOW........ 8
REFUSED.............. 9
B4. What is the approximate date when he/she started doing this work?
[PROGRAMMER NOTE: THIS DATE NEEDS TO BE ABLE TO CAPTURE ALL
OR PARTIAL FIELDS]
MM/DD/YYYY [IF COMPLETE DATE, GO TO B5; IF DD IS UNKNOWN, GO TO
B4a]

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DON’T KNOW........ 8 [GO TO QUESTION B5]
REFUSED.............. 9 [GO TO QUESTION B5]
B4a. Was it the beginning, middle, or end of the month?
Beginning ............... 1
Middle .................... 2
End......................... 3
DON’T KNOW ........ 8
REFUSED .............. 9
B5. What is the approximate date when he/she stopped doing this work?
[PROGRAMMER NOTE: THIS DATE NEEDS TO BE ABLE TO CAPTURE ALL
OR PARTIAL FIELDS; ALSO NEEDS TO BE ABLE TO CAPTURE DATE AND
SELECT THAT WORK WAS NOT CONTINOUS. IF NOT CONTINUOUS IS
SELECTED THEN TEXT FIELD TO CAPTURE REASON, IF PROVIDED]
MM/DD/YYYY [IF COMPLETE DATE, GO TO B6; IF DD IS UNKNOWN, GO TO
B5a]
NOT CONTINOUS. 7 [TEXT FIELD FOR REASON]
DON’T KNOW........ 8 [GO TO QUESTION B6]
REFUSED.............. 9 [GO TO QUESTION B6]
B5a. Was it the beginning, middle, or end of the month?
Beginning ............... 1
Middle .................... 2
End......................... 3
DON’T KNOW ........ 8
REFUSED………….9
B6. What did he/she die of?
[FREE TEXT]
DON’T KNOW........ 8
REFUSED.............. 9
B7. When did he/she die?
___ ___ / ___ ___ / ___ ___ ___ ___ [MM/DD/YYYY]
DON’T KNOW............ 88 88 8888
REFUSED.................. 99 99 9999
B8. What was his/her date of birth?
___ ___ / ___ ___ / ___ ___ ___ ___ [MM/DD/YYYY]
DON’T KNOW............ 88 88 8888
REFUSED.................. 99 99 9999
B9. Would you please confirm his/her full name, including middle initial? [SPELL
FIRST, MI, THEN LAST NAME]
FIRST: _______________ [FREE TEXT FIELD]

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MI: _________________[FREE TEXT FIELD]
LAST: ________________[FREE TEXT FIELD]
B10. What was his/her address at the time that he/she died?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
Zip Code: ___/___/___/___/___/
B11. [ASK ONLY IF B2 = 1; IF B2 = 2, 8, OR 9 GO TO B12]Did he/she live at this
address while working on the oil spill?
Yes......................... 1 [GO TO QUESTION B13]
No…….. ................. 2
DON’T KNOW........ 8
REFUSED.............. 9
B11a. What was his/her address while working on the oil spill?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX] [GO TO
QUESTION B13]
DON’T KNOW ........ 8 [GO TO QUESTION B13]
REFUSED .............. 9 [GO TO QUESTION B13]
B12. [ASK ONLY IF B2 = 2, 8, OR 9; IF B2 = 1 GO TO B13]Did he/she live at this
address in the spring and summer of 2010?
Yes......................... 1 [GO TO QUESTION B13]
No…….. ................. 2
DON’T KNOW........ 8
REFUSED.............. 9
B12a. Where did they live at that time?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
DON’T KNOW ........ 8
REFUSED .............. 9
B13. Is there any other address that they may have given?
Yes......................... 1

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No…….. ................. 2 [GO TO QUESTION B14]
DON’T KNOW........ 8 [GO TO QUESTION B14]
REFUSED.............. 9 [GO TO QUESTION B14]
B13a. What was it?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
DON’T KNOW ........ 8
REFUSED .............. 9
B14. His/Her social security number will help us link to the correct health records
for him/her and help us make sure we have the correct person in our files.
Reporting his/her social security number is voluntary. We will not share this
information with others and we will do everything possible to keep it private. What
was his/her social security number?
__/__/__/ - __/__/ - __/__/__/__/ [GO TO SECTION B.1.b]
DON’T HAVE ............................... 000 00 0000 [GO TO SECTION B.1.b]
DON’T KNOW..............................888 88 8888
REFUSED....................................999 99 9999
B14a. Would you be willing or able to tell me the last four digits of his/her
social security number? The last four digits of his/her social security
number are not unique to him/her. Other people have those same last four
digits. However, it will help us do a better job of linking to his/her public
health records.
Last 4 numbers of SSN - __ __ __ __
DON’T HAVE .................... 0000
DON’T KNOW ................... 8888
REFUSED ......................... 9999
SECTION B.1.b: End of Call for Deceased Participants
B15. What was your relationship to him/her?
[PULL-DOWN MENU]
B16. Would you please tell me your name? [SPELL FIRST, MI, THEN LAST
NAME]
FIRST: _______________ [FREE TEXT FIELD]
MI: _________________[FREE TEXT FIELD]
LAST: ________________[FREE TEXT FIELD]
REFUSED.............. 9

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That is all of the questions I have for you. Thank you for taking the time to talk
with me today.
B17. Do you have any questions for me?
Yes......................... 1 [RESPOND TO CONCERNS BASED ON INFORMATION
FROM THE FAQ, THEN READ SCRIPT BELOW]
No .......................... 2 [READ SCRIPT BELOW]
DON’T KNOW........ 8 [READ SCRIPT BELOW]
REFUSED.............. 9 [READ SCRIPT BELOW]
If you have any other questions about the study, you may call the toll-free
number to reach a member of the study staff. That number is 1 855 NIH GuLF
(644 4853). The phone will be answered Monday through Saturday between [9
AM and 9 PM] and Sunday between [noon and 6pm] [CALL CENTER HOURS
PRESENTED IN LOCAL TIME]. You can also visit the website at
www.nihgulfstudy.org.
Thank you again for talking with me. Again, I am sorry for your loss.
[TERMINATE CALL]
SECTION B.1.c: Response to Refusals
[IF A REASON IS GIVEN FOR REFUSAL GO TO SECTION B.1.c.1;
IF A REASON IS NOT GIVEN FOR REFUSAL GO TO SECTION B.1.c.2]
SECTION B.1.c.1. I understand you said …
RESTATE REASONS AND USE TELEPHONE INTERVIEW Q & A BENEFITS
TO ATTEMPT A CONVERSION
If you don't mind, I'd like to make a note of your reason. This information
will help us improve the GuLF Study.
[RECORD REASON – FREE TEXT FIELD]
[IF CONVERSION ATTEMPT IS SUCCESSFUL GO TO SECTION B.1.a; IF
CONVERSION ATTEMPT IS UNSUCCESSFUL GO TO SECTION B.1.d]
SECTION B.1.c.2: May I ask why you do not want to answer any
questions?
[INTERVIEWER: USE TELEPHONE INTERVIEW Q & A TO RESPOND TO
REASON FOR REFUSAL BY STATING THE BENEFITS]

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[RECORD REASON– FREE TEXT FIELD]
[IF CONVERSION ATTEMPT IS SUCCESSFUL GO TO SECTION B.1.a ; IF
CONVERSION ATTEMPT IS UNSUCCESSFUL GO TO SECTION B.1.d]
SECTION B.1.d. End of Call for Refusals
Thank you for your time. Again, I want to extend my condolences to you.
[TERMINATE CALL]
SECTION B.1.e: Reschedule Call
We appreciate your willingness to consider answering our questions. When
might you have time for a 5 minute call?
DATE 1: __/__/___ [MM/DD/YYYY] [CALENDAR]
TIME OF DAY 1: _/_/ [AM/PM]
Thank you. We’ll call you then. In the meantime, if you have any questions you
can call the toll-free phone number Monday through Saturday between the hours
of [9 AM AND 9 PM] and Sunday between the hours of [12PM AND 6PM] [CALL
CENTER HOURS PRESENTED IN LOCAL TIME]. The number is 1 855 NIH
GuLF (1-855-644-4853.
Thank you for your time. Again, I want to extend my condolences to you.
SECTION B.2.: Apparently Incapacitated Subject
I’m very sorry to hear that.
Would it be okay if I asked you a few questions about [PARTICIPANT’S NAME]?
This will take only 5 minutes. The information you provide will help us to identify
health needs of people involved in oil spills and could change public health
responses to similar disasters.
Yes..........................................................1
No…….. ..................................................2 [GO TO B.2.c]
NEEDS TIME TO CONSIDER ................8 [GO TO B.2.e]
REFUSED...............................................9 [GO TO B.2.c]
SECTION B.2.a: Collection of Information and Confirmation of Identity
Thank you for doing this. I understand that this may be difficult for you. If there is
a question you don’t want to answer, just let me know.
B18. Is [PARTICIPANT’S NAME] a male or female? [ASK ONLY IF UNKNOWN]

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Male ..................... 1
Female................. 2
DON’T KNOW...... 8
REFUSED............ 9
B19. Did he/she work on the oil spill clean-up effort in any capacity, such as
cleaning up oil on the water or on the shore, cleaning wildlife, or oil clean-up
office work and support activities?
YES........................ 1
NO ......................... 2 [GO TO QUESTION B23]
DON’T KNOW........ 8 [GO TO QUESTION B23]
REFUSED.............. 9 [GO TO QUESTION B23]
B20. What type of work did he/she did for the oil spill clean-up effort? I would like
to know as much detail as you can provide.
[FREE TEXT]
DON’T KNOW........ 8
REFUSED.............. 9
B21. What is the approximate date when he/she started doing this work?
[PROGRAMMER NOTE: THIS DATE NEEDS TO BE ABLE TO CAPTURE ALL
OR PARTIAL FIELDS]
MM/DD/YYYY [IF COMPLETE DATE, GO TO B22; IF DD IS UNKNOWN, GO
TO B21a]
DON’T KNOW........ 8 [GO TO QUESTION B22]
REFUSED.............. 9 [GO TO QUESTION B22]
B21a. Was it the beginning, middle, or end of the month?
Beginning ............... 1
Middle .................... 2
End......................... 3
DON’T KNOW ........ 8
REFUSED .............. 9
B22. What is the approximate date when he/she stopped doing this work?
[PROGRAMMER NOTE: THIS DATE NEEDS TO BE ABLE TO CAPTURE ALL
OR PARTIAL FIELDS; ALSO NEEDS TO BE ABLE TO CAPTURE DATE AND
SELECT THAT WORK WAS NOT CONTINOUS. IF NOT CONTINUOUS IS
SELECTED THEN TEXT FIELD TO CAPTURE REASON, IF PROVIDED]
MM/DD/YYYY [IF COMPLETE DATE, GO TO B23; IF DD IS UNKNOWN, GO
TO B22a]
NOT CONTINOUS. 7 [TEXT FIELD FOR REASON]
DON’T KNOW........ 8 [GO TO QUESTION B23]
REFUSED.............. 9 [GO TO QUESTION B23]
B22a. Was it the beginning, middle, or end of the month?

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Beginning ............... 1
Middle .................... 2
End......................... 3
DON’T KNOW ........ 8
REFUSED .............. 9
B23. [INTERVIEWER: IF RESPONDENT HAS PROVIDED THE NATURE /
CAUSE OF INCAPACITATION] “If you don't mind, I'd like a moment to make a
note.
[FREE TEXT] [RECORD NATURE/CAUSE OF INCAPACITATION PROVIDED
BY RESPONDENT]
[INTERVIEWER: IF THE RESPONDENT HAS NOT PROVIDED THE REASON
OF PARTICIPANT INCAPACITION]
“What is the cause of [PARTICIPANT’S NAME] incapacitation?
[FREE TEXT] [RECORD NATURE/CAUSE OF INCAPACITATION PROVIDED
BY RESPONDENT]
DON’T KNOW........ 8
REFUSED.............. 9
B24. When did he/she [CAUSE OF INCAPACITATION, AS PROVIDED BY
RESPONDENT, PARAPHRASED IF NECESSARY BY INTERVIEWER]?
___ ___ / ___ ___ / ___ ___ ___ ___ [MM/DD/YYYY]
DON’T KNOW............ 88 88 8888
REFUSED.................. 99 99 9999
B25. What is his/her date of birth?
___ ___ / ___ ___ / ___ ___ ___ ___ [MM/DD/YYYY]
DON’T KNOW............ 88 88 8888
REFUSED.................. 99 99 9999
B26. Would you please confirm his/her full name, including middle initial? [SPELL
FIRST, MI, THEN LAST NAME]
FIRST: _______________ [FREE TEXT FIELD]
MI: _________________[FREE TEXT FIELD]
LAST: ________________[FREE TEXT FIELD]
B27. What is his/her address?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
Zip Code: ___/___/___/___/___/
DON’T KNOW................... 8

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REFUSED......................... 9
B28. [ASK ONLY IF B19 = 1; IF B19 = 2, 8, OR 9 GO TO B29] Did he/she live at
this address while working on the oil spill?
Yes......................... 1 [GO TO QUESTION B30]
No…….. ................. 2
DON’T KNOW........ 8
REFUSED.............. 9
B28a. What was his/her address while working on the oil spill?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX] [GO TO
QUESTION B30]
DON’T KNOW ........ 8 [GO TO QUESTION B30]
REFUSED .............. 9 [GO TO QUESTION B30]
B29. [ASK ONLY IF B19 = 2, 8, OR 9; IF B19 = 1 GO TO B30] Did he/she live at
this address in the spring and summer of 2010?
Yes......................... 1 [GO TO QUESTION B30]
No…….. ................. 2
DON’T KNOW........ 8
REFUSED.............. 9
B29a. Where did they live at that time?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
DON’T KNOW ........ 8
REFUSED .............. 9
B30. Is there any other address that they may have given?
Yes......................... 1
No…….. ................. 2 [GO TO QUESTION B31]
DON’T KNOW........ 8 [GO TO QUESTION B31]
REFUSED.............. 9 [GO TO QUESTION B31]
B30a. What was it?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]

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State: _______________[STATE DROP DOWN BOX]
DON’T KNOW ........ 8
REFUSED .............. 9
B31. His/Her social security number will help us link to the correct health records
for him/her. Reporting his/her social security number is voluntary. We will not
share this information with others and we will do everything possible to keep it
private. What is his/her social security number?
__/__/__/ - __/__/ - __/__/__/__/ [GO TO SECTION B.2.b]
DON’T HAVE ............................... 000 00 0000 [GO TO SECTION B.2.b]
DON’T KNOW..............................888 88 8888
REFUSED....................................999 99 9999
B31a. Would you be willing or able to tell me the last four digits of his/her
social security number? The last four digits of his/her social security
number are not unique to him/her. Other people have those same last four
digits. However, it will help us do a better job of linking to his/her public
health records.
Last 4 numbers of SSN - __ __ __ __
DON’T HAVE .................... 0
DON’T KNOW ................... 8
REFUSED ......................... 9
SECTION B.2.b: End of Call for Incapacitated Participants
B32. What is your relationship to him/her?
[PULL-DOWN MENU]
B33. Would you please tell me your name? [SPELL FIRST, MI, THEN LAST
NAME]
FIRST: _______________ [FREE TEXT FIELD]
MI: _________________[FREE TEXT FIELD]
LAST: ________________[FREE TEXT FIELD]
REFUSED.............. 9
That is all of the questions I have for you. Thank you for taking the time to talk
with me today.
B34. Do you have any questions for me?
Yes......................... 1 [RESPOND TO CONCERNS BASED ON INFORMATION
FROM THE FAQ, THEN READ SCRIPT BELOW]
No .......................... 2 [READ SCRIPT BELOW]
DON’T KNOW........ 8 [READ SCRIPT BELOW]
REFUSED.............. 9 [READ SCRIPT BELOW]

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If you have any other questions about the study, you may call the toll-free
number to reach a member of the study staff. That number is 1 855 NIH GuLF
(644 4853). The phone will be answered Monday through Saturday between [9
AM and 9 PM] and Sunday between [noon and 6pm] [CALL CENTER HOURS
PRESENTED IN LOCAL TIME]. You can also visit our website at
www.nihgulfstudy.org.
Thank you again for talking with me. Please don’t hesitate to contact us if you
have any questions later. Again, I am sorry to hear about what happened to
[PARTICIPANT’S NAME].
[TERMINATE CALL]
SECTION B.2.c: Response to Refusals
[IF A REASON IS GIVEN FOR REFUSAL GO TO SECTION B.2.c.1;
IF A REASON IS NOT GIVEN FOR REFUSAL GO TO SECTION B.2.c.2]
SECTION B.2.c.1: I understand you said …
RESTATE REASONS AND USE TELEPHONE INTERVIEW Q & A BENEFITS
TO ATTEMPT A CONVERSION
If you don't mind, I'd like to make a note of your reason. This information
will help us improve the GuLF Study.
[RECORD REASON – FREE TEXT FIELD]
[IF CONVERSION ATTEMPT IS SUCCESSFUL GO TO SECTION B.2.a; IF
CONVERSION ATTEMPT IS UNSUCCESSFUL GO TO SECTION B.2.d]
SECTION B.2.c.2: May I ask why you do not want to answer any
questions?
[INTERVIEWER: USE TELEPHONE INTERVIEW Q & A TO RESPOND TO
REASON FOR REFUSAL BY STATING THE BENEFITS]
[RECORD REASON– FREE TEXT FIELD]
[IF CONVERSION ATTEMPT IS SUCCESSFUL GO TO SECTION B.2.a; IF
CONVERSION ATTEMPT IS UNSUCCESSFUL GO TO SECTION B.2.d]
SECTION B.2.d. End of Call for Refusals

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Thank you for your time. Again, I am sorry to hear about what happened to
[PARTICIPANT’S NAME].
[TERMINATE CALL]
SECTION B.2.e: Reschedule Call
We appreciate your willingness to consider answering our questions. When
might you have time for a 5 minute call?
DATE 1: __/__/___ [MM/DD/YYYY] [CALENDAR]
TIME OF DAY 1: _/_/ [AM/PM]
Thank you. We’ll call you then. In the meantime, if you have any questions you
can call the toll-free phone number Monday through Saturday between the hours
of [9 AM AND 9 PM] and Sunday between the hours of [12PM AND 6PM] [CALL
CENTER HOURS PRESENTED IN LOCAL TIME]. The number is 1 855 NIH
GuLF (1-855-644-4853.
Thank you for your time.

