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New location for WHI forms.  Under development.

  
  
Study Phase
  
  
F002 v3Eligibility ScreenWHIForm English
F003 v3.1Eligibility Screen (Interview)WHIForm English
F004 v1Hormone WashoutWHIForm English
F006 v4Final Eligibility AssessmentWHIForm English
F007 v3Participation StatusWHIForm English
F010 L v7.1Reminder Labels for HRT Management and Safety InterviewWHIForm English
F010 PReminder Poster for HRT Management and Safety InterviewWHIForm English
F010 v7.2HRT Management and Safety InterviewWHIForm English
F010A v7.2HRT Management and Safety Intertview (Self-Administered)WHIForm English
F011 v4.2Initial Consent StatusWHIForm English
F016 v3CaD Eligibility AssessmentWHIForm English
F017 v5CaD Management and Safety InterviewWHIForm English
F017A v5CaD Management and Safety Interview (Self-Administered)WHIForm English
F020 v4Personal InformationWHIForm English
F023 v2Search to Locate ParticipantWHIForm English
F025 Codes v1.2Reason CodesWHIForm English
F025 v1.1Participant Treatment Assignment - E-aloneWHIForm English
F028 Codes v1.1CaD Reason CodesWHIForm English
F028 v1Participant Treatment Assignment - CaDWHIForm English
F030 v3Medical HistoryWHIForm English
F031 v2.1Reproductive HistoryWHIForm English
F032 v3Family HistoryWHIForm English
F033 v5.3Medical History UpdateWHIForm English
F033D v4Medical History Update (Detail)WHIForm English
F034 v2Personal HabitsWHIForm English
F035 v1.2Personal Habits UpdateWHIForm English
F037 v6Thoughts and FeelingsWHIForm English
F038 v6.2Daily LifeWHIForm English
F039 v2Cognitive AssessmentWHIForm English
F039B v2.1Cognitive AssessmentWHIForm English
F040 v1Addendum to Medical History UpdateWHIForm English
F041 v1.1Addendum to Personal HabitsWHIForm English
F042 v1.1Observational Study (Baseline)WHIForm English
F043 v2Hormone UseWHIForm English
F044 v4Current MedicationsWHIForm English
F045 v2Current SupplementsWHIForm English
F048 v2.1OS Follow-up QuestionnaireWHIForm English
F049 v1Estrogen Plus Progestin SurveyWHIForm English
F050 v2On-Study BleedingWHIForm English
F053 v1.1HRT CalendarWHIForm English
F054 v3Change of (Study) MedicationsWHIForm English
F055 v2Estrogen-Alone SurveyWHIForm English
F060 v1.6FFQWHIForm English
F060A v1.5FFQWHIForm English
F061 v2.2How to Fill Out the FFQWHIForm English
F062 v2.1Four Day Food RecordWHIForm English
F064 v4.1Individual Data Sheet (DM)WHIForm English
F073 v2Personalized Evaluation of Fat IntakeWHIForm English
F080 v2.1Physical MeasurementsWHIForm English
F081 v6.1Pelvic ExamWHIForm English
F082 v2Endometrial AspirationWHIForm English
F083 v2Transvaginal Uterine UltrasoundWHIForm English
F084 v4Clinical Breast ExamWHIForm English
F085 v3.1MammogramWHIForm English
F086 v2ECGWHIForm English
F087 v2Bone Density ScanWHIForm English
F090 v1Functional StatusWHIForm English
F092 v2Pap SmearWHIForm English
F100 v1.5Blood Collection and ProcessingWHIForm English
F101 v2Urine Collection and ProcessingWHIForm English
F111 v1Extension 1 Non-HT Consent StatusWHIForm English
F112 v1HT Consent StatusWHIForm English
F113 v1Supplemental Use Consent StatusWHIForm English
F114 v1Genetic Studies Consent StatusWHIForm English
F120 v4Initial Notification of DeathWHIForm English
F121 v6.2Report of Cardiovascular OutcomeWHIAdjudication
F122 v4.1Report of Cancer (Initial)WHIAdjudication
F123 v4Report of Fracture OutcomeWHIAdjudication
F124 v4Report of Death (Final)WHIAdjudication
F125 v2.3Summary of HospitalizationWHIForm English
F126 v4.1Report of VTEWHIAdjudication
F130 v3Report of CancerWHIAdjudication
F131 v1Report of HysterectomyWHIAdjudication
F132 v2Report of StrokeWHIAdjudication
F143 v3.1OS Follow-up Year 3WHIForm English
F144 v1.1OS Follow-up Year 4WHIForm English
F145 v1OS Follow-up Year 5WHIForm English
F146 v1OS Follow-up Year 6WHIForm English
F147 v1.1OS Follow-up Year 7WHIForm English
F148 v1OS Follow-up Year 8WHIForm English
F149 v1Supplement to OS Follow-up QxWHIForm English