WHI Study Documentation

Observational Study Data Collection Forms

• Form 2 - Eligibility Screen
• Form 20 - Personal Information
• Form 30 - Medical History
• Form 31 - Reproductive History
• Form 32 - Family History
• Form 33 - Medical History Update
• Form 33D - Medical History Update Detail
• Form 34 - Personal Habits
• Form 37 - Thoughts and Feelings
• Form 38 - Daily Life
• Form 42 - OS Baseline Questionnaire
• Form 43 - Hormone Use
• Form 44 - Current Medications
• Form 45 - Current Supplements
• Form 48 - OS Year 1 Questionnaire
• Form 60 - Food Questionnaire (FFQ)
• Form 80 - Physical Measurements
• Form 143 - OS Year 3 Questionnaire
• Form 144 - OS Year 4 Questionnaire
• Form 145 - OS Year 5 Questionnaire
• Form 146 - OS Year 6 Questionnaire
• Form 147 - OS Year 7 Questionnaire
• Form 148 - OS Year 8 Questionnaire
• Form 149 - Supplement to OS Follow-Up Questionnaire
• Form 100 - Blood Collection and Processing
• Form 120 - Initial Notification of Death
• Form 121 - Report of Cardiovascular Outcome
• Form 122 - Report of Cancer Outcome
• Form 123 - Report of Fracture Outcome
• Form 124 - Report of Death
• Form 130 - Cancer Surveillance Form (Central)