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Part 2: Telephone Enrollment
Questionnaire (Estimated Burden:
Shortest Path = 30 minutes; Longest
Path = 50 minutes)

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SECTION C: Background Information
Thank you for agreeing to take part in the study. Let’s get started.
C1. What is your date of birth?
___ ___ / ___ ___ / ___ ___ ___ ___ [MM/DD/YYYY]
DON’T KNOW............ 88 88 8888
REFUSED.................. 99 99 9999
[IF AGE INELIGIBLE, GO TO SECTION L.9]
I would like to make sure we have the right contact information for you.
[INTERVIEWER: REFER TO FAQ IF PARTICIPANT ASKS HOW NAME WAS
OBTAINED]
C2. Is your name [SPELL FIRST, MI, THEN LAST NAME]?
FIRST: _______________ [FREE TEXT FIELD]
MI: _________________[FREE TEXT FIELD]
LAST: ________________[FREE TEXT FIELD]
C3. What is your current address? I would like to know the physical location of
this address – not a post-office box or rural route number.
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
Zip Code: ___/___/___/___/___/
C4. Did you live at this address while you were working on the oil spill?
Yes......................... 1 [GO TO C5]
No…….. ................. 2
DON’T KNOW........ 8 [GO TO C5]
REFUSED.............. 9 [GO TO C5]
C4a. What was your address while working on the oil spill? I would like to
know the physical location of this address – not a post-office box or rural
route number.
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
DON’T KNOW ........ 8
REFUSED .............. 9
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C5. Do you expect to be at this address for the next 3 months?
Yes......................... 1 [GO TO C6]
No…….. ................. 2
DON’T KNOW........ 8
REFUSED.............. 9 [GO TO C6]
C5a. What address do you expect to be at 3 months from now?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
Zip Code: ___/___/___/___/___/
DON’T KNOW ........ 8
REFUSED .............. 9
C6. [IF QUESTION A.2a = 1, GO TO QUESTION C7] Is your mailing address
different from your current address?
Yes......................... 1
No…….. ................. 2 [GO TO C7]
DON’T KNOW........ 8 [GO TO C7]
REFUSED.............. 9 [GO TO C7]
C6a. What is your mailing address?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
Zip Code: ___/___/___/___/___/
DON’T KNOW ........ 8
REFUSED .............. 9
C7. What is your email address? [INTERVIEWER: READ BACK FOR
ACCURACY]
[FREE TEXT FIELD] EMAIL
DON’T HAVE ....... 7
DON’T KNOW...... 8
REFUSED............ 9
C8. May I have contact information for a person would know how to reach you
should we have difficulty contacting you in the future?
C8a. Relationship [DROP DOWN BOX]
DON’T KNOW........ 8

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REFUSED.............. 9
C8b. Name _____________________ [FREE TEXT FIELD]
REFUSED.............. 9 [GO TO SECTION D]
C8c. Phone Number I_I_I_I_I_I_I_I_I_I_I TEN DIGIT #
DON’T KNOW........ 8
REFUSED.............. 9
C8d. Street Address
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
Zip Code: ___/___/___/___/___/
DON’T KNOW........ 8 [GO TO SECTION D]
REFUSED.............. 9 [GO TO SECTION D]
C8d.1. Is this also their mailing address?
Yes......................... 1 [GO TO SECTION D]
No .......................... 2
DON’T KNOW ........ 8 [GO TO SECTION D]
REFUSED .............. 9 [GO TO SECTION D]
C8d.2. What is their mailing address?
House number: _______________________[FREE TEXT FIELD]
Street name: _________________________[FREE TEXT FIELD]
Apartment number: ___________________[FREE TEXT FIELD]
City: __________________________[FREE TEXT FIELD]
State: _______________[STATE DROP DOWN BOX]
Zip Code: ___/___/___/___/___/
DON’T KNOW ........ 8 [GO TO SECTION D]
REFUSED .............. 9 [GO TO SECTION D]

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SECTION D: Demographic Measures
Next, I will ask you some background questions.
D1. Are you male or female? [ASK ONLY IF UNKNOWN OR UNCERTAIN]
Male ..................... 1
Female................. 2
DON’T KNOW...... 8
REFUSED............ 9
D2. Do you consider yourself to be Hispanic or Latino?
[INTERVIEWER READ IF RESPONDENT UNSURE OF DEFINITION OF
HISPANIC OR LATINO: Where do your ancestors come from? Puerto Rico,
Cuba, Dominican Republic, Mexico, Central or South America or another Latin
American country?]
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
D3. Were you born in the United States?
Yes....................... 1
[GO TO QUESTION D4]
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
D3a. What country were you born in?
____________[FREE TEXT FIELD]
DON’T KNOW ........ 8
REFUSED .............. 9
D3b. How old were you when you came to the United States?
I_I_I AGE
DON’T KNOW ........ 88
REFUSED .............. 99
D4. What race do you consider yourself to be? Please select one or more of
these categories:
[NOTE TO INTERVIEWER: READ CHOICES 1-5, PROBE AND RECORD
OTHER IF NECESSARY, SELECT ALL THAT APPLY]
American Indian
or Alaskan Native......................... 1
Asian............................................ 2
Black or African American............ 3
Native Hawaiian
or Pacific Islander ........................ 4

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White............................................ 5
[NOTE TO INTERVIEWER: Do not read the choices below but use to probe for
another race if necessary]
OTHER ........................................ 6 D4.1 Specify_________________________
DON’T KNOW..............................8 [GO TO QUESTION D4]
REFUSED.................................... 9 [GO TO QUESTION D4]
D4a. Where was your biological mother born?
In the United States………1 - Print name of state [____________ ]
Outside the United States.. 2 - Print U.S. Territory (e.g., Puerto Rico, U.S.
Virgin Islands, Guam) or name of foreign country etc. [______________ ]
DON’T KNOW ................... 8
REFUSED ......................... 9
D4b. Where was your biological father born?
In the United States………1 - Print name of state [____________ ]
Outside the United States.. 2 - Print U.S. Territory (e.g., Puerto Rico, U.S.
Virgin Islands, Guam) or name of foreign country etc. [______________ ]
DON’T KNOW ................... 8
REFUSED ......................... 9
[IF D4=2 (Asian), ELSE SKIP TO D5]
E4c. You had selected your race to be Asian. Are you Vietnamese,
Chinese, Laoatian, Thai, Cambodian, or what?
VIETNAM .......................... 1
CAMBODIA ....................... 2
LAOS ................................ 3
SAMOA ............................. 4
PACIFIC ISLANDS............5 D4b.1 Specify________________________
CHINA ............................... 6
PHILIPINES ...................... 7
JAPAN .............................. 8
KOREA.............................. 9
OTHER.............................. 10 D4b.2 Specify________________________
DON’T KNOW ................... 88
REFUSED ......................... 99
D5. What is the highest grade or level of school you have completed or the
highest degree you have received? [INTERVIEWER: PROBE AS
NECESSARY, BUT DO NOT READ LIST]
NEVER ATTENDED/KINDERGARTEN ONLY .................................. 0

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1ST GRADE ........................................................................................ 1
2ND GRADE........................................................................................ 2
3RD GRADE........................................................................................ 3
4TH GRADE ........................................................................................ 4
5TH GRADE ........................................................................................ 5
6TH GRADE ........................................................................................ 6
7TH GRADE ........................................................................................ 7
8TH GRADE ........................................................................................ 8
9TH GRADE ........................................................................................ 9
10TH GRADE .................................................................................... 10
11TH GRADE .................................................................................... 11
12TH GRADE, NO DIPLOMA ........................................................... 12
HIGH SCHOOL GRADUATE ........................................................... 13
GED OR EQUIVALENT ................................................................... 14
SOME COLLEGE, NO DEGREE ..................................................... 15
ASSOCIATE DEGREE: OCCUPATIONAL, TECHNICAL
OR VOCATIONAL PROGRAM ........................................................ 16
ASSOCIATE DEGREE: ACADEMIC PROGRAM ............................ 17
BACHELOR’S DEGREE (EXAMPLE: BA, AB, BS, BBA) ................ 18
MASTER’S DEGREE (EXAMPLE: MA, MS, MEng, MEd, MBA) ..... 19
PROFESSIONAL SCHOOL
DEGREE (EXAMPLE: MD, DDS, DVM, JD) .................................... 20
DOCTORAL DEGREE (EXAMPLE: PhD, EdD)............................... 21
DON’T KNOW.................................................................................. 88
REFUSED........................................................................................ 99
D6. Are you now married, widowed, divorced, separated, never married, or living
with a partner?
MARRIED ................................. 1
WIDOWED ................................ 2
DIVORCED ............................... 3
SEPARATED ............................. 4
NEVER MARRIED .................... 5
LIVING WITH PARTNER........... 6
DON’T KNOW ........................... 8
REFUSED ................................. 9
D7. How many children under 18 years of age usually live in your home?
___ ___ Number of children
NONE ..................................... 00
DON’T KNOW.......................... 88
REFUSED................................ 99

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SECTION E: Clean-up Related Tasks and Exposures During Clean-up
The next set of questions I’ll ask you are about the clean-up work you may have
done.
E0. Not counting any days you may have spent in training, did you work at least
one day since April 20, 2010 on the oil spill clean-up effort in any capacity, such
as cleaning up oil on the water or on the shore, cleaning wildlife, or oil clean-up
office work and support activities?
YES........................ 1 [GO TO E1]
NO ......................... 2
DON’T KNOW........ 8 [GO TO E1]
REFUSED.............. 9 [GO TO SECTION L.6]
If subject listed on PEC or other training list. Else E1.
Ex. Why did you not work on the clean-up after completing your training?
DID NOT COMPLETE THE TRAINING ..................1
WAS NOT HIRED FOR HEALTH REASONS .........2
.......... SPECIFY: _________________________ [FREE TEXT FIELD]
COULD NOT WORK FOR HEALTH REASONS.....3
.......... SPECIFY: _________________________ [FREE TEXT FIELD]
FOUND OTHER WORK FIRST ..............................4
WAS TOLD ONLY THAT NOT NEEDED................5
MOVED AWAY (FOR REASONS OTHER THAN THOSE ABOVE) 6
OTHER ...................................................................7
.......... SPECIFY: _________________________ [FREE TEXT FIELD]
DON’T KNOW.........................................................8
REFUSED...............................................................9 [GO TO SECTION
E1. Are you currently working on the oil spill clean-up effort?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED.................................... 9
E2. Who do/did you get your paycheck from:
[INTERVIEWER: READ LIST; CHECK ALL THAT APPLY]
YES NO
DK
RE
E2a. A contractor to BP
1
2
8
9
E2b. BP
1
2
8
9
E2c. A town, city, parish or county, or state
1
2
8
9
E2d. The federal government
1
2
8
9
E2e. Did not get a pay check (volunteer)
1
2
8
9
E2f. Or something else
1
2
8
9
E2f1. Specify __________________________________________

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[IF E2a=1 or 8, else E3]
E2a1. What is/was the name of the contractor________________________
[PROGRAMMER: HAVE DROP DOWN MENU THAT ADDS AS GOES ALONG]
E3. Did you work…
YES NO
E3a. On a boat, ship, barge, rig or platform ship or other vessel?
1
2
E3b. In shallow water, where you could see the shore?
1
9
E3c. On land
1
2
E3d. In an aircraft?
1
2
8

DK

RE

8
2

9
8

8
9

9

BOOMS
My next questions are about booms. A boom was used to contain or absorb oil
and oil products floating on the surface of the water. This does not include fire
booms used when burning oil but it does include other oil absorbent material
such as oil rags and spaghetti or pompom booms.
E4. Did you handle booms or boom equipment?
Yes....................... 1
No……..2 [GO TO E12a]
DON’T KNOW...... 8
REFUSED............ 9
[If E3a or 3b=1, else go to E7]
[HANDLED BOOMS FROM SHIPS OR BOATS]
E5.Did the vessel you were on put out, move, or inspect booms on the water?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[HANDLED OILY BOOMS FROM A BOAT]
[Note to programmer: If E5=1 and E6=1, [HANDLED OILY BOOMS ON THE
BOAT] overrides E5 and E6 in the matrix in E58]
E6. Did you personally handle oily booms by moving them or bringing them onto
the boat or other vessel from the water?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
E6a. What kinds of booms were these?
YES NO

DK

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RE

National Institute of Environmental Health Sciences (NIEHS)

HARD BOOMS ...... ..........
SNARE BOOMS .... ..........
POMPOMS ............ ..........
SPAGHETTI .......... ..........
SAUSAGE ............. ..........
OTHER: ___________________

1
1
1
1
1
1

2
2
2
2
2
2

8
8
8
8
8
8

01/20/11

9
9
9
9
9
9

[If E3b=1, ELSE GO TO E9]
[PUT OUT BOOMS STANDING IN SHALLOW WATER]
E7. Did you put out booms, move, or inspect booms in shallow water when
standing in oily water?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[Note to programmer: If E7=1 and E8=1, [HANDLED OILY BOOMS STANDING
IN SHALLOW WATER] overrides E7 and E8 in the matrix in E58]
[HANDLED OILY BOOMS IN SHALLOW WATER]
E8. Did you bring in oily booms by standing in water near the shore?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
If E3c=1, else go to E11
[HELD OR CARRIED OILY BOOMS ON SHORE]
E9. Did you hold or carry by hand, oily booms or boom equipment?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[REPAIRED OILY BOOMS]
E11. Did you repair or otherwise handle oily booms?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
BOAT, SHIP OR RIG
If E3a =1, else go to E18
My next questions deal with your work on a boat, ship, rig or platform ship, or
other vessel only for the cleanup operations.

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E12a. As part of your oil spill clean-up work, have you worked on / did you work
on… [CHECK ALL THAT APPLY] NOTE TO PROGRAMMER: FOR
PURPOSES OF THE MATRIX, IF 12a4 = 1, USE FOR THE TERMS IN THE
MATRIX “WHEN YOU WORKED ON THE OTHER VESSEL” UNLESS
OVERRIDDEN BY TASK/LOCATION-SPECIFIC QUESTION.]
YES NO DK
RE
E12a1. A boat or ship
1
2
8
9
E12a2. A barge
1
2
8
9
E12a3. A rig or platform ship
1
2
8
9
E12a4. Other vessel
1
2
8
9
Describe: ________________________________________
If E12a1=1 OR E12a3=1, ELSE GO TO E14
[WORKED ON A RIG OR PLATFORM SHIP]
D12b. Did you work on the:
YES NO

DK

RE

E12b1) Enterprise
E12b2) Q4000
E12b3) DD2
E12b4) DD3

8
8
8
8

9
9
9
9

1
1
1
1

2
2
2
2

[NOTE TO PROGRAMMER: Below are a series of questions with some
duplication. There are two general types: location/vessel where the subject
worked (questions 13-15) and tasks the subject did (question 16). Tasks take
precedence over location/vessel for fill-in verbiage in the matrix when task = 1 for
that location/vessel.
However, for efficiency, some questions are combined into one set of matrix
questions. Those are indicated]
E13a. While on the rig or platform ship, did you ever work in:
YES NO DK

RE

[WORKED IN THE MOON POOL AREA]
[Note to programmer: If E13a1=1, [WORKED IN THE MOON POOL AREA]
overrides [WORKED ON A RIG OR PLATFORM SHIP] in the matrix in E58.]
E13a1) the immediate area of the moon pool? 1
2
8
9

[WORKED IN THE DRILLING AREA]
[Note to programmer: If E13a2=1, [WORKED IN THE DRILLING AREA]
overrides [WORKED ON A RIG OR PLATFORM SHIP] in the matrix in E58.]
E13a2) the drilling area?
1
2
8
9
If E13a1) or E13a2)=1, else go to E14)

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E13a3) The drilling control room?

01/20/11

1

2

8

9

YES

NO

DK

RE

If E12a1=1, else go to E15
Did you work on a boat or ship that:
[WORKED ON A SUPPLY BOAT]
E14a. Supplied fuel, chemicals, or equipment or transferred personnel
1
2
8
9
If E14a=1, else go to E14c.
E14b1. Was this supplying fuel?
1
2
8
9
E14b2. Was this supplying equipment or personnel? 1
2
8

9

[WORKED ON A BOAT OR SHIP THAT LOOKED FOR OIL]
E14c. Did you work on a boat or ship that looked for spilled oil or oil byproducts?
1

2

8

9

[WORKED ON A BOAT OR SHIP NEAR THE WELLHEAD]
E14d. Did you work on a boat or ship within sight of the wellhead area or worked
in the hot zone?
1
2
8
9
[WORKED ON A BOAT OR SHIP THAT SKIMMED]
[Note to programmer: If E14c and E14e=1, [WORKED ON A BOAT OR SHIP
THAT LOOKED FOR AND SKIMMED OIL] overrides E14c and E14e in the
matrix in E58]
E14e. Did you work on a boat or ship that skimmed the water for oil?
1
2
8
9
[WORKED ON A BOAT OR SHIP INVOLVED IN BURNING THE OIL]
E14f. That burned or helped in the burning of the oil on water
1
2
8
9
[WORKED ON A BOAT OR SHIP THAT CARRIED OIL OR OILY WATER]
E14g. That carried crude oil or oily water to a barge or ship or to the shore
1
2
8
9
[WORKED ON A BOAT THAT PATROLLED THE SHORELINE]
E14h. That patrolled the beach, marshes and/or bayous for oil, oily water, tar
balls or mats or animals?
1
2
8
9
[WORKED ON A BOAT OR SHIP THAT INJECTED DISPERSANT BELOW THE
WATER SURFACE]
E14i. That injected dispersant below the water surface? Dispersant is the
chemical used to break up the oil in the water.
1
2
8
9

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[WORKED ON A BOAT OR SHIP THAT SPRAYED DISPERSANT ON THE
WATER]
E14j. That sprayed dispersant onto the water?
1
2
8
9
[WORKED ON A BOAT OR SHIP THAT DECONNED OTHER VESSELS]
E14k. That deconned other vessels?
1
2
8
9
E14l. Were you on a boat or ship while it was being deconned by other workers?
1
2
8
9
If E12a2=1, else go to E16
[WORKED ON A BARGE]
YES NO DK
E15a. What did the barge you worked on carry?:
1) Gasoline
1
2
8
2) Diesel
1
2
8
3) Crude oil or oily water
1
2
8
4) Methanol
1
2
8
5) Anything else?
1
2
8
Describe _______________________________________
[WORKED ON A BARGE THAT DECONNED OTHER VESSELS]
[NOTE TO PROGRAMMER: if E15b=1, [WORKED ON A BARGE THAT
DECONNED OTHER VESSELS] overrides E15a for matrix.]
E15b. Did the barge decon other vessels?
1
2
8

RE
9
9
9
9
9

9

If E12a1, E12a2, E12a3, or E12a4=1, else go to E17.
E16. Did you personally:
YES

NO

DK

RE

[DECONNED OTHER VESSELS]
[if E16a=yes, overrides E14k and E15b in the matrix]
E16a. Decon other vessels offshore
1

2

8

9

If E14e=1, else E16c.
[SKIMMED OR HELPED WITH SKIMMING]
[If E16b=yes, overrides E14e in the matrix]
E16b. Skim or help in the skimming?

