CDEs
Forms
During that pregnancy, did you ever develop any of these things [PhenX]
Carpet rug date RIOPA
Carpet rug room quantity RIOPA
Carpet rug installed RIOPA
Cross the box that is closest to your current stage of physical development.
Cross the box that is closest to your current stage of physical development.
Cross the box that is closest to your current breast stage.
Cross the box that is closest to your current pubic hair stage.
During the last 48 hours , the study period, have you operated or been near diesel engines, (e.g. bus terminal, truck stop)?
Inflammatory disorder PhenX
Autoimmune disorder ever PhenX
Autoimmune disease Fam Mem PhenX
If yes, what is his/her relationship to you?
Name Family member
During the last 48 hours , the study period, was there any diesel vehicles parked around the house?
Cotinine (U) [Mass/Vol]
Medical history PhenX
Illness or injury onset date and time
PhenX - early childhood speech and language assessment protocol - ages - stages questionnaire 200301
Close attention to detail SWAN
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