1

2

8

9

If E14i or 14j, else E16g
[PREPARED DISPERSANT]
E16c. Prepare the dispersant?

1

2

8

9

If E14k=1 or if E15b=1, else E16b

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[INJECTED OR PUMPED DISPERSANT INTO THE WATER]
[If E16d=yes, overrides E14i in the matrix]
E16d. Did you inject or pump dispersant into the water at the wellhead?
1
2
8

9

[INJECTED OR PUMPED DISPERSANT JUST BELOW THE WATER
SURFACE]
If E16x=yes, overrides E14i in the matrix]
E16x. Did you inject or pump dispersant just below the water surface?
1
2
8

9

[SPRAYED DISPERSANT]
If E16e=yes, overrides E14j in the matrix]
E16e. Spray or help spray dispersant onto the water?
1

2

8

9

[WORKED OUTSIDE WHILE DISPERSANT WAS BEING SPRAYED]
E16f. Work outside, for example on a deck, while dispersant was being sprayed
by someone on the [PROGRAMMER: fill in E12a1, E12a2, E12a3 or E12a4=1]?
1
2
8
9
[WORKED OUTSIDE WHILE DISPERSANT WAS BEING SPRAYED BY A
PLANE]
E16y. Work outside while dispersant was being sprayed nearby by a plane?
1
2
8
9
[WORKED ON OR MAINTAINED PUMPS]
E16g. Work on or maintain the pumps or tanks containing
if E14i or E14j), else E16g2
E16g1) Dispersant?
1
E16g2) Gasoline
1
E16g3) Diesel
1

2
2
2

If E12a3=1 or E14e=1 or E14g=1 or E15a3=1, else go to E16g5
E16g4) Oil or oily water?
1
2
If E12b1 or E12b2)=1 or E15a4)=1, else go to E16g6
E16g5) Methanol
E16g6) Anything else?
1
2
Specify_____________________________
[HANDLED OR PUMPED MATERIALS]
E16h. Did you handle or pump:
if E14i or E14j, else E16h2
E16h1) The dispersant?
E16h2) Gasoline
E16h3) Diesel

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1
1
1

2
2
2

8
8
8

9
9
9

8

9

8

9

8
8
8

9
9
9

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If E12a3=1 or E14e=1 or E14g=1 or E15a3=1, else go to E16h5
E16h4) Crude oil or oily water
1
2
If E12b1 or E12b2)=1 or E15a4)=1, else go to E16h6
E16h5) Methanol
E16h6) Anything else
1
2
Specify_________________________________

8

9

8

9.

[CONNECTED OR DISCONNECTED TRANSFER HOSES OR LINES]
E16i. Did you connect or disconnect hoses or lines used to transfer:
if E14i or 14j, else E16i2
E16i1) The dispersant
1
2
8
E16i2) Gasoline
1
2
8
E16i3) Diesel
1
2
8
If E12a3=1 or E14e=1 or E14g=1 or E15a3=1, else go to E16i5
E16i4) Crude oil or oily water
1
2
8
If E12b1 or E12b2)=1 or E15a4)=1, else go to E16i6
E16i5) Methanol
1
2
8
E16i6) Anything else
Specify _________________________________
[TAKE AN OIL OR OILY WATER SAMPLE]
E16l. Take an oil or oily water sample from the cargo tank? 1

2

9
9
9
9
9

8

9

E16l2. Did you take the sample through
a hatch or manhole or by opening a valve or spigot?
HATCH/MANHOLE
1
VALVE OR SPIGOT
1

2
2

8
8

9
9

[CLEANED POOLS OF OIL]
E16m. Clean up pools of oil?

2

8

9

1

E17. When working on a vessel, what best describes your time spent inside,
such as on the bridge, or in the engine room or galley, compared to being outside
the vessel, such as on a deck? Please think of a full 24-hour day. Was it…
>90% indoors vs <10% on a deck
75% indoors vs 25 % on a deck
50% indoors vs 50% on a deck
25% indoors vs 75% on a deck
<10% indoors vs >90% on a deck
If E3b or E3c=1, else go to E29
LAND/SHALLOW WATER CLEAN-UP

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The next questions ask about clean-up activities on land or in shallow water.
Please tell me whether or not you did the following kinds of work while working
on the oil spill clean-up effort.
If E3b=1 and E12a1=1, else go to E23
[PATROLLED THE SHORELINE TO SEARCH FOR OIL]
E18. Did you patrol the beach, marshes or bayous in a small boat to search for
oil or oily animals?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[PRESSURE WASHED ROCKS, JETTIES AND SHORELINE STRUCTURES]
E19. Did you work on a boat that pressure washed sea walls, rocks, jetties or
other shoreline structures?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED 9
[HELPED BURN OILY GRASS IN MARSHY AREAS]
E20. Were you involved in burning oily grass in marshy areas or bayous?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED 9
E21. While working on the clean-up, did you work on land at the beach or in
marshes or bayous?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[USED ABSORBENT MATERIAL TO SOAK UP OIL]
E22. Did you soak up the oil or oily material by hand with pompoms, absorbent
booms or diaper like material while on a shallow draft air or jon boat [if E21=1] or
on land?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9

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If E21=1, else E29
[WORKED ON THE BEACH]
[Use WORKED ON THE BEACH in the matrix if E23, E24, or E25=1]
E23. Did you patrol the beach, marshes or bayous on foot to search for oil or oily
animals?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[SEARCHED FOR OIL UNDER THE SAND OR WATER]
E24. Did you use an auger or other handheld or bucket-like tool to search for oil
under the sand or water?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[OPERATED OR WORKED NEAR MOVING EQUIPMENT]
E25. While on the beach, did you operate or work within 20 feet of vacuum
trucks, vacuum pumps, front end loaders, bobcats, portable skimmers or sifters,
or sand shakers or washers?
Yes.................................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
I’m now going to ask about cleaning up 1) tar balls, patties or mats; 2) oily plants
and garbage; 3) oil and oily sand; and 4) rocks. [Interviewer: don’t say 1, 2, 3
and 4, but pause after each one] First,
[CLEANED THE BEACH should be used in the matrix for questions E58-E60 if
E26 or E27 or E28=1;
CLEANED THE BEACH OF TAR BALLS, PATTIES OR MATS should be used in
the matrix for questions E60a and E60b if E26=1]
E26. Did you remove tar balls, patties or mats using shovels, rakes, buckets, or
other hand tools from the beach, bayous, or marshy areas?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[CUT AND COLLECTED OILY PLANTS should be used in the matrix for
questions D60a and D60b if D27=1]
E27. Did you cut, collect or stuff oily plants, sargassum weed or grass, or
garbage into bags or containers for disposal?

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Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[COLLECTED OIL OR OILY SAND should be used in the matrix for questions
E60a and E60b if E28=1]
E28. Did you remove oil or oily sand from the beach, bayous or marshy areas by
hand, shovels, rakes, wheelbarrows or other tools?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[FUELED BOATS OR EQUIPMENT {WITH GASOLINE (IF E29a=1)} {WITH
DIESEL (IF E29b=1)}. If both E29a and E29b=1 then use just FUELED BOATS
OR EQUIPMENT]
E29. Did you fuel boats or equipment with gasoline or diesel fuel?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
If E29=1, else E30 ............
E29a. Did you pump gasoline?
E29b. …Diesel fuel?

YES
1
1

NO
2
2

DK
8
8

RE
9
9

E30. After collecting the oil and oily materials, the oil and materials were
removed from a boat or the beach area and taken to a site away from the
cleanup operation in trucks. Were you involved after the collection of oil and oil
materials, in:
YES NO DK
RE
[COLLECTED OIL FOR TRANSPORT
E30a. collecting bags of oily material or transporting them from the beach?
1
2
8
9
[STORED OILY MATERIAL]
E30b. storing the material on a site distant from the beach?
1
2
8
9
[RECYCLED OILY MATERIAL]
E30c. recycling the material?
1
2
8
9
[DISPOSED OF OILY MATERIAL]
E30d. disposing of the material?

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1

2

8

9

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DECONTAMINATION
E31. Did you clean or decon or help clean or decon:
YES NO DK
RE
[DECONNED VESSELS, EQUIPMENT AND/OR PERSONNEL ON LAND]
[Use DECONNED VESSELS, EQUIPMENT AND/OR PERSONNEL ON LAND in
the matrix if E31a or E31c, E31d, E31e, E31f or E31g=1. If E31b=1 use
DECONNED VESSELS OFFSHORE in the matrix.]
E31a. Boats, ships, barges or other vessels on land in a decon area?
1
2
8
9
[DECONNED VESSELS OFFSHORE]
E31b. Boats ships, barges or other vessels offshore? 1
2
8
9
E31c. Equipment or structures, such as wood deck boards, from boats, ships,
barges or other vessels?
1
2
8
9
E31d. Mobile land equipment, such as vacuum trucks, tractors, sifters, bobcats,
UTVs, ATVs and other moving equipment?
1
2
8
9
E31e. Booms
1
2
8
9
E31f. Small equipment such as rakes, hoses, and tools? 1 2
8
9
E31g. Other workers?
1
2
8
9

[IF E31a, E31b, E31c, E31d, E31e or E31f=1, 8, OR 9, CONTINUE. ELSE GO
TO E36]
I’m now going to ask about spraying water and chemicals on boats or equipment
for cleaning. There were 2 types of spraying: low pressure and high pressure.
Low pressure used a garden-like hose or a sprayer with a handheld wand and
small tank while high pressure used compressed air to spray.
[CLEANED BOATS OR EQUIPMENT WITH A LOW PRESSURE SPRAYER]
[If E32=1, override in the matrix [DECONNED VESSELS, EQUIPMENT AND/OR
PERSONNEL ON LAND] in E31]
E32. Did you clean or help clean the oil off boats, ships, barges or other vessels
[if E31a or E31b=1] or equipment [if E31c, E31d, E31e or E31f=1] using low
pressure sprays?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9

[CLEANED BOATS OR EQUIPMENT WITH A HIGH PRESSURE SPRAYER]
[If D33=1, override in the matrix [DECONNED VESSELS, EQUIPMENT
AND/OR PERSONNEL ON LAND] in 31 and [CLEANED BOATS OR
EQUIPMENT WITH A LOW PRESSURE SPRAYER] in 32]

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E33. Did you clean or help clean the oil off boats, ships, barges or other vessels
[if E31a or E31b=1] or equipment [if E31c, E31d, E31e or E31f=1] using high
pressure sprays?
Yes………….
1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
If E31a=1 or if E31b=1, else go to E35
E34. Did you wash the boats, ships, barges or other vessels with hot water or
with water that was cold or room temperature?
YES NO DK
RE
[WASHED VESSELS WITH HOT WATER]
E34a. HOT
1
2
8
9
[Note to programmer; do not ask about in matrix]
E34b. COLD/ROOM TEMPERATURE

1

2

8

9

[USED DRY ICE PELLETS TO REMOVE OIL FROM BOATS OR EQUIPMENT]
E34x. Did you use dry ice pellets to remove oil from boats, ships or equipment?
Yes.......................... 1
No............................ 2
DON’T KNOW....... 8
REFUSED............. 9
[CLEANED VESSELS BY HAND]
E35. Did you clean the boats, ships, barges or other vessels or equipment any
other way, such as with a cloth, sponges or brushes?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
If E3a or E3c=1, else go to E40
E36. Did you inspect the insides of, or enter, tanks, storage compartments, or
cargo areas that contained oil or oily water or materials?
Yes....................... 1
No
2 [GO TO E40]
DON’T KNOW...... 8
REFUSED............ 9

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[INSPECTED OR CLEANED TANKS AND COMPARTMENTS FROM THE
INSIDE]
E37. Did you enter these containers to:
YES NO DK
RE
[INSPECTED TANKS FROM THE INSIDE should be used in the matrix for
questions D60a and D60b if D37a=1]
E37a. Inspect them?
1
2
8
9
[CLEANED TANKS FROM THE INSIDE should be used in the matrix for
questions D60a and D60b if D37b=1]
E37b. Clean them?
1
2
8

9

[INSPECTED OR CLEANED FROM OUTSIDE THE TANKS AND
COMPARTMENTS]
E38. Did you stay on the outside of these containers to:
YES NO DK

RE

[INSPECTED TANKS FROM THE OUTSIDE should be used in the matrix for
questions D60a and D60b if D38a=1]
E38a. Inspect them?
1
2
8
9
[CLEANED TANKS FROM THE OUTSIDE should be used in the matrix for
questions D60a and D60b if D38b=1]
E38b. Clean them?
1
2
8
9
If D3c=1, else go to D45
E40. Did you ever handle, apply or come into contact with dispersants or
chemicals used to break up the oil on the water?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
E41. Did you:
YES

NO

E41a. [Load/unload dispersant]
Load dispersant to, or unload it from,a truck, boat, or plane?
1
2

DK

RE

8

9

8

9

E41b. [Mix the dispersant]
Mix the dispersant with water or other chemicals?
1

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[If D3d=yes, else D41d]
[SPRAYED DISPERSANT FROM A PLANE]
E41c. Did you spray the dispersant from a plane
............................... ..........

01/20/11

1

2

E41d. Did you do anything else with dispersants?
1
2
________________________________________ [FREE TEXT]

8

9

8

9

WILDLIFE REHABILITATION
The next few questions are about caring for oily birds and other animals.
E45. Did you rescue, handle or care for any birds or animals as part of your
cleanup work?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
If D45=no, go to D50
[HANDLED OR CARE FOR WILDLIFE]
E46. Did you rescue, handle or care for any oily birds or animals?
Yes....................... 1
No ............... 2 [D49]
DON’T KNOW...... 8
REFUSED............ 9
[CLEANED WILDLIFE]
E47. Did you clean the oil off the animal with a cloth, sponges, or brushes?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[APPLY SOAPS TO ANIMALS]
E48. Did you apply soaps to clean the animal?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
E49. Did you care for the cleaned animals?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9

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ADDITIONAL TASKS
If D3a or D3c=1, else go to D54.
[CONNECTED OR DISCONNECTED TRANSFER LINES AND HOSES]
E53. Did you connect and disconnect transfer lines and hoses from cargo tanks,
barges or other vessels or storage tanks to transfer the crude oil or oily water on
the shore into containers or trucks?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
If D2a=1, else go to D55
[WORKED AS A SAFETY, INDUSTRIAL HYGIENE, OR ENVIRONMENTAL
TECHNICIAN OR PROFESSIONAL OR AS A MANAGER FOR A BP
CONTRACTOR]
E54. Did you work as a safety, industrial hygiene, or environmental technician or
professional or as a manager for a BP contractor?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
[WORKED AS IF D2d=1 A SAFETY, INDUSTRIAL HYGIENIST, OR
ENVIRONMENTAL TECHNICIAN OR PROFESSIONAL or IF D2a=1 WORKED
AS A MANAGER FOR A BP CONTRACTOR]
If D54=1 or D2b=1 or D2d=1, else go to D56.
E55. How much of the time you were working on the oil spill response did you
spend:
E55a. On a rig or platform ship
>90%...........1
75-90%.......2
50-74%.......3
25-49%.......4
<10%...........5
E55b. On another ship, boat, barge or other vessel in the area near the wellhead
or in the hot zone
>90%...........1
75-90%.......2
50-74%.......3
25-49%.......4

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<10%...........5
E55c. On another ship, boat, barge or other vessel outside of the wellhead area
or hot zone.
>90%...........1
75-90%.......2
50-74%.......3
25-49%.......4
<10%...........5
E55d. On the beach?
>90%...........1
75-90%.......2
50-74%.......3
25-49%.......4
<10%...........5
E55e. In an office on land?
>90%...........1
75-90%.......2
50-74%.......3
25-49%.......4
<10%...........5
If only D3c=yes and D18-D55 all =no, else go to D57
OFFICE AND SUPPORT SERVICES
E56. The cleanup operation required a lot of workers who were not on boats, on
the beach, in a decon area, or did not handle oil or oily materials. These workers
include cooks, fork lift drivers, security, office workers, drivers and many others.
What did you do?
_____________________________________________________

OTHER TASKS
E57. Did you do any other tasks related the oil spill response that we did not ask
you about already?
Yes....................... 1
No ........................ 2 [GO TO MATRIX FOR EXPOSURE BY JOB]
DON’T KNOW...... 8 [GO TO MATRIX FOR EXPOSURE BY JOB]
REFUSED............ 9 [GO TO MATRIX FOR EXPOSURE BY JOB]

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E57a. What other tasks did you do?
________________________________________ [FREE TEXT FIELD]
DON’T KNOW .........8
REFUSED ...............9
$$ [BEGIN MATRIX FOR EXPOSURE BY JOB]
[INTERVIEWER: FOR EACH SPECIFIC JOB MARKED YES, CATI WILL
TAKE YOU THROUGH A SERIES OF EXPOSURE QUESTIONS FOR THAT
PARTICULAR JOB. IT WILL REPEAT THE SERIES FOR EACH JOB
MARKED YES]
Now I would like ask you some questions to find out more about the jobs you just
mentioned.
You said you [FILL IN JOB].
E58. What date did you start and [IF D1=2] end this job? SELECT ALL THAT
APPLY]
[ONLY SHOW THE MONTHS OF THE INTERVIEW AND PRIOR]
INTERVIEWER: IF SUBJECT IS HAVING PROBLEMS ANSWERING CLICK
ON PROBLEM AND ASK IF THE FIRST, MIDDLE OR END OF THE MONTH
OR IF STILL HAVING PROBLEMS, WHICH MONTH] NOTE TO
PROGRAMMER: ADD A PROBLEM FIELD. IF CLICKED SHOW FOR EACH
MONTH FIRST, MIDDLE OR END OF THE MONTH AND ALLOW
INTERVIEWER TO CLICK ON THAT OR JUST ON THE MONTH]
APRIL 2010
MAY 2010
JUNE 2010
JULY 2010
AUGUST 2010
SEPTEMBER 2010
OCTOBER 2010
NOVEMBER 2010
DECEMBER 2010
JANUARY 2011
FEBRURY 2011
MARCH 2011
APRIL 2011
MAY 2011
JUNE 2011
JULY 2011
AUGUST 2011
SEPTEMBER 2011
OCTOBER 2011

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NOVEMBER 2011
DECEMBER 2011
JANUARY 2012
FEBRURY 2012
MARCH 2012
APRIL 2012
MAY 2012
JUNE 2012
JULY 2012
AUGUST 2012
DON’T KNOW........ 88
REFUSED.............. 99
E59.How many days do/did you typically work this job in a two-week pay period
___ days
DON’T KNOW........ 8
REFUSED.............. 9
E60. Approximately how many hours a day do/did you usually work this job?
___ hours
DON’T KNOW........ 8
REFUSED.............. 9
[Note to programmer: If the following question = 1, then ask D60a and D60b for
each of the questions, using the text in square brackets
Question #
Fill-in term 2 in E60a
EE5, E6, E7, E8,
[THE BOAT SKIM THE WATER]
E9, E11, E13a1,
E13a2, E14a,
E14c, E14d, E14e
E14f
[THE BOAT BURN OIL]
E14g
[THE BOAT CARRY CRUDE OIL OR OILY WATER]
E14h, E14i
[SOMEONE ON THE BOAT DO THIS]
E14j
[SOMEONE ON THE BOAT DO THIS]
E14k
[SOMEONE ON THE BOAT DO THIS]
[YOU SAID YOU WORKED ON A BOAT THAT WAS DECONNED BY
E14l
OTHERS]

E15b
E16a, E16b, 16c,
E16d1, E16x,
E16e, E16f, E16y
E16g1
E16g2

[SOMEONE ON THE BARGE DO THIS]
[THIS HAPPEN]
[YOU WORK ON OR MAINTAIN PUMPS OR TANKS WITH
DISPERSANT]
[YOU WORK ON OR MAINTAIN PUMPS OR TANKS WITH
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E16g3
E16g4
E16g5
E16g6
E16h1
E16h2
E16h3
E16h4
E16h5
E16h6
E16i1
E16i2
E16i3
E16i4
E16i5
E16i6
E16l, E16m, E18,
E19, E20, E22,
E23, E24, E25,
E26, E27, E28,
E29a, E29b, E30a,
E30b, E30c, E30d,
E31a, E31b, E31c,
E31d, E31e, E31f,
E31g, E32, E33,
E35, E37a, E37b,
E38a, E38b, E41a,
E41b, E41c, E41d ,
E46, E47, E48,
E49, E53

01/20/11

GASOLINE]
[YOU WORK ON OR MAINTAIN PUMPS OR TANKS WITH
DIESEL]
[YOU WORK ON OR MAINTAIN PUMPS OR TANKS WITH OIL
OR OILY WATER]
[YOU WORK ON OR MAINTAIN PUMPS OR TANKS WITH
METHANOL]
[YOU WORK ON OR MAINTAIN PUMPS OR TANKS WITH
______]
[YOU HANDLE OR PUMP DISPERSANT]
[YOU HANDLE OR PUMP GASOLINE]
[YOU HANDLE OR PUMP DIESEL]
[YOU HANDLE OR PUMP OIL OR OILY WATER]
[YOU HANDLE OR PUMP METHANOL]
[YOU HANDLE OR PUMP _______]
[YOU CONNECT OR DISCONNECT TRANSFER DISPERSANT
HOSES OR LINES]
[YOU CONNECT OR DISCONNECT TRANSFER GASOLINE
HOSES OR LINES]
[YOU CONNECT OR DISCONNECT TRANSFER DIESEL
HOSES OR LINES]
[YOU CONNECT OR DISCONNECT TRANSFER OIL OR OILY
WATER HOSES OR LINES]
[YOU CONNECT OR DISCONNECT TRANSFER METHANOL
HOSES OR LINES]
[YOU CONNECT OR DISCONNECT TRANSFER ________
HOSES OR LINES]
[YOU GENERALLY DO THIS]

Ask D60a and D60b for one task before asking for the second task.]
E60a. You said you [TERM ASSOCIATED WITH QUESTION (See QUESTION
FOR TERM)]. How many days in a 2 week pay period did [TERM ABOVE]?

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1-2 days……………..1
3-5 days………….….2
6-9 days……………..3
10 or more days…….4
DON’T KNOW
8
REFUSED 9
[Note to programmer: If the following question = 1, then use the text in square
brackets for E60b.
Question #
Fill-in term in D60b
E5, E6, E7, E8, E9, E11, E13a1,
[WAS THE VESSEL IN THE AREA OF THE
E13a2, E14d
WELLHEAD]
E14e
[DID THE BOAT SKIM THE WATER FOR OIL]
E14f
[DID THE BOAT BURN OIL]
E14i, E14j. E14k, E14l
[DID THIS HAPPEN]
E15b
[WAS DECONNING OF YOUR VESSEL DONE]
E16a, E16b, E16c, E16d, E16d1,
[DID YOU DO THIS]
E16e, E16f, E16x, E16g1, E16g2,
E16g3, E16g4, E16g5, E16g6,
E16h1, E16h2, E16h3, E16h4,
E16h5, E16h6, E16m, E18, E19,
E20, E22, E23, E24, E25, E26, E27,
E28, E30a, E30b, E30c, E30d,
E31a, E31b, E31c, E31d, E31e,
E31f, E31g, E32, E33, E34, E34a,
E35, E37a, E37b, E38a, E38b,
E41a, E41b, E41c, E41d, E46, E47,
E48, E49
E60b. How many hours a day [TERM ABOVE]?
<2……....................1
2-<4……….………...2
4-8…………………..3
More than 8………..4
DON’T KNOW
8
REFUSED 9
If E16i1, E16i2, E16i3, E16i4, E16i5, E16i6, E16l, E29a, E29b, E53=1
E60c. How many times a day did you do this?
If E3a=1 then go to E62
E61. What was the closest town, park, parish or county you worked on for this
job? [Get locations from BP and use drop down menu that adds as locations are
entered]_____________________________________________________
If E3a =1, else go to E63
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E62. What was the name of each boat, ship, barge or vessel that you worked
on for this job?
1. ___________________________________
2. ___________________________________
3. ___________________________________
4. ___________________________________
NO NAME

We know that there were issues with wearing the protective clothing or gear
identified in the training because of the heat or other working conditions.
E63. When you [FILL IN JOB], for most days did you wear
YES NO DK
RE
a. Leather gloves
1
2
8
9
b. Cotton gloves
1
2
8
9
c. Rubber or synthetic gloves
1
2
8
9
d. Boots or rubber slip-ons, booties or chicken feet
1
2
8
9
e. Long sleeved shirts, jackets or coveralls
1
2
8
9
e. Protective coveralls such as TYVEK
1
2
8
9
g. Other
[Programmer show for Other:
GOGGLES
FACE SHIELD
BOOTIES
LIFE JACKETS, LIFE VESTS, OR PFD (PERSONAL FLOTATION DEVICE)]
NO PROTECTIVE CLOTHING
[IF E63=no or NONE, else go to E65]
E64. Why did you not usually use [IF 63a, b or c all =2] gloves, [if 63d=no] boots,
[63e=no] protective clothing when [FILL IN JOB]? [SELECT ALL THAT APPLY]
NOT RECOMMENDED
NONE PROVIDED BY EMPLOYER/ORGANIZATION
NONE AVAILABLE IN MY SIZE
IT WAS BROKEN OR DID NOT WORK
WAS TOO HOT
WAS UNCOMFORTABLE (FOR REASONS OTHER THAN HEAT)
IMPEDED WORK
USE WAS DISCOURAGED BY EMPLOYER OR SUPERVISOR
USE WAS DISCOURAGED BY COLLEAGUES
DID NOT THINK IT WAS NECESSARY
OTHER
SPECIFY: ________________________________ [FREE TEXT FIELD]
DON’T KNOW.................. 88

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REFUSED........................ 99
E65. On an average day when you [FILL IN JOB], how often was your skin wet
with [a, b, c, d, and e below]? Was it less than ½ hour, ½ to 2 hours, or more
than 2 hours for
<1/2
1/2-2
>2
DK
RE
a. Oil
<1/2…..1
½-2……2
>2…….3
NEVER…4
DK…….8
RE……9
b. Oily residue, tar or weathered oil
<1/2…..1
½-2……2
>2…….3
NEVER…4
DK…….8
RE……9
if E14i or E14j or E40=1, else go to E65d
c. Dispersant
<1/2…..1
½-2……2
>2…….3
NEVER…4
DK…….8
RE……9
If E31a, E31b, E31c, E31d, E31e, E31f, or E31g=1, else go to E65e
d. Chemicals used to clean or decon boats, ships, barges or other vessels [if
E31a or E31b=1] or equipment [if E31c, E31d, E31e or E31f=1]
<1/2…..1
½-2……2
>2…….3
NEVER…4
DK…….8
RE……9
e. Water
<1/2…..1
½-2……2
>2…….3
NEVER…4

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DK…….8
RE……9
If E3a=1,else go to next job in matrix
E70. When you [FILL IN JOB], how many hours a day did you breathe smoke
from burning oil? Was it…
[INTERVIEWER: READ LIST]
<2 hr/d.................... 1
2-<4 hr/d ................ 2
4-8 hr/d .................. 3
>8 hr/d.................... 4
Never ..................... 6
DON’T KNOW........ 8
REFUSED.............. 9
$$[END MATRIX FOR EXPOSURE BY JOB]
Now I’m going to ask you questions covering all jobs you worked for the cleanup
operation.
E71. How often, on average, did you put sunscreen on your skin?
Never…………………………….1
Less often than once a day…...2
Once a day……………………..3
More than once a day?.............4
DON’T KNOW.... 8
REFUSED.......... 9
E72. Not counting scheduled work breaks, did you ever have to stop working
because you were too hot?
Yes.............. ..................... 1
No ............... ..................... 2 [GO TO E73]
DON’T KNOW ................... 8 [GO TO E73]
REFUSED ... ..................... 9 [GO TO E73]
E72a. On about how many different days did this happen?
Less than 5 days ..... 1
5-10 days................. 2
11-20 days............... 3
More than 20 days... 4
DON’T KNOW ......... 8
REFUSED ............... 9
E73. How often, on average, did you put a bug spray or cream on your skin?
Never…………………………….1
Less often than once a day…...2
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Once a day……………………..3
More than once a day?.............4
DON’T KNOW.... 8
REFUSED.......... 9
E74. Did you smoke while on the job?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
E75. While working on the spill response, do/did you sleep in a flotel, a quarters
barge, boat or a FEMA trailer?
YES NO DK
RE
D75a. FLOTEL
1
2
8
9
D75b. QUARTERS BARGE
1
2
8
9
D75c. Boat
1
2
8
9
D75d. FEMA trailer
1
2
8
9
E76. What was the name of the town, parish (if D61=LA) or county (if D61=
other than LA) where you slept? [Same locations D61, plus drop down menu that
adds as new locations are entered]
____________________________________
If E75c=1, else go to E79
E77. Did you sleep on the boat, ship, barge or other vessel you worked on?
Yes....................... 1
No ........................ 2
DON’T KNOW...... 8
REFUSED............ 9
If E77=2, else E79
E78. What was the name of the vessel(s) you slept on?
_____________________________________
If E75a, E75b, or E75c=1, else 82
E79. About how many nights total did you sleep [on a FLOTEL/BARGE/BOAT
FROM D75]?
|__|__| Units
Nights................. 1
Weeks................. 2
Months................ 3
DON’T KNOW... 88
REFUSED......... 99

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E80. Did you spend at least 1 night [on a FLOTEL/BARGE/BOAT FROM D75] on
water that visibly contained oil or had a sheen on it?
Yes
1
No
2
DON’T KNOW
8
REFUSED
9
IF E80=1, Else 82
E81. How many nights did you spend in this type of water?
|__|__| Units
Nights................. 1
Weeks................. 2
Months................ 3
DON’T KNOW... 88
REFUSED......... 99
If E75d=1, else E83
E82. About how many nights total did you sleep in a FEMA trailer?
|__|__| Units
Nights................. 1
Weeks................. 2
Months................ 3
DON’T KNOW... 88
REFUSED......... 99
E83. When you had days off, in what town, parish (IFE61= LA) or county (IF
E61=other than LA) did you stay? _________________________________

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SECTION F: Health
This next section will focus on your health. First, I need your height and weight.
F1. How tall are you?
|___| feet |___|___| inches [OR]
I___I___I___I cm
DON’T KNOW8’ 88”
REFUSED......9’ 99”
F2. How much do you weigh?
|___|___|___| lbs [OR]
|___|___|___| kg
DON’T KNOW.. 888
REFUSED........ 999
F3. How would you rate your physical health?
Excellent ................ 1
Very good .............. 2
Good ...................... 3
Fair......................... 4
Poor ....................... 5
DON’T KNOW........ 8
REFUSED.............. 9
[PROGRAMMER NOTE: FOR F4, NUMBER OF YEARS WILL CHANGE BASED
ON DATE OF INTERVIEW. IF DATE OF INTERVIEW ≤ OCTOBER 1, 2011 USE
“two years” FOR [YEAR FILL]; IF DATE OF INTERVIEW IS BETWEEN
OCTOBER 2, 2011 AND OCTOBER 1, 2012 USE “three years”; IF DATE OF
INTERVIEW ≥ OCTOBER 2, 2012 USE “four years”]
F4. Compared to [YEAR FILL] ago, would you say your health is now better,
worse, or about the same?
Better ..................... 1
Worse .................... 2
About the same...... 3
DON’T KNOW........ 8
REFUSED.............. 9

[PROGRAMMER NOTE: QUESTIONS F5 – F24 ARE NOT ASKED FOR
PARTICIPANTS WHO DID NOT WORK ON THE OIL SPILL. IF QUESTION
D0 = 2 GO TO QUESTION F25]
Health Symptoms while Working on the Oil Spill

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Now I’m going to ask you how often you had specific symptoms while you were
working on the oil spill. Please answer All the time, Most of the time, Sometimes,
Rarely, or Never.
F5. How often did you have a cough?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F6. How often did you have wheezing or whistling in your chest?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F7. How often did you have tightness in your chest?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F8. How often were you short of breath?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F9. How often did you have a stuffy, itchy or runny nose? [INTERVIEWER:
READ ANSWER OPTIONS]
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4

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Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F10. How often did you have watery or itchy eyes?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F11. How often did you have burning eyes?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F12. How often did you have burning in your nose, throat or lungs?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F13. How often did you have a sore throat? [INTERVIEWER: READ ANSWER
OPTIONS]
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F14. How often did you have a severe headache or migraine?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4

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Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F15. How often did you feel dizzy or lightheaded?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F16. How often were you nauseous?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F17. How often did you have blurred or distorted vision? [INTERVIEWER: READ
ANSWER OPTIONS]
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F18. How often did you have lower back pain?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F19. How often did you have excessive fatigue or extreme tiredness?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4

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Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F20. How often did you have diarrhea or frequent bowel movements?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F21. How often were you constipated? [INTERVIEWER: READ ANSWER
OPTIONS]
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F22. Did you have any skin rashes, sores, or blisters that lasted two or more
days?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F23]
DON’T KNOW........ 8 [GO TO QUESTION F23]
REFUSED.............. 9 [GO TO QUESTION F23]
F22a. Did you get the rash on a part of your body that touched or came
into contact with oil or chemical dispersant?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
F23. [ONLY ASK IF ANY OF F5 – F22 = 1-4 OR YES] Did you seek medical help
for any of these symptoms or illnesses that occurred during your work on the oil
response, whether or not this happened during work hours?
Yes.................................................................... 1
No ..................................................................... 2 [GO TO QUESTION F24]
DON’T KNOW................................................... 8 [GO TO QUESTION F24]
REFUSED......................................................... 9 [GO TO QUESTION F24]

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F23a. Were you hospitalized for any of these symptom(s) or illness(es)
where hospitalized means admitted at least overnight?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F24]
DON’T KNOW ........ 8 [GO TO QUESTION F24]
REFUSED .............. 9 [GO TO QUESTION F24]
F23b. Why were you hospitalized?
[FREE TEXT FIELD]
DON’T KNOW ................... 8
REFUSED ......................... 9
F23c. When were you hospitalized the first time?
MM/DD/YYYY [ENTER ALL OR PARTIAL DATE]
DON’T KNOW ................... 8
REFUSED ......................... 9
F24. [PROGRAMMER NOTE: IF D1=1 (CURRENTLY WORKING ON THE OIL
SPILL RESPONSE) GO TO QUESTION F25] Did you seek medical help for any
of these symptoms or illnesses since you stopped working on the oil spill
response?
Yes.................................................................... 1
No ..................................................................... 2 [GO TO QUESTION F25]
DON’T KNOW................................................... 8 [GO TO QUESTION F25]
REFUSED......................................................... 9 [GO TO QUESTION F25]
F24a. Were you hospitalized for any of these symptom(s) or illness(es)
where hospitalized means admitted at least overnight?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F25]
DON’T KNOW ........ 8 [GO TO QUESTION F25]
REFUSED .............. 9 [GO TO QUESTION F25]
F24b. Why were you hospitalized?
[FREE TEXT FIELD]
DON’T KNOW ................... 8
REFUSED ......................... 9
F24c. When were you hospitalized the first time after you stopped working
on the oil spill?
MM/DD/YYYY [ENTER ALL OR PARTIAL DATE]
DON’T KNOW ................... 8
REFUSED ......................... 9

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Now I would like to ask you some questions about your health history.
[PROGRAMMER NOTE: NUMBER OF YEARS WILL CHANGE BASED ON
DATE OF INTERVIEW. IF DATE OF INTERVIEW ≤ OCTOBER 1, 2011 USE
“year” for [YEAR FILL]; IF DATE OF INTERVIEW IS BETWEEN OCTOBER
2, 2011 AND OCTOBER 1, 2012 USE “two years”; IF DATE OF INTERVIEW
≥ OCTOBER 2, 2012 USE “three years”].

F25. Has a doctor ever told you that you have asthma?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F26]
DON’T KNOW........ 8 [GO TO QUESTION F26]
REFUSED.............. 9 [GO TO QUESTION F26]
F25a. What month and year were you first told that you have asthma?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE ≥ APRIL 20, 2010 GO TO
QUESTION F26; IF DATE < APRIL 20, 2010 GO TO QUESTION F25b]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F25a.1. At what age were you first told that you have asthma?
__________ [AGE] [IF AGE ≥ AGE AT APRIL 2010 GO TO
QUESTION F26; IF AGE < AGE AT APRIL 2010 GO TO
QUESTION F25b]
DON’T KNOW ........ 88
REFUSED .............. 99
F25b. Have you had any asthma attacks in the past [YEAR FILL]?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
F26. Has a doctor ever told you that you have emphysema?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F27]
DON’T KNOW........ 8 [GO TO QUESTION F27]
REFUSED.............. 9 [GO TO QUESTION F27]
F26a. What month and year were you first told you have emphysema?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F27]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F261. At what age were you first told you have emphysema?
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__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F27. Has a doctor ever told you that you have chronic bronchitis?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F28]
DON’T KNOW........ 8 [GO TO QUESTION F28]
REFUSED.............. 9 [GO TO QUESTION F28]
F27a. What month and year were you first told you have chronic
bronchitis?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F28]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F27a.1. At what age were you first told you have chronic
bronchitis?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F28. Has a doctor ever told you that you have high blood pressure?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F29]
DON’T KNOW........ 8 [GO TO QUESTION F29]
REFUSED.............. 9 [GO TO QUESTION F29]
F28a. What month and year were you first told you have high blood
pressure?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE ≥ APRIL 20, 2010 GO TO
QUESTION F29; IF DATE < APRIL 20, 2010 GO TO QUESTION F28b]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F28a.1. At what age were you first told you have high blood
pressure?
__________ [AGE] [IF AGE ≥ AGE AT APRIL 2010 GO TO
QUESTION F29; IF AGE < AGE AT APRIL 2010 GO TO
QUESTION F28b]
DON’T KNOW ........ 88
REFUSED .............. 99
F28b. Has a doctor told you within the past [YEAR FILL] that you have
high blood pressure?
Yes......................... 1

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No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
F29. Has a doctor ever told you that you have angina, also called angina
pectoris?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F30]
DON’T KNOW........ 8 [GO TO QUESTION F30]
REFUSED.............. 9 [GO TO QUESTION F30]
F29a. What month and year were you first told you have angina?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE ≥ APRIL 20, 2010 GO TO
QUESTION F30; IF DATE < APRIL 20, 2010 GO TO QUESTION F29b]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F29a.1. At what age were you first told you have angina?
__________ [AGE] [IF AGE ≥ AGE AT APRIL 2010 GO TO
QUESTION F30; IF AGE < AGE AT APRIL 2010 GO TO
QUESTION F29b]
DON’T KNOW ........ 88
REFUSED .............. 99
F29b. Has a doctor told you within the past [YEAR FILL] that you have
angina?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
F30. Has a doctor ever told you that you have coronary heart disease?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F31]
DON’T KNOW........ 8 [GO TO QUESTION F31]
REFUSED.............. 9 [GO TO QUESTION F31]
F30a. What month and year were you first told you have coronary heart
disease?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F31]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F30a.1. At what age were you first told you have coronary heart
disease?
__________ [AGE]

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DON’T KNOW ........ 88
REFUSED .............. 99
F31. Has a doctor ever told you that you had a heart attack, also called a
myocardial infarction?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F32]
DON’T KNOW........ 8 [GO TO QUESTION F32]
REFUSED.............. 9 [GO TO QUESTION F32]
F31a. What month and year were you first told you had a heart attack?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE ≥ APRIL 20, 2010 GO TO
QUESTION F32; IF DATE < APRIL 20, 2010 GO TO QUESTION F31b]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F31a.1. At what age were you first told you had a heart attack?
__________ [AGE] [IF AGE ≥ AGE AT APRIL 2010 GO TO
QUESTION F32; IF AGE < AGE AT APRIL 2010 GO TO
QUESTION F31b]
DON’T KNOW ........ 88
REFUSED .............. 99
F31b Has a doctor told you that you had a heart attack within the past
[YEAR FILL]?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
F32. Has a doctor ever told you that you have congestive heart failure?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F33]
DON’T KNOW........ 8 [GO TO QUESTION F33]
REFUSED.............. 9 [GO TO QUESTION F33]
F32a. What month and year were you first told you have congestive heart
failure?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F33]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F32a.1. At what age were you first told you have congestive heart
failure?
__________ [AGE]
DON’T KNOW ........ 88

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REFUSED .............. 99
F33. Has a doctor ever told you that you have had a stroke?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F34]
DON’T KNOW........ 8 [GO TO QUESTION F34]
REFUSED.............. 9 [GO TO QUESTION F34]
F33a. What month and year were you first told you had a stroke?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE ≥ APRIL 20, 2010 GO TO
QUESTION F34; IF DATE < APRIL 20, 2010 GO TO QUESTION F33b]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F33a.1. At what age were you first told you had a stroke?
__________ [AGE] [IF AGE ≥ AGE AT APRIL 2010 GO TO
QUESTION F34; IF AGE < AGE AT APRIL 2010 GO TO
QUESTION F33b]
DON’T KNOW ........ 88
REFUSED .............. 99
F33b Has a doctor told you that you had a stroke within the past [YEAR
FILL]?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
F34. Has a doctor ever told you that you have cirrhosis of the liver?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F35]
DON’T KNOW........ 8 [GO TO QUESTION F35]
REFUSED.............. 9 [GO TO QUESTION F35]
F34a. What month and year were you first told you have cirrhosis of the
liver?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F35]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F34a.1. At what age were you first told you have cirrhosis of the
liver?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99

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F35. Has a doctor ever told you that you have fatty liver disease?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F36]
DON’T KNOW........ 8 [GO TO QUESTION F36]
REFUSED.............. 9 [GO TO QUESTION F36]
F35a. What month and year were you first told you have fatty liver
disease?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F36]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F35a.1. At what age were you first told you have fatty liver disease?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F36. Has a doctor ever told you that you have hepatitis?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F37]
DON’T KNOW........ 8 [GO TO QUESTION F37]
REFUSED.............. 9 [GO TO QUESTION F37]
F36a. What month and year were you first told you have hepatitis?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F37]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F36a.1. At what age were you first told you have hepatitis?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F37. Has a doctor ever told you that you have weak or failing kidneys?
[INTERVIEWER: PROBE AS NECESSARY. DO NOT INCLUDE
KIDNEY STONES, BLADDER INFECTIONS, OR INCONTINENCE]
Yes......................... 1
No .......................... 2 [GO TO QUESTION F38]
DON’T KNOW........ 8 [GO TO QUESTION F38]
REFUSED.............. 9 [GO TO QUESTION F38]
F37a. What month and year were you first told you have weak or failing
kidneys?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F38]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999

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F37a.1. At what age were you told you have weak or failing
kidneys?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F38. Has a doctor ever told you that you have peripheral neuropathy?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F39]
DON’T KNOW........ 8 [GO TO QUESTION F39]
REFUSED.............. 9 [GO TO QUESTION F39]
F38a. What month and year were you first told you have peripheral
neuropathy?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F39]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F38a.1. At what age were you first told you have peripheral
neuropathy?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F39. Has a doctor ever told you that you have diabetes or sugar diabetes?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F40]
DON’T KNOW........ 8 [GO TO QUESTION F40]
REFUSED.............. 9 [GO TO QUESTION F40]
F39a. What month and year were you first told you have diabetes or sugar
diabetes?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F40]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F39a.1. At what age were you first told you have diabetes or sugar
diabetes?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F40. Has a doctor ever told you that you have rheumatoid arthritis?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F41]

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DON’T KNOW........ 8 [GO TO QUESTION F41]
REFUSED.............. 9 [GO TO QUESTION F41]
F40a. What month and year were you first told you have rheumatoid
arthritis?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F41]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F40a.1. At what age were you first told you have rheumatoid
arthritis?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F41. Has a doctor ever told you that you have lupus?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F42]
DON’T KNOW........ 8 [GO TO QUESTION F42]
REFUSED.............. 9 [GO TO QUESTION F42]
F41a. What month and year were you first told you have lupus?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F42]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F41a.1. At what age were you first told you have lupus?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F42. Has a doctor ever told you that you have Grave’s disease or other thyroid
disease?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F43]
DON’T KNOW........ 8 [GO TO QUESTION F43]
REFUSED.............. 9 [GO TO QUESTION F43]
F42a. What month and year were you first told you have Grave’s disease
or other thyroid disease?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F43]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F42a.1. At what age were you first told you have Grave’s disease
or other thyroid disease?

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__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F43. Has a doctor ever told you that you have sarcoidosis?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F44]
DON’T KNOW........ 8 [GO TO QUESTION F44]
REFUSED.............. 9 [GO TO QUESTION F44]
F43a. What month and year were you first told you have sarcoidosis?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F44]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F43a.1. At what age were you first told you have sarcoidosis?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F44. Has a doctor ever told you that you have fibromyalgia?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F45]
DON’T KNOW........ 8 [GO TO QUESTION F45]
REFUSED.............. 9 [GO TO QUESTION F45]
F44a. What month and year were you first told you have fibromyalgia?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F45]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F44a.1. At what age were you first told you have fibromyalgia?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F45. Has a doctor ever told you that you have chronic fatigue syndrome?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F46]
DON’T KNOW........ 8 [GO TO QUESTION F46]
REFUSED.............. 9 [GO TO QUESTION F46]
F45a. What month and year were you first told you have chronic fatigue
syndrome?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F46]
DON’T KNOW ........ 88/8888

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REFUSED .............. 99/9999
F45a.1. At what age were you first told you have chronic fatigue
syndrome?
__________ [AGE]
DON’T KNOW ........ 88
REFUSED .............. 99
F46. Has a doctor ever told you that you have shingles?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F47]
DON’T KNOW........ 8 [GO TO QUESTION F47]
REFUSED.............. 9 [GO TO QUESTION F47]
F46a. What month and year were you first told you have shingles?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE ≥ APRIL 20, 2010 GO TO
QUESTION F47; IF DATE < APRIL 20, 2010 GO TO QUESTION F46b]
DON’T KNOW ........ 88/8888
REFUSED .............. 99/9999
F46a.1. At what age were you first told you have shingles?
__________ [AGE] [IF AGE ≥ AGE AT APRIL 2010 GO TO
QUESTION F47; IF AGE < AGE AT APRIL 2010 GO TO
QUESTION F46b]
DON’T KNOW ........ 88
REFUSED .............. 99
F46b Has a doctor told you that you had shingles within the past [YEAR
FILL]?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
F47. Has a doctor ever told you that you have cancer?
Yes....................... 1
No ........................ 2 [GO TO SECTION F48]
DON’T KNOW...... 8 [GO TO SECTION F48]
REFUSED............ 9 [GO TO SECTION F48]
BLADDER.................... 10

CANCER OPTIONS
LIVER ............................22

BLOOD ........................ .11

LUNG ............................23

BONE ........................... 12

LYMPHOMA (NON

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SKIN (NON-MELANOMA)32
SKIN (MELANOMA) ..... 25
SKIN (DON'T KNOW; NOT
SPECIFIED) .................. 33
SOFT TISSUE (MUSCLE/

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BRAIN........................... 13

BREAST ....................... 14
CERVIX (CERVICAL) . 15
COLON ......................... 16
ESOPHAGUS
(ESOPHAGEAL ............ 17
GALLBLADDER........... 18
KIDNEY ........................ 19
LARYNX/WINDPIPE ... 20
LEUKEMIA.................... 21

HODGKIN’S) .................40
LYMPHOMA (HODGKIN’S
DISEASE)......................24
LYMPHOMA (DON’T
KNOW; NOT SPECIFIED)
......................................42
MULTIPLE MYELOMA ..41

01/20/11

FAT) .............................. 34

STOMACH ................. .35

MOUTH/TONGUE/LIP ..26

TESTIS (TESTICULAR) 36
THYROID...................... 37
UTERUS (UTERINE) .... 38

NERVOUS SYSTEM .....27

OTHER (SPECIFY)....... 39

OVARY (OVARIAN) ......28
PANCREAS (PANCREATIC)
DON’T KNOW .............. .77
......................................29
PROSTATE ...................30
REFUSED..................... 99
RECTUM (RECTAL.......31

F47a. What kind of cancer was it?
Type 1: [SELECT FROM CANCER OPTIONS]
F66a.1 What month and year were you first told you have [FIRST
TYPE OF CANCER]?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F47a.2]
DON’T KNOW ...................88/8888
REFUSED .........................99/9999
F47a.1.a At what age were you first told you have [FIRST
TYPE OF CANCER]?
__________ [AGE]
DON’T KNOW.........88
REFUSED...............99
F47a.2. Has a doctor ever told that you have any other types of
cancer?
Yes ....................................1
No......................................2
[GO TO SECTION F48]
DON’T KNOW ...................8
[GO TO SECTION F48]
REFUSED 9........................................ [GO TO SECTION F48]
F47b. What kind of cancer was it?
Type 2: [SELECT FROM CANCER OPTIONS]
F47b.1 What month and year were you first told you have
[SECOND TYPE OF CANCER]?
__ __ / __ __ __ __ [MM/YYYY] [GO TO QUESTION F47b.2]

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DON’T KNOW ...................88/8888
REFUSED .........................99/9999
F47b.1.a At what age were you first told you have [SECOND
TYPE OF CANCER]?
__________ [AGE]
DON’T KNOW.........88
REFUSED...............99
F47b.2. Has a doctor ever told you that you have any other
types of cancer?
Yes .........................1
No ...........................2
[GO TO SECTION F48]
DON’T KNOW.........8
[GO TO SECTION F48]
REFUSED...............9
[GO TO SECTION F48]
F47c. What kind of cancer was it?
Type 3: [SELECT FROM CANCER OPTIONS]
F47c.1 What month and year were you first told you have [THIRD
TYPE OF CANCER]?
__ __ / __ __ __ __ [MM/YYYY] [GO TO SECTION F48]
DON’T KNOW ...................88/8888
REFUSED .........................99/9999
F47c.1.a At what age were you first told you have [THIRD
TYPE OF CANCER]?
__________ [AGE]
DON’T KNOW.........88
REFUSED...............99

Health Symptoms
Now I’m going to ask you how often you have had specific symptoms during the
past thirty days. Please answer All the time, Most of the time, Sometimes,
Rarely, or Never.
F48. How often have you had a cough?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9

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F49. How often have you had wheezing or whistling in your chest?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F50. How often have you had tightness in your chest?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F51. In the past thrity days how often have you been short of breath?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F52. How often have you had a stuffy, itchy or runny nose? [INTERVIEWER:
READ ANSWER OPTIONS]
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F53. How often have you had watery or itchy eyes?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9

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F54. How often have you had burning eyes?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F55. In the past thirty days how often have you had burning in your nose, throat
or lungs?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F56. How often have you had a sore throat? [INTERVIEWER: READ ANSWER
OPTIONS]
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F57. How often have you had a severe headache or migraine?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F58. How often have you felt dizzy or lightheaded?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8

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REFUSED.............. 9
F59. In the past thirty days how often have you been nauseous?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F60. How often have you had blurred or distorted vision? [INTERVIEWER: READ
ANSWER OPTIONS]
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F61. How often have you had lower back pain?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F62. How often have you had excessive fatigue or extreme tiredness?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F63. In the past thirty days how often have you had diarrhea or frequent bowel
movements?
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5

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DON’T KNOW........ 8
REFUSED.............. 9
F64. How often have you been constipated? [INTERVIEWER: READ ANSWER
OPTIONS]
All the time ............. 1
Most of the time ..... 2
Sometimes ............. 3
Rarely .................... 4
Never ..................... 5
DON’T KNOW........ 8
REFUSED.............. 9
F65. In the past thirty days, have you had any skin rashes, sores, or blisters that
lasted two or more days?
Yes......................... 1
No .......................... 2 [GO TO QUESTION F66]
DON’T KNOW........ 8 [GO TO QUESTION F66]
REFUSED.............. 9 [GO TO QUESTION F66]
[F65a IS ONLY ASKED FOR THOSE WHO INDICATED THAT THEY
WORKED ON THE OIL SPILL RESPONSE (D0 = 1)]

F65a. Did you get the rash on a part of your body that touched or came
into contact with oil or chemical dispersant??
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
F66. [IF F24 IS ANSWERED, GO TO SECTION G; ELSE ASK ONLY IF ANY OF
F48 – F65 = 1-4 OR YES] Have you sought medical help for any of these
symptoms or illnesses since the spring or summer of 2010?
Yes.................................................................... 1
No ..................................................................... 2 [GO TO SECTION G]
DON’T KNOW................................................... 8 [GO TO SECTION G]
REFUSED......................................................... 9 [GO TO SECTION G]
F66a. Were you hospitalized for any of these symptom(s) or illness(es),
where hospitalized means admitted at least overnight?
Yes......................... 1
No .......................... 2 [GO TO SECTION G]
DON’T KNOW ........ 8 [GO TO SECTION G]
REFUSED .............. 9 [GO TO SECTION G]

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F66b. Why were you hospitalized?
[FREE TEXT FIELD]
DON’T KNOW ........ 8
REFUSED .............. 9
F66c. When were you hospitalized the first time?
MM/DD/YYYY [ENTER ALL OR PARTIAL DATE]
DON’T KNOW ................... 8
REFUSED ......................... 9

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SECTION G: Mental Health
Now I am going to ask you some questions about stress and mental health.
SOCIAL CONTEXT
[PROGRAMMER NOTE: FOR QUESTIONS G1, G2, AND G3, NUMBER OF
YEARS WILL CHANGE BASED ON DATE OF INTERVIEW. IF DATE OF
INTERVIEW ≤ OCTOBER 1, 2011 USE “year” FOR [YEAR FILL]; IF DATE OF
INTERVIEW IS BETWEEN OCTOBER 2, 2011 AND OCTOBER 1, 2012 USE
“two years”; IF DATE OF INTERVIEW ≥ OCTOBER 2, 2012 USE “three
years”]

G1. In the past [YEAR FILL], how often have you been worried or stressed about
having enough money to pay your rent or mortgage? Have you been worried or
stressed…
Always ............................ 1
Usually ............................ 2
Sometimes ...................... 3
Rarely ............................. 4
Never .............................. 5
DON’T KNOW................. 8 [GO TO QUESTION G2]
REFUSED....................... 9 [GO TO QUESTION G2]
[PROGRAMMER NOTE: FOR QUESTIONS G1a, G2a, AND G3a,
NUMBER OF YEARS WILL CHANGE BASED ON DATE OF
INTERVIEW. IF DATE OF INTERVIEW ≤ OCTOBER 1, 2011 USE “two
years” FOR [YEAR FILL]; IF DATE OF INTERVIEW IS BETWEEN
OCTOBER 2, 2011 AND OCTOBER 1, 2012 USE “three years”; IF
DATE OF INTERVIEW ≥ OCTOBER 2, 2012 USE “four years”]

G1a. How does this compare to [YEAR FILL] ago? Are you more worried
and stressed about having enough money to pay your rent or mortgage,
less worried and stressed, or is it about the same?
More worried ........ 1
Less worried......... 2
About the same .... 3
DON’T KNOW ...... 8
REFUSED ............ 9

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G2. In the past [YEAR FILL],, how often would you say you were worried or
stressed about having enough money to buy food? Would you say you were
worried or stressed….
Always ............................ 1
Usually ............................ 2
Sometimes ...................... 3
Rarely ............................. 4
Never .............................. 5
DON’T KNOW................. 8 [GO TO QUESTION G3]
REFUSED....................... 9 [GO TO QUESTION G3]
G2a. How does this compare to [YEAR FILL] ago? Are you more worried
and stressed about having enough money to buy food, less worried and
stressed, or is it about the same?
More worried ........ 1
Less worried......... 2
About the same .... 3
DON’T KNOW ...... 8
REFUSED ............ 9
G3. In the past [YEAR FILL],, how much have you worried about your future
physical health? Would you say…
A lot................................. 1
Some .............................. 2
A little, or......................... 3
Not at all.......................... 4
DON’T KNOW................. 8 [GO TO QUESTION G4]
REFUSED....................... 9 [GO TO QUESTION G4]
G3a. How does this compare to [YEAR FILL] ago? Are you more worried
about your future physical health, less worried, or is it about the same?
More worried ........ 1
Less worried......... 2
About the same .... 3
DON’T KNOW ...... 8
REFUSED ............ 9
G4. Has a doctor ever told you that you have…
G4a. …acute stress disorder?
Yes.................................................................... 1
No ..................................................................... 2 [GO TO QUESTION G4b]
DON’T KNOW................................................... 8 [GO TO QUESTION G4b]
REFUSED......................................................... 9 [GO TO QUESTION G4b]
G4a.1. When were you first told?

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__ __ / __ __ __ __ [MM/YYYY] [IF DATE IS 04/2010 OR LATER GO TO
QUESTION G4b]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
[PROGRAMMER NOTE: FOR QUESTIONS G4a.2, G4b.2, G4c.2,
G4d.2, G4e.2, G4f.3, G5b, NUMBER OF YEARS WILL CHANGE
BASED ON DATE OF INTERVIEW. IF DATE OF INTERVIEW ≤
OCTOBER 1, 2011 USE “year” FOR [YEAR FILL]; IF DATE OF
INTERVIEW IS BETWEEN OCTOBER 2, 2011 AND OCTOBER 1,
2012 USE “two years”; IF DATE OF INTERVIEW ≥ OCTOBER 2, 2012
USE “three years”]

G4a.2. Have you seen a doctor or been treated for this in the past [YEAR
FILL]?
__ __ / __ __ __ __ [MM/YYYY]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G4b. Has a doctor ever told you that you have anxiety?
Yes.................................................................... 1
No ..................................................................... 2 [GO TO QUESTION G4c]
DON’T KNOW................................................... 8 [GO TO QUESTION G4c]
REFUSED......................................................... 9 [GO TO QUESTION G4c]
G4b.1. When were you first told?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE IS 04/2010 OR LATER GO TO
QUESTION G4c]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G4b.2. Have you seen a doctor or been treated for this in the past [YEAR
FILL]?
__ __ / __ __ __ __ [MM/YYYY]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G4c. Has a doctor ever told you that you have generalized anxiety disorder?
Yes.................................................................... 1
No ..................................................................... 2 [GO TO QUESTION G4d]
DON’T KNOW................................................... 8 [GO TO QUESTION G4d]
REFUSED......................................................... 9 [GO TO QUESTION G4d]
G4c.1. When were you first told?

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__ __ / __ __ __ __ [MM/YYYY] [IF DATE IS 04/2010 OR LATER GO TO
QUESTION G4d]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G4c.2. Have you seen a doctor or been treated for this in the past [YEAR
FILL]?
__ __ / __ __ __ __ [MM/YYYY]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G4d. Has a doctor ever told you that you have panic disorder?
Yes.................................................................... 1
No ..................................................................... 2 [GO TO QUESTION G4e]
DON’T KNOW................................................... 8 [GO TO QUESTION G4e]
REFUSED......................................................... 9 [GO TO QUESTION G4e]
G4d.1. When were you first told?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE IS 04/2010 OR LATER GO TO
QUESTION G4e]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G4d.2. Have you seen a doctor or been treated for this in the past [YEAR
FILL]?
__ __ / __ __ __ __ [MM/YYYY]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G4e. Has a doctor ever told you that you have post-traumatic stress disorder?
Yes.................................................................... 1
No ..................................................................... 2 [GO TO QUESTION G4f]
DON’T KNOW................................................... 8 [GO TO QUESTION G4f]
REFUSED......................................................... 9 [GO TO QUESTION G4f]
G4e.1. When were you first told?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE IS 04/2010 OR LATER GO TO
QUESTION G4f]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G4e.2. Have you seen a doctor or been treated for this in the past [YEAR
FILL]?
__ __ / __ __ __ __ [MM/YYYY]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999

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G4f. Has a doctor ever told you that you have any other anxiety disorder?
Yes.................................................................... 1
No ..................................................................... 2 [GO TO QUESTION G5]
DON’T KNOW................................................... 8 [GO TO QUESTION G5]
REFUSED......................................................... 9 [GO TO QUESTION G5]
G4f.1. What was the disorder?
_______________ [FREE TEXT FIELD]
DON’T KNOW ........................................ 8
REFUSED .............................................. 9
G4f.2. When were you first told?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE IS 04/2010 OR LATER GO TO
QUESTION G5]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G4f.3. Have you seen a doctor or been treated for this in the past [YEAR
FILL]?
__ __ / __ __ __ __ [MM/YYYY]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G5. Has a doctor ever told you that you have depression?
Yes.................................. 1
No ................................... 2 [GO TO QUESTION G6]
DON’T KNOW................. 8 [GO TO QUESTION G6]
REFUSED....................... 9 [GO TO QUESTION G6]
G5a. When were you first told?
__ __ / __ __ __ __ [MM/YYYY] [IF DATE IS 04/2010 OR LATER GO TO
QUESTION G6]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999
G5b. Have you seen a doctor or been treated for this in the past [YEAR
FILL]?
__ __ / __ __ __ __ [MM/YYYY]
DON’T KNOW ...... 88 8888
REFUSED ............ 99 9999

PERCEIVED STRESS SCALE

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G6. In the last month, how often have you felt that you were unable to control the
important things in your life?
[INTERVIEWER READ ANSWERS]
Never .............................. 1
Almost Never .................. 2
Sometimes ...................... 3
Fairly Often ..................... 4
Very Often....................... 5
DON’T KNOW................. 8
REFUSED....................... 9
G7. In the last month, how often have you felt confident about your ability to
handle your personal problems?
Never .............................. 1
Almost Never .................. 2
Sometimes ...................... 3
Fairly Often ..................... 4
Very Often....................... 5
DON’T KNOW................. 8
REFUSED....................... 9
G8. In the last month, how often have you felt that things were going your way?
Never .............................. 1
Almost Never .................. 2
Sometimes ...................... 3
Fairly Often ..................... 4
Very Often....................... 5
DON’T KNOW................. 8
REFUSED....................... 9
G9. In the last month, how often have you felt difficulties were piling up so high
that you could not overcome them?
Never .............................. 1
Almost Never .................. 2
Sometimes ...................... 3
Fairly Often ..................... 4
Very Often....................... 5
DON’T KNOW................. 8
REFUSED....................... 9

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SECTION H: Reproductive History and Menopausal Status
Females Only
[INTERVIEWER: ASK QUESTIONS H1 – H4 OF FEMALES ONLY. READ
THE FOLLOWING PROMPT BEFORE ASKING THESE QUESTIONS. IF
MALE, GO TO SECTION I]
I’m now going to ask you some questions about your reproductive history.
H1. How old were you when you had your first menstrual period?
___ ___ Age in years
DON’T KNOW........ 88
REFUSED.............. 99
H2. Are you currently pregnant?
Yes......................... 1
No .......................... 2 [GO TO QUESTION H3]
DON’T KNOW........ 8 [GO TO QUESTION H3]
REFUSED.............. 9 [GO TO QUESTION H3]
H2a. When is your due date?
___ ___ / ___ ___ / ___ ___ ___ ___ [MM/DD/YYYY]
DON’T KNOW ...88 88 8888
REFUSED .........99 99 9999
H2b. How much did you weigh when you became pregnant?
|___|___|___| lbs. OR
|___|___|___| kgs.
DON’T KNOW .. 888
REFUSED ........ 999
H3. How many births have you had, including live births and still births?
___ ___ Number of births [IF 0 GO TO QUESTION H4]
DON’T KNOW.... 88 [GO TO QUESTION H4]
REFUSED.......... 99 [GO TO QUESTION H4]
H3a. What was the date of your first birth, live or still?
___ ___ / ___ ___ / ___ ___ ___ ___[MM/DD/YYYY]
DON’T KNOW ...88 88 8888
REFUSED .........99 99 9999
H3b. What was the date of your most recent birth, live or still?
___ ___ / ___ ___ / ___ ___ ___ ___[MM/DD/YYYY]
DON’T KNOW ...88 88 8888
REFUSED .........99 99 9999

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H4. Have your menstrual periods stopped permanently?
YES,.................................. 1
NO .................................... 3 [GO TO SECTION I]
DON’T KNOW................... 8 [GO TO SECTION I]
REFUSED......................... 9 [GO TO SECTION I]
H4a. Did your periods stop naturally, due to surgery, or due to medical
treatment?
Naturally ................. 1
Surgery................... 2
Medical Treatment . 3
OTHER................... 4 Specify _____________
DON’T KNOW ........ 8
REFUSED .............. 9
H4b. How old were you when your periods stopped?
___ ___ Age in years
DON’T KNOW ........ 88
REFUSED .............. 99

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SECTION I: Lifestyle - Alcohol
Now I would like to ask you some questions about your alcohol use.
I1. In your entire life, have you had at least 1 drink of any kind of alcohol,
including beer, wine, and liquor, not counting small tastes or sips?
Yes......................... 1
No .......................... 2 [GO TO SECTION J]
DON’T KNOW........ 8 [GO TO SECTION J]
REFUSED.............. 9 [GO TO SECTION J]
I2. About how old were you when you first started drinking, not counting small
tastes or sips?
[_] [_] Age in years ......................................................
[GO TO QUESTION I3]
DON'T KNOW.............................................................. 88
REFUSED.................................................................... 99 [GO TO QUESTION I3]
I2a. When do you first remember drinking an alcoholic beverage? Was
it…
before 20 ................................................ 01
in your 20s.............................................. 02
in your 30s.............................................. 03
in your 40s.............................................. 04
in your 50s.............................................. 05
in your 60s.............................................. 06
in your 70s.............................................. 07
DON’T KNOW ........................................ 88
REFUSED ... .......................................... 99
I3. Have you had an alcoholic beverage in the past 12 months?
YES.............................................. 1 [GO TO QUESTION I4]
NO ............................................... 2
DON’T KNOW.............................. 8
REFUSED.................................... 9
I3a. How old were you when you last drank alcohol?
|_| |_| AGE
DON’T KNOW ........................................ 88
REFUSED ... .......................................... 99 [GO TO QUESTION I9]
I3b. When you were drinking alcohol, how many days per week, per
month, or per year would you have an alcoholic beverage in a typical
year?
|_| |_| # DAYS
PER WEEK ...................... 1
PER MONTH..................... 2

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PER YEAR ........................ 3
DON’T KNOW ................... 8
REFUSED ......................... 9
I3c. When you were drinking alcohol, about how many drinks would you
have on the days that you drank?
|_| |_| # DRINKS / DAY
I3d. When you were drinking alcohol, did you ever drink four or more
alcoholic beverages in a row, in one sitting?
Yes......................... 1
No. ......................... 2 [GO TO QUESTION I9]
DON’T KNOW ........ 8 [GO TO QUESTION I9]
REFUSED .............. 9 [GO TO QUESTION I9]
I3d.1. How many times would this happen in a typical year?
|_| |_| # TIMES
PER WEEK ......................1 [GO TO QUESTION I9]
PER MONTH ....................2 [GO TO QUESTION I9]
TOTAL FOR 12 MONTHS.3 [GO TO QUESTION I9]
I4. During the past 12 months, about how many days per week, per month, or in
total have you had alcoholic beverages?
|_| |_| # DAYS
PER WEEK ................................. 1
PER MONTH ............................... 2
TOTAL FOR PAST 12 MONTHS . 3
DON’T KNOW.............................. 8
REFUSED.................................... 9
I5. During the past 12 months, about how many drinks would you have on the
days that you drank?
|_| |_| # DRINKS / DAY

I6. [During the past 12 months,] did you ever drink four or more alcoholic
beverages in a row, in one sitting?
Yes......................... 1
No. ......................... 2 [GO TO QUESTION I7]
DON’T KNOW........ 8 [GO TO QUESTION I7]
REFUSED.............. 9 [GO TO QUESTION I7]
I6a. How many times has this happened in the past 12 months?
|_| |_| # TIMES
PER WEEK .................................1
PER MONTH ...............................2

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TOTAL FOR 12 MONTHS............3
I7. Think specifically about the past 30 days, from [DATEFILL*]. During the past
30 days, on how many days did you drink one or more drinks of an alcoholic
beverage?
# OF DAYS: __ __ [RANGE: 0 - 30] [IF 0 GO TO QUESTION I9]
DON'T KNOW ............. 88
[GO TO QUESTION I9]
REFUSED ................... 99
[GO TO QUESTION I9]
I8. On the days that you drank during the past 30 days, how many drinks did you
usually have each day?
# OF DRINKS: __ __ [RANGE: 1 - 90]
DON'T KNOW .............. 88
REFUSED..................... 99
I9. In your lifetime, what is the largest number of drinks you have ever had in a
24-hour period (including all types of alcohol)?
|_| |_| # DRINKS
DON'T KNOW .............. 88
REFUSED..................... 99
I10. Was there ever a period in your life when a doctor or a health professional
told you that your drinking was hurting your health?
YES........................ 1
NO ......................... 2
DON'T KNOW ....... 8
REFUSED.............. 9

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SECTION J: Lifestyle - Tobacco
Now I would like to ask you some questions about your tobacco use.
J1. Have you smoked at least 100 cigarettes in your entire life? Do not include
cigars or marijuana. [NOTE TO INTERVIEWER: 100 CIGARETTES =
APPROXIMATELY 5 PACKS]
Yes......................... 1
No .......................... 2 [GO TO QUESTION J10]
DON’T KNOW........ 8 [GO TO QUESTION J10]
REFUSED.............. 9 [GO TO QUESTION J10]
J2. How old were you when you first started to smoke cigarettes fairly regularly?
__ | __ | __ AGE IN YEARS
NEVER SMOKED CIGARETTES REGULARLY.....................777
DON’T KNOW.........................................................................888
REFUSED...............................................................................999
J3. Do you now smoke cigarettes…?
Every day............... 1 [GO TO QUESTION J9]
Some days............. 2
Not at all................. 3 [GO TO QUESTION J6]
DON’T KNOW........ 8 [GO TO QUESTION J9]
REFUSED.............. 9 [GO TO QUESTION J10]
SOME DAYS SMOKER COLLECTION
J4. Have you ever smoked cigarettes everyday for at least six months?
Yes............................................... 1
No ................................................ 2
DON’T KNOW.............................. 8
REFUSED.................................... 9
J5. On how many of the past 30 days did you smoke cigarettes?
| __ | __ | # DAYS [RANGE: 1 - 30]
DON’T KNOW................... 88
REFUSED......................... 99 [GO TO QUESTION J10]
J5a On the average, on those [# DAYS] days, how many cigarettes did
you usually smoke each day?
| __ | __ | # CIGARETTES PER DAY [RANGE: 1 - 97] [GO TO J10]
DON’T KNOW ........ 88 [GO TO J10]
REFUSED .............. 99 [GO TO J10]

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FORMER SMOKER COLLECTION
J6. Have you ever smoked cigarettes everyday for at least six months?
Yes............................................... 1
No ................................................ 2
DON’T KNOW.............................. 8
REFUSED.................................... 9
J7. About how long has it been since you completely quit smoking cigarettes?
|_|_| Units
Days....................... 1
Weeks.................... 2
Months ................... 3
Years ..................... 4
DON’T KNOW........ 88
REFUSED.............. 99
J8. When you last smoked fairly regularly, on average how many cigarettes did
you smoke each day?
| __ | __ | # CIGARETTES PER DAY [RANGE: 1 - 97] [GO TO J10]
DON’T KNOW................... 88 [GO TO J10]
REFUSED......................... 99 [GO TO J10]
EVERYDAY SMOKER COLLECTION
J9. On the average, about how many cigarettes do you now smoke each day?
| __ | __ | # CIGARETTES PER DAY [RANGE: 1 - 97]
DON’T KNOW................... 88
REFUSED......................... 99

Other Tobacco Use
Next I will ask you about use of tobacco products other than cigarettes.
J10. In your entire life, have you ever. . .
J10a. …smoked at least 50 cigars?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
J10b. …smoked a pipe at least 50 times?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9

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J10c. …used snuff, such as Skoal®, Skoal Bandit® or Copenhagen® at
least 20 times?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
J10d. …used chewing tobacco, such as Redman®, Levi Garrett® or
Beechnut® at least 20 times?
Yes......................... 1
No .......................... 2
DON’T KNOW ........ 8
REFUSED .............. 9

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SECTION K: Socioeconomic Factors
K1. Now I am going to ask you about the total household income in 2010,
including income from all sources such as wages, salaries, Social Security or
retirement benefits, help from relatives and so forth. Can you tell me that amount
before taxes?
PROBE: Income is important in analyzing the health information we collect. For
example, this information helps us to learn whether persons in one income group
use certain types of medical services or have certain conditions more or less
often than those in another group. Please include all sources of income including
wages, salary, commissions, bonuses, tips from all jobs, self-employment
income, annuities, interest, dividends, net rental income, royalties, income from
estates and trusts, Social Security or Railroad retirement, Supplemental Security
Income (SSI), any public assistance or welfare payments, pensions (including
retirement, survivor or disability), Veteran’s (VA) payments, unemployment
compensation, child support or alimony payments.
$ |___|___|___|___|___|___|___|___|___| (GO TO K2)
REFUSED ..................................... 8888888888
DON'T KNOW ............................... 9999999999
K1a. You may not be able to give us an exact figure for your total household
income, but can you tell me if this income in 2010 was . . .
Less than $10,000 ............ 1
$10,001 to $20,000 ........... 2
$20,001 to $30,000 ........... 3
$30,001 to $40,000 ........... 4
$40,001 to $50,000 ........... 5
$50,001 to $60,000 ........... 6
$60,001 to $70,000 ........... 7
$70,001 to $80,000 ........... 8
$80,001 to $90,000 ........... 9
$90,001 to $100,000 ......... 10
$100,001 to $150,000…….. 11
$150,001 to $200,000 ……. 12
More than $200,001.......... 13
DON'T KNOW................... 88
REFUSED......................... 99
K2. Last year, how many people, including yourself, were supported by this
income?
[VERIFY THAT R HAS INCLUDED THEMSELF IN THE TOTAL NUMBER.]

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|__|__| # PEOPLE
1, ELSE GO TO K3>
K2a.. How many of these people were under 18 years old?
|__|__| # PEOPLE
K2b. How many were 65 or older?
|__|__| # PEOPLE
K3. Would you say that your total combined family income from all sources
before taxes for 2010 was higher, lower, or the same as 2009?
Higher .................. 1
Lower ................... 2
Same ................... 3
DON’T KNOW...... 8
REFUSED............ 9
JOB
The next questions are about your employment status.
IF CURRENTLY WORKING ON THE OIL SPILL (E1=1)
K4. Between January 2010 and April 2010, were you working for pay, including
self-employment?
Yes......................... 1
No .......................... 2 [GO TO QUESTION K6]
DON’T KNOW........ 8 [GO TO QUESTION K6]
REFUSED.............. 9 [GO TO QUESTION K6]
K4a. What kind of business or industry did you work in?
FREE TEXT FIELD] TYPE OF BUSINESS
DON’T KNOW ................... 8
REFUSED ......................... 9
K4b. What was your job title or what kind of work did you do?
[FREE TEXT FIELD] TYPE OF WORK
DON’T KNOW ................... 8
REFUSED ......................... 9
K4c. What were your most important activities on that job?
[FREE TEXT FIELD] DUTIES

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DON’T KNOW ................... 8
REFUSED ......................... 9
K4d. About how long did you work for that company in that job?
|___|___|___| Units
Days ................................. 1
Weeks ............................... 2
Months .............................. 3
Years................................. 4
DON’T KNOW ................... 888
REFUSED ......................... 999
K4e. Did you work in this job during the oil spill?
Yes.................................... 1
No ..................................... 2
DON’T KNOW ................... 8
REFUSED ......................... 9
K4f. Are you still working in this job?
Yes.................................... 1
No ..................................... 2
DON’T KNOW ................... 8
REFUSED ......................... 9
K5. Was this your longest held job?
Yes............................................... 1 [GO TO QUESTION K6]
No ................................................ 2
DON’T KNOW.............................. 8
REFUSED.................................... 9
K5a. Thinking of all the paid jobs you have ever had, what was your job
title or what kind of work have you done the longest?
[FREE TEXT FIELD] OCCUPATION
NEVER WORKED............. 7 [GO TO QUESTION K6]
DON’T KNOW ................... 8 [GO TO QUESTION K6]
REFUSED ......................... 9 [GO TO QUESTION K6]
K5b. What kind of business or industry did you work in for the longest
period of time as a [LONGEST OCCUPATION]?
[FREE TEXT FIELD] BUSINESS/INDUSTRY
DON’T KNOW ................... 8
REFUSED ......................... 9
K5c. What were your most important activities on this job in this business?
[FREE TEXT FIELD] DUTIES
DON’T KNOW ................... 8

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REFUSED ......................... 9
K5d. About how long did you work at that job in this business?
|___|___|___| Units
Days .................................. 1
Weeks ............................... 2
Months .............................. 3
Years................................. 4
DON’T KNOW ................... 888
REFUSED ......................... 999
K6. While working on the oil spill response have you had another job?
Yes.................................... 1
No ..................................... 2 [GO TO QUESTION K7]
DON’T KNOW................... 8 [GO TO QUESTION K7]
REFUSED......................... 9 [GO TO QUESTION K7]
K6a. What kind of business or industry did you work in?
SAME AS REPORTED IN K4a [PIPE IN RESPONSE FROM K4a] [GO TO
QUESTION K6d]
SAME AS REPORTED IN K5b [PIPE IN RESPONSE FROM K5b] [GO TO
QUESTION K6d]
[FREE TEXT FIELD] TYPE OF BUSINESS
DON’T KNOW ................... 8
REFUSED ......................... 9
K6b. What was your job title or what kind of work did you do?
[FREE TEXT FIELD] TYPE OF WORK
DON’T KNOW ................... 8
REFUSED ......................... 9
K6c. What were your most important activities on that job?
[FREE TEXT FIELD] DUTIES
DON’T KNOW ................... 8
REFUSED ......................... 9
K6d. About how long did you work for that company in that job?
|___|___|___| Units
Days ................................. 1
Weeks ............................... 2
Months .............................. 3
Years................................. 4
DON’T KNOW ................... 888
REFUSED ......................... 999

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K7. [ONLY ASKED IF K4 = 2,8,OR 9] Thinking of all the paid jobs you have ever
had, what was your job title or what kind of work have you done the longest?
SAME AS REPORTED IN K6a [PIPE IN RESPONSE FROM K6a] [GO TO
QUESTION K7c]
[FREE TEXT FIELD] OCCUPATION
NEVER WORKED ....................... 7 [GO TO QUESTION K23]
DON’T KNOW..............................8 [GO TO QUESTION K23]
REFUSED.................................... 9 [GO TO QUESTION K23]
K7a. What kind of business or industry did you work in for the longest
period of time as a [LONGEST OCCUPATION]?
[FREE TEXT FIELD] BUSINESS/INDUSTRY
DON’T KNOW ................... 8
REFUSED ......................... 9
K7b. What were your most important activities on this job in this business?
[FREE TEXT FIELD] DUTIES
DON’T KNOW ................... 8
REFUSED ......................... 9
K7c. About how long did you work at that job in this business?
|___|___|___| Units
Days .................................. 1
Weeks ............................... 2
Months .............................. 3
Years................................. 4
DON’T KNOW ................... 888
REFUSED ......................... 999

[GO TO EMPLOYMENT IN THE OIL INDUSTRY (QUESTION K23)]
IF PREVIOUSLY WORKED ON THE OIL SPILL (E1=2 OR 9)
K8. Between January 2010 and April 2010, were you working for pay?
Yes......................... 1
No .......................... 2 [GO TO QUESTION K10]
DON’T KNOW........ 8 [GO TO QUESTION K10]
REFUSED.............. 9 [GO TO QUESTION K10]
K8a. What kind of business or industry did you work in?
[FREE TEXT FIELD] TYPE OF BUSINESS
DON’T KNOW ................... 8
REFUSED ......................... 9

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K8b. What was your job title or what kind of work did you do?
[FREE TEXT FIELD] TYPE OF WORK
DON’T KNOW ................... 8
REFUSED ......................... 9
K8c. What were your most important activities on that job?
[FREE TEXT FIELD] DUTIES
DON’T KNOW ................... 8
REFUSED ......................... 9
K8d. About how long did you work for that company in that job?
|___|___|___| Units
Days ................................. 1
Weeks ............................... 2
Months .............................. 3
Years................................. 4
DON’T KNOW ................... 888
REFUSED ......................... 999
K8e. Did you work in this job during the oil spill?
Yes.................................... 1
No ..................................... 2
DON’T KNOW ................... 8
REFUSED ......................... 9
K8f. Are you still working in this job?
Yes.................................... 1
No ..................................... 2
DON’T KNOW ................... 8
REFUSED ......................... 9
K9. Was this your longest held job?
Yes............................................... 1 [GO TO QUESTION K10]
No ................................................ 2
DON’T KNOW.............................. 8
REFUSED.................................... 9
K9a. Thinking of all the paid jobs you have ever had, what was your job
title or what kind of work have you done the longest?
[FREE TEXT FIELD] OCCUPATION
NEVER WORKED............. 7 [GO TO QUESTION K10]
DON’T KNOW ................... 8 [GO TO QUESTION K10]
REFUSED ......................... 9 [GO TO QUESTION K10]

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K9b. What kind of business or industry did you work in for the longest
period of time as a [LONGEST OCCUPATION]?
[FREE TEXT FIELD] BUSINESS/INDUSTRY
DON’T KNOW ................... 8
REFUSED ......................... 9
K9c. What were your most important activities on this job in this business?
[FREE TEXT FIELD] DUTIES
DON’T KNOW ................... 8
REFUSED ......................... 9
K9d. About how long did you work at that job in this business?
|___|___|___| Units
Days .................................. 1
Weeks ............................... 2
Months .............................. 3
Years................................. 4
DON’T KNOW ................... 888
REFUSED ......................... 999
K10. While working on the oil spill response did you have another job?
Yes.................................... 1
No ..................................... 2 [GO TO QUESTION K11]
DON’T KNOW................... 8 [GO TO QUESTION K11]
REFUSED......................... 9 [GO TO QUESTION K11]
K10a. What kind of business or industry did you work in?
SAME AS REPORTED IN K8a [PIPE IN RESPONSE FROM K8a] [GO TO
QUESTION K10d]
SAME AS REPORTED IN K9b [PIPE IN RESPONSE FROM K9b] [GO TO
QUESTION K10d]
[FREE TEXT FIELD] TYPE OF BUSINESS
DON’T KNOW ................... 8
REFUSED ......................... 9
K10b. What was your job title or what kind of work did you do?
[FREE TEXT FIELD] TYPE OF WORK
DON’T KNOW ................... 8
REFUSED ......................... 9
K10c. What were your most important activities on that job?
[FREE TEXT FIELD] DUTIES
DON’T KNOW ................... 8
REFUSED ......................... 9

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K10d. About how long did you work for that company in that job?
|___|___|___| Units
Days ................................. 1
Weeks ............................... 2
Months .............................. 3
Years................................. 4
DON’T KNOW ................... 888
REFUSED ......................... 999
K11. [ONLY ASKED IF K8 = 2,8,OR 9] Thinking of all the paid jobs you have
ever had, what was your job title or what kind of work have you done the
longest?
SAME AS REPORTED IN K10b [PIPE IN RESPONSE FROM 10b] [GO TO
QUESTION K11c]
[FREE TEXT FIELD] OCCUPATION
NEVER WORKED ....................... 7 [GO TO QUESTION K12]
DON’T KNOW..............................8 [GO TO QUESTION K12]
REFUSED.................................... 9 [GO TO QUESTION K12]
K11a. What kind of business or industry did you work in for the longest
period of time as a [LONGEST OCCUPATION]?
[FREE TEXT FIELD] BUSINESS/INDUSTRY
DON’T KNOW ................... 8
REFUSED ......................... 9
K11b. What were your most important activities on this job in this
business?
[FREE TEXT FIELD] DUTIES
DON’T KNOW ................... 8
REFUSED ......................... 9
K11c. About how long did you work at that job in this business?
|___|___|___| Units
Days .................................. 1
Weeks ............................... 2
Months .............................. 3
Years................................. 4
DON’T KNOW ................... 888
REFUSED ......................... 999
K12. [IF K8f = 1 GO TO QUESTION K17] We would like to know about what you
do --are you working now, looking for work, retired, keeping house, a student, or
what?
WORKING NOW.......................................................... 1

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ONLY TEMPORARILY LAID OFF, SICK LEAVE OR
MATERNITY LEAVE.................................................... 2
LOOKING FOR WORK OR UNEMPLOYED ............... 3 [GO TO K23]
RETIRED .................................................................... 4 [GO TO K23]
DISABLED, PERMANENTLY OR TEMPORARILY .... 5 [GO TO K23]
KEEPING HOUSE ...................................................... 6 [GO TO K23
STUDENT ................................................................... 7 [GO TO K23]
OTHER ........................................................................ 8 K12a. Specify:
___________
DON’T KNOW.............................................................. 88 [GO TO K23]
REFUSED.................................................................... 99 [GO TO K23]
K13. What kind of business or industry do you work in?
SAME AS REPORTED IN K8a [PIPE IN RESPONSE FROM K8a] [GO TO
QUESTION K16]
SAME AS REPORTED IN K9b [PIPE IN RESPONSE FROM K9b] [GO TO
QUESTION K16]
[FREE TEXT FIELD] TYPE OF BUSINESS
DON’T KNOW
8
REFUSED............ 9
K14. What is your job title or what kind of work do you do?
[FREE TEXT FIELD] TYPE OF WORK
DON’T KNOW...... 8
REFUSED............ 9
K15. What are your most important activities on this job?
[FREE TEXT FIELD] DUTIES
DON’T KNOW...... 8
REFUSED............ 9
K16. About how long have you worked for this company in this job?
|___|___|___| Units
Days .................... 1
Weeks.................. 2
Months ................. 3
Years ................... 4
DON’T KNOW.. 888
REFUSED........ 999

[GO TO EMPLOYMENT IN THE OIL INDUSTRY (QUESTION K23)]
IF NEVER WORKED ON THE OIL SPILL (E0=2)

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K17. We would like to know about what you do --are you working now, looking for
work, retired, keeping house, a student, or what?
WORKING NOW.......................................................... 1
ONLY TEMPORARILY LAID OFF, SICK LEAVE OR
MATERNITY LEAVE.................................................... 2
LOOKING FOR WORK OR UNEMPLOYED ............... 3 [GO TO K22a]
RETIRED .................................................................... 4 [GO TO K22a]
DISABLED, PERMANENTLY OR TEMPORARILY .... 5 [GO TO K22a]
KEEPING HOUSE ...................................................... 6 [GO TO K22a]
STUDENT ................................................................... 7 [GO TO K22a]
OTHER ........................................................................ 8 K17a. Specify:
___________
DON’T KNOW.............................................................. 88 [GO TO K22a]
REFUSED.................................................................... 99 [GO TO K22a]
K18. What kind of business or industry do you work in?
[FREE TEXT FIELD] TYPE OF BUSINESS
DON’T KNOW...... 8
REFUSED............ 9
K19. What is your job title or what kind of work do you do?
[FREE TEXT FIELD] TYPE OF WORK
DON’T KNOW...... 8
REFUSED............ 9
K20. What are your most important activities on this job?
[FREE TEXT FIELD] DUTIES
DON’T KNOW...... 8
REFUSED............ 9
K21. About how long have you worked for this company in this job?
|___|___|___| Units
Days .................... 1
Weeks.................. 2
Months ................. 3
Years ................... 4
DON’T KNOW.. 888
REFUSED........ 999
K22. Is this your longest held job?
Yes......................... 1 [GO TO QUESTION K23]
No .......................... 2
DON’T KNOW........ 8
REFUSED.............. 9

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K22a. Thinking of all the paid jobs you have ever had, what was your job
title or what kind of work have you done the longest?
[FREE TEXT FIELD] OCCUPATION
NEVER WORKED............. 7 [GO TO QUESTION K23]
DON’T KNOW ................... 8 [GO TO QUESTION K23]
REFUSED ......................... 9 [GO TO QUESTION K23]
K22a. What kind of business or industry did you work in for the longest
period of time as a [LONGEST OCCUPATION]?
[FREE TEXT FIELD] BUSINESS/INDUSTRY
DON’T KNOW ................... 8
REFUSED ......................... 9
K22b. What were your most important activities on this job in this
business?
[FREE TEXT FIELD] DUTIES
DON’T KNOW ................... 8
REFUSED ......................... 9
K22c. About how long did you work at that job in this business?
|___|___|___| Units
Days .................................. 1
Weeks ............................... 2
Months .............................. 3
Years................................. 4
DON’T KNOW ................... 888
REFUSED ......................... 999
Employment in Oil Industry
K23. Have you done oil spill clean-up other than for the Deepwater Horizon
Disaster?
Yes......................... 1
No .......................... 2
DON’T KNOW........ 8
REFUSED.............. 9
K24. Other than any jobs that you have already told me about, did you ever work
in the oil industry, such as in exploration, drilling, refining, transportation, or other
jobs?
Yes.................................... 1
No ..................................... 2 [GO TO K25]
DON’T KNOW................... 8 [GO TO K25]
REFUSED......................... 9 [GO TO K25]

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K24a. Thinking about the job you held the longest in the oil industry, what
kind of work did you do?
[FREE TEXT FIELD] TYPE OF WORK
DON’T KNOW ........ 8
REFUSED .............. 9
K24b. What were your most important activities on this job?
[FREE TEXT FIELD] DUTIES
DON’T KNOW ........ 8
REFUSED .............. 9
K24c. About how long did you work at this job?
|___|___|___| Units
Days ....................... 1
Weeks .................... 2
Months ................... 3
Years...................... 4
DON’T KNOW ........ 888
REFUSED .............. 999

Advanced Occupational Training
K25. Have you received HAZWOPER training or other training in handling
hazardous materials?
Yes......................... 1
No .......................... 2 [GO TO SECTION K26]
DON’T KNOW........ 8 [GO TO SECTION K26]
REFUSED.............. 9 [GO TO SECTION K26]
K25a. When did you first receive training?
MM/YYYY
DON’T KNOW ................... 8
REFUSED ......................... 9
K26. Have you worked with any of the following materials? [SELECT ALL THAT
APPLY]
Oil ..................................... 1
Lead.................................. 2
Asbestos ........................... 3
Radioactive Materials........ 4
Other?............................... 5 Specify: [FREE TEXT FIELD]
DON’T KNOW................... 8
REFUSED......................... 9

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Military Service
K27. Have you ever served on active duty in the U.S. Armed Forces, military
Reserves, or National Guard? Active duty does not include training for the
Reserves or National Guard, but DOES include activation, for example, for the
Persian Gulf War
Yes, now on active duty ............... 1
Yes, on active duty during the last 12 months, but not now ……….…
2
Yes, on active duty in the past, but not during the last 12 months …….
3
No, training for Reserves or National Guard only ……………. 4 [GO TO K28]
No, never served in the military………………………………… 5 [GO TO K28]
DON’T KNOW.............................. 8 [GO TO K28]
REFUSED.................................... 9 [GO TO K28]
K27a. What branch of the service did you serve in?
Army.................................. 1
Navy .................................. 2
Marines ............................. 3
Air Force............................ 4
Coast Guard...................... 5
Military Reserves ………….6
National Guard ……………7
Other, please specify ........ 0 Specify____________________________
DON’T KNOW ................... 8
REFUSED ......................... 9
K27b. When did this you serve on active duty in the U.S. Armed Forces?
Give the earliest and latest date if your service was not continuous.
[NOTE TO INTERVIEWER: PROBE IF NECESSARY. THE FOLLOWING
MILESTONE DATES:
SEPTEMBER 2001 OR LATER
AUGUST 1990 TO AUGUST 2001 (INCLUDING PERSIAN GULF WAR)
SEPTEMBER 1980 TO JULY 1990
MAY 1975 TO AUGUST 1980
VIETNAM ERA (AUGUST 1964 TO APRIL 1975)
MARCH 1961 TO JULY 1964
KOREAN WAR (JULY 1950 TO JANUARY 1955)
WORLD WAR II (DECEMBER 1941 TO DECEMBER 1946)
FEBRUARY 1955 TO FEBRUARY 1961
JANUARY 1947 TO JUNE 1950

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NOVEMBER 1941 OR EARLIER ]
Earliest: __/__/__/__ [YYYY]
Latest: __/__/__/__ [YYYY]
DON’T KNOW ................... 8
REFUSED ......................... 9
K27c. Have you ever received hazardous duty incentive pay?
[INTERVIEWER: Probe if the respondent asks. The following duties are
eligible for this payment: Parachute Duty; Flight Deck Duty; Demolition
Duty; Experimental Stress Duty; Toxic Fuels (or Propellants) Duty; Toxic
Pesticides Duty; Dangerous Viruses (or Bacteria) Lab Duty; Chemical
Munitions]
Yes.................................... 1
No ..................................... 2 [GO TO K27e]
DON’T KNOW ................... 8 [GO TO K27e]
REFUSED ......................... 9 [GO TO K27e]
K27d. What did you receive hazardous duty incentive pay for?
[FREE TEXT]
K27d1. When did you receive hazardous duty incentive pay?
Earliest: __/__/__/__ [YYYY]
Latest: __/__/__/__ [YYYY]
DON’T KNOW ................... 8
REFUSED ......................... 9
K27e. Have you ever received combat pay (hostile fire and imminent
danger pay)? [INTERVIEWER: Probe if the respondent asks. The
respondent is eligible to receive combat pay if they were subject to hostile
fire or explosion of hostile mines; on duty in a foreign area in which he/she
was subject to the threat of physical harm or imminent danger on the basis
of civil insurrection, civil war, terrorism, or wartime conditions.]
Yes.................................... 1
No ..................................... 2 [GO TO K28]
DON’T KNOW ................... 8 [GO TO K28]
REFUSED ......................... 9 [GO TO K28]
K27f. Where did you serve to receive combat pay? [INTERVIEWER:
probe for military conflicts such as Gulf War I, Vietnam, Korea, etc.]
[FREE TEXT]
K27f1. When did you receive combat pay?
Earliest: __/__/__/__ [YYYY]
Latest: __/__/__/__ [YYYY]

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DON’T KNOW ................... 8
REFUSED ......................... 9

Occupational Exposure
K28. On any of your jobs [NOTE TO INTERVIEWER: ONLY READ IF K27=1, 2
or 3: – either military or civilian], did you work with or near any of the following
materials at least 15 minutes a week:
YES NO
DK
RE
K28a. Insulation
1
2
8
9
K28b. Brake shoes
1
2
8
9
K28c. Corrosive materials, such as acids
1
2
8
9
K28d. Coal or stone dust
1
2
8
9
K28e. Metal machining oils
1
2
8
9
K28f. Paints, varnishes, stains, or strippers
1
2
8
9
K28g. Degreasers or chemicals used to clean metal
parts
1
2
8
9
K28h. Other chemicals used to clean floors, walls and
other surfaces
1
2
8
9
K28i. Asphalt, tar or other tar-like materials
1
2
8
9
K28j. Diesel engine exhaust
1
2
8
9
K28k. Gasoline engine exhaust
1
2
8
9
K28l. Pesticides, insecticides or herbicides
1
2
8
9
K28m. Welding fumes
1
2
8
9
K28n. Wood dust
1
2
8
9
K28o. Metal dust from grinding or other tasks
1
2
8
9

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Part 3: Scripts – Post-Telephone Enrollment
Questionnaire (Estimated Burden: 2
minutes)

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SECTION L: Wrap-up and Scheduling
SECTION L.1: SSN and Transition
Your social security number will help us keep in touch with you over the years and allow
us to link to the correct records about your health. Reporting your social security
number is voluntary. We will not share your social security number with others and we
will do everything possible to keep it private. What is your social security number?
__/__/__/ - __/__/ - __/__/__/__/ [GO TO SECTION L.1.a]
DON’T HAVE ...............................000 00 0000 [GO TO SECTION L.1.a]
DON’T KNOW ..............................888 88 8888
REFUSED ....................................999 99 9999
Would you be willing to tell me the last four digits of your social security number?
The last four digits of your Social Security Number are not unique to you. Other
people have those same last four digits. However, it will help us do a better job of
keeping up with you and your public health records over the years.
Last 4 numbers of SSN - __ __ __ __
DON’T HAVE.....................0000
DON’T KNOW ...................AAAA
REFUSED .........................XXXX
SECTION L.1.a.
These are all of the study questions I have for you.
Do you have any questions about the study or anything that we have discussed today?
Yes ...............................................1 [RESPOND TO CONCERNS BASED ON
INFORMATION FROM THE FAQ]
No.................................................2
DON’T KNOW ..............................8
REFUSED ....................................9
Before I let you go, I’d like to briefly talk with you about a few more things.

[IF ELIGIBLE FOR ACTIVE SUBCOHORT, GO TO SECTION L.2;
IF ELIGIBLE FOR BIOMEDICAL SUBCOHORT, GO TO SECTION L.3;
IF ELIGIBLE FOR ACTIVE OR BIOMEDICAL SUBCOHORT BUT LIVES OUT OF
STATE, GO TO SECTION L.4
IF ELIGIBLE FOR PASSIVE SUBCOHORT, GO TO SECTION L.5]

SECTION L.2: Study Requirement for Active Subcohort

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We really appreciate your participation and help so far. Based on your experiences
during the oil spill, you are eligible to be in the second part of the GuLF Study. If you
agree to take part, we’ll send a member of our staff to your home for a study visit. You’ll
receive a $50 gift card for completing the home visit. The home visit is voluntary and
you can decline to participate at any time.
During the visit, you’ll be told more about the study and you’ll be asked to:
• have your blood pressure, height, weight, hips, and waist measured
• blow hard into a machine to measure your lung function
• have a blood sample drawn and provide samples of urine, hair, and toenail
clippings
• complete a one-hour interview
• allow our staff to collect a dust sample from your home
Also, over the course of the study, we’ll ask you to:
• update us each year on any changes to your contact information
• complete a short interview about your health every other year by phone
The visit will take about two and a half hours to complete. Do you have any questions
about this next part of the study?
[IF YES, RESPOND TO CONCERNS BASED ON INFORMATION FROM THE FAQ,
THEN READ SCRIPT BELOW; IF NO, READ SCRIPT BELOW]

Are you willing to schedule a home visit for this next phase of the study?
Yes ......................... 1
No........................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
[IF PARTICIPANT AGREES TO SCHEDULE HOME VISIT, GO TO SECTION L.7;
IF PARTICIPANT ASKS FOR TIME TO CONSIDER, GO TO SECTION L.6;
IF NO AND A REASON IS GIVEN; GO TO SECTION L.2.a;
IF NO AND A REASON IS NOT GIVEN; GO TO SECTION L.2.b]

SECTION L.2.a. I understand you said… [RESTATE REASON AND USE
TELEPHONE INTERVIEW Q & A BENEFITS TO ATTEMPT A CONVERSION.] If
you don't mind, I'd like to make a note of why you are choosing not to participate.
This information will help us improve the GuLF Study.
[RECORD REASON] [IF CONVERSION IS SUCCESSFUL, GO TO
SECTION L.7; IF PARTICIPANT ASKS FOR TIME TO CONSIDER, GO TO
SECTION L.6
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Thank you for your time.
SECTION L.2.b. May I ask why you don’t want to enroll at this time? This
information will help us improve the GuLF Study.
[RECORD REASON]
I understand you said… [RESTATE REASON AND USE TELEPHONE
INTERVIEW Q & A BENEFITS TO ATTEMPT A CONVERSION.]
[RECORD REASON] [IF CONVERSION IS SUCCESSFUL, GO TO
SECTION L.7; IF PARTICIPANT ASKS FOR TIME TO CONSIDER, GO TO
SECTION L.6

Thank you for your time.
[TERMINATE CALL]

SECTION L.3: Study Requirement for Biomedical Subcohort
We really appreciate your participation and help so far. Based on your experiences
during the oil spill, you are eligible to be in the second part of the GuLF Study. If you
agree to take part, we’ll send a member of our staff to your home for a study visit. You’ll
receive a $50 gift card for completing the home visit. The home visit is voluntary and
you can decline to participate at any time.
During the visit, you will be told more about the study and you will be asked to:
• have your blood pressure, height, weight, hips, and waist measured
• blow hard into a machine to measure your lung function
• have a blood sample drawn and provide samples of urine, hair, toenails
• complete a one-hour interview
• allow our staff to collect a dust sample from your home
Over the course of the study, we will ask you to:
• update us each year on any changes to contact information
• complete a short interview every other year by phone

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At a later time, you may be asked to take part in more detailed clinical studies with our
research partners from your area. The purpose and requirements of these studies will
be explained to you when you are asked to participate. You can decide whether or not
you want to participate at that time.
The visit will take about two and a half hours to complete. Do you have any questions
about this next part of the study?

[IF YES, RESPOND TO CONCERNS BASED ON INFORMATION FROM THE FAQ,
THEN READ SCRIPT BELOW; IF NO, READ SCRIPT BELOW]

Are you willing to schedule a home visit for this next phase of the study?
Yes ......................... 1
No........................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
[IF PARTICIPANT AGREES TO SCHEDULE HOME VISIT, GO TO SECTION L.7;
IF PARTICIPANT ASKS FOR TIME TO CONSIDER, GO TO SECTION L.6;
IF NO AND A REASON IS GIVEN; GO TO SECTION L.3.a;
IF NO AND A REASON IS NOT GIVEN; GO TO SECTION L.3.b]

SECTION L.3.a. I understand you said…
[RESTATE REASONS AND USE TELEPHONE INTERVIEW
Q & A BENEFITS TO ATTEMPT A CONVERSION]
If you don't mind, I'd like to make a note of why you are not continuing. This
information will help us improve the GuLF Study.
[RECORD REASON] [IF CONVERSION IS SUCCESSFUL, GO TO
SECTION L.7; IF PARTICIPANT ASKS FOR TIME TO CONSIDER,
GO TO SECTION L.6

Thank you for your time.
[TERMINATE CALL]

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SECTION L.3.b. May I ask why you do not want to enroll at this time? This
information will help us improve the GuLF Study.
[RESTATE REASON AND USE TELEPHONE INTERVIEW Q & A
BENEFITS TO ATTEMPT A CONVERSION]. [RECORD REASON] [IF
CONVERSION IS SUCCESSFUL, GO TO SECTION L.7; IF
PARTICIPANT ASKS FOR TIME TO CONSIDER, GO TO SECTION L.6

Thank you for your time.
[TERMINATE CALL]
SECTION L.4: Study Requirement for Active and Biomedical Subcohort
Participants Who Live Outside of the Four Gulf States
We really appreciate your participation and help so far. Based on your experiences
during the oil spill, you may be eligible to be in the second part of the GuLF Study. If you
are confirmed to be eligible and you agree to take part, we will either send a study
representative to your home for a study visit or else request that you participate in a
telephone interview and visit your health care provider. We will pay any expenses
associated with your visit to your health care provider. In addition, you’ll receive a $50
gift card for completing these steps. This next part of the study is voluntary and you can
decline to participate at any time.
For this next part of the study, you may be asked to:
• have your blood pressure, height, weight, hips, and waist measured
• have a blood sample drawn and provide samples of urine, hair, and toenail
clippings
• complete a one-hour interview
• collect a dust sample from your home using wipes that we will send you
Also, over the course of the study, we would ask you to:
• update us each year on any changes to your contact information
• complete a short interview about your health every other year by phone
The study visit will take about two and a half hours to complete. Do you have any
questions about this next part of the study?
[IF YES, RESPOND TO CONCERNS BASED ON INFORMATION FROM THE FAQ,
THEN READ SCRIPT BELOW; IF NO, READ SCRIPT BELOW]

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May we contact you if we determine that you are eligible to participate in the second
part of this study?
Yes ......................... 1
No........................... 2
DON’T KNOW ........ 8
REFUSED .............. 9
[IF PARTICIPANT AGREES TO BE CONTACTED, GO TO SECTION L.4.c;
IF PARTICIPANT ASKS FOR TIME TO CONSIDER, GO TO SECTION L.6;
IF NO AND A REASON IS GIVEN; GO TO SECTION L.4.a;
IF NO AND A REASON IS NOT GIVEN; GO TO SECTION L.4.b]

SECTION L.4.a. I understand you said… [RESTATE REASON AND USE
TELEPHONE INTERVIEW Q & A BENEFITS TO ATTEMPT A CONVERSION.] If
you don't mind, I'd like to make a note of why you are choosing not to be
contacted. This information will help us improve the GuLF Study.
[RECORD REASON]

[IF CONVERSION IS SUCCESSFUL, GO TO SECTION L.7; IF PARTICIPANT
ASKS FOR TIME TO CONSIDER, GO TO SECTION L.6

Thank you for your time.
[TERMINATE CALL]
SECTION L.4.b. May I ask why you don’t want to be contacted? This information
will help us improve the GuLF Study.
[RECORD REASON]
[IF CONVERSION IS SUCCESSFUL, GO TO SECTION L.7; IF PARTICIPANT
ASKS FOR TIME TO CONSIDER, GO TO SECTION L.6

Thank you for your time.
[TERMINATE CALL]

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SECTION L.4.c: Coordinate Home Visit Scheduling
Thank you very much for considering future participation in this study.
[PARTICIPANT’S NAME], I really appreciate your time. If you have any
questions, let me give you the phone number to reach a member of the study
staff who will be able to assist you. That toll-free number is 1 855 NIH GuLF (644
4853), and you may call Monday through Saturday between the hours of [9 AM
and 9 PM] and Sunday between the hours of [12pm and 6pm] [CALL CENTER
HOURS PRESENTED IN LOCAL TIME]. Again, thank you very much for your
participation in the GuLF Study.
[TERMINATE CALL]

SECTION L.5: Passive Subcohort
Thank you for agreeing to be in the GuLF Study and completing this interview.
During the study, we will send you a newsletter every year to let you know about study
progress and findings. We will also ask you to update your contact information. If you
have any questions about the study you may call the toll-free number to reach a
member of the study staff. That number is 1 855 NIH GuLF (644 4853). The phone will
be answered Monday through Saturday between [9 AM and 9 PM] and Sunday between
[noon and 6pm] [CALL CENTER HOURS PRESENTED IN LOCAL TIME]. You can also
visit the website at [STUDY WEBSITE ADDRESS].
Do you have any questions?
Yes ......................... 1 [RESPOND TO CONCERNS BASED ON INFORMATION FROM
THE FAQ, THEN READ SCRIPT BELOW]
No........................... 2 [READ SCRIPT BELOW]
DON’T KNOW ........ 8 [READ SCRIPT BELOW]
REFUSED .............. 9 [READ SCRIPT BELOW]
[PARTICIPANT’S NAME], I want to thank you again for taking part in the study. Please
don’t hesitate to contact us if you have any questions later.
[TERMINATE CALL]

SECTION L.6: Schedule Call to Confirm Participation

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01/20/11

We appreciate your willingness to consider taking part in the study. When may we call
you back to speak to you about the study again?
[RECORD DATE AND TIME]
Date: __ __ / __ __ / __ __ __ __ [MM/DD/YYYY]
Time: __ __ : __ __ AM/PM
HARD APPOINTMENT ..............1
SOFT APPOINTMENT...............2
[INTERVIEWER: IF NO DATE/TIME SUGGESTED BY PARTICIPANT, SUGGEST 1
WEEK LATER AT THE SAME TIME]

Thank you. We’ll call you then. In the meantime, if you have any questions or would
like to inform us of your decision earlier, let me give you the toll-free phone number to
reach a member of the study staff who will be able to assist you. That number is 1 855
NIH GuLF (644 4853). You may call Monday through Saturday between the hours of [9
AM and 9 PM] and Sunday between the hours of [12pm and 6pm] [CALL CENTER
HOURS PRESENTED IN LOCAL TIME].

[TERMINATE CALL]
SECTION L.7: Coordinate Home Visit Scheduling
Thank you very much for agreeing to participate in the study. In the next few days, one
of the staff members will contact you to schedule the home visit. To assist with the
scheduling call, please let me know two days of the week and two times of the day that
would work best for you to receive a scheduling call.
[RECORD DATES AND TIMES]
DAY OF WEEK 1: [DROP DOWN]
TIME OF DAY 1: __/__/ [AM/PM]
DAY OF WEEK 2: [DROP DOWN]
TIME OF DAY 2: __/__/ [AM/PM
[PARTICIPANT’S NAME], I really appreciate your time. If you have any questions or
have any trouble scheduling your visit, let me give you the phone number to reach a
member of the study staff who will be able to assist you. That toll-free number is 1 855
NIH GuLF (644 4853), and you may call Monday through Saturday between the hours
of [9 AM and 9 PM] and Sunday between the hours of [12pm and 6pm] [CALL CENTER
HOURS PRESENTED IN LOCAL TIME]. Again, thank you very much for your
participation in the GuLF Study.

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National Institute of Environmental Health Sciences (NIEHS)

01/20/11

[TERMINATE CALL]

SECTION L.8: Refusal to Participate
[PARTICIPANT’S NAME], I really appreciate your time. If you have any questions or
concerns, let me give you the phone number to reach a member of the study staff who
will be able to assist you. That toll-free number is 1 855 NIH GuLF (644 4853), and you
may call Monday through Saturday between the hours of [9 AM and 9 PM] and Sunday
between the hours of [12pm and 6pm] [CALL CENTER HOURS PRESENTED IN
LOCAL TIME].

[TERMINATE CALL]

SECTION L.9: Ineligible
[PARTICIPANT’S NAME], I really appreciate your time. However, due to your age, you
are ineligible to participate. If you have any questions or concerns, let me give you the
phone number to reach a member of the study staff who will be able to assist you. That
toll-free number is 1 855 NIH GuLF (644 4853), and you may call Monday through
Saturday between the hours of [9 AM and 9 PM] and Sunday between the hours of
[12pm and 6pm] [CALL CENTER HOURS PRESENTED IN LOCAL TIME].

[TERMINATE CALL]

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