Data Collection Instruments
All Materials
- 2021 Questionnaire [PDF – 5 MB]
- 2020 Questionnaire [PDF – 2 MB]
- 2019 Questionnaire [PDF – 3 MB]
- 2018 Questionnaire [PDF – 6 MB]
- 2017 Questionnaire [PDF – 7 MB]
- 2016 Questionnaire [PDF – 4 MB]
- 2015 Questionnaire [PDF – 5 MB]
- 2014 Questionnaire [PDF – 2 MB]
- 2013 Questionnaire [PDF – 2 MB]
- 2012 Short Questionnaire [PDF – 487 KB]
- 2012 Standard Questionnaire [PDF – 1 MB]
- 2011 Short Questionnaire [PDF – 333 KB]
- 2011 Standard Questionnaire [PDF – 2 MB]
- 2010 Short Questionnaire [PDF – 523 KB]
- 2010 Standard Questionnaire [PDF – 1 MB]
- 2009 Short Questionnaire [PDF – 266 KB]
- 2009 Standard Questionnaire [PDF – 1,022 KB]
- 2008 Short Questionnaire [PDF – 206 KB]
- 2008 Standard Questionnaire [PDF – 872 KB]
- 2007 Short Questionnaire [PDF – 377 KB]
- 2007 Standard Questionnaire [PDF – 1 MB]
- 2021 Questionnaire [PDF – 8 MB]
- 2020 Questionnaire [PDF – 3 MB]
- 2019 Questionnaire [PDF – 3 MB]
- 2018 Questionnaire [PDF – 6 MB]
- 2017 Questionnaire [PDF – 7 MB]
- 2016 Questionnaire [PDF – 4 MB]
- 2015 Questionnaire [PDF – 5 MB]
- 2014 Questionnaire [PDF – 2 MB]
- 2013 Questionnaire [PDF – 2 MB]
- 2012 Short Questionnaire [PDF – 301 KB]
- 2012 Standard Questionnaire [PDF – 1 MB]
- 2011 Short Questionnaire [PDF – 323 KB]
- 2011 Standard Questionnaire [PDF – 1 MB]
- 2010 Short Questionnaire [PDF – 521 KB]
- 2010 Standard Questionnaire [PDF – 959 KB]
- 2009 Short Questionnaire [PDF – 302 KB]
- 2009 Standard Questionnaire [PDF – 982 KB]
- 2008 Short Questionnaire [PDF – 311 KB]
- 2008 Standard Questionnaire [PDF – 692 KB]
- 2007 Short Questionnaire [PDF – 187 KB]
- 2007 Standard Questionnaire [PDF – 2 MB]
- 2022 Medical Record Abstraction Data Elements [PDF – 185 KB]
- 2021 Medical Record Abstraction Data Elements [PDF – 185 KB]
- 2020 Medical Record Abstraction Data Elements [PDF – 250 KB]
- 2019 Medical Record Abstraction Data Elements [PDF – 469 KB]
- 2018 Medical Record Abstraction Data Elements [PDF – 492 KB]
- 2017 Medical Record Abstraction Data Elements [PDF – 507 KB]
- 2016 Medical Record Abstraction Data Elements [PDF – 507 KB]
- 2015 Medical Record Abstraction Data Elements [PDF – 341 KB]
- 2014 Medical Record Abstraction Data Elements [PDF – 239 KB]
- 2013 Medical Record Abstraction Data Elements [PDF – 240 KB]
- 2012 Medical History Form (MHF) [PDF – 295 KB]
- 2012 Surveillance Period Inpatient Form (SPIF) [PDF – 351 KB]
- 2012 Surveillance Period Summary Form (SPSF) [PDF – 336 KB]
- 2012 Surveillance Period Visit Form (SPVF) [PDF – 535 KB]
- 2011 Medical History Form [PDF – 202 KB]
- 2011 Surveillance Period Summary Form (SPSF) [PDF – 171 KB]
- 2011 Surveillance Period Visit Form (SPVF) [PDF – 256 KB]
- 2011 Surveillance Period Inpatient Form (SPIF) [PDF – 180 KB]
- 2010 Medical History Form (MHF) [PDF – 198 KB]
- 2010 Surveillance Period Summary Form (SPSF) [PDF – 168 KB]
- 2010 Surveillance Period Visit Form (SPVF) [PDF – 252 KB]
- 2010 Surveillance Period Inpatient Form (SPIF) [PDF – 175 KB]
- 2009 Medical History Form (MHF) [PDF – 142 KB]
- 2009 Surveillance Period Inpatient Form (SPIF) [PDF – 118 KB]
- 2009 Surveillance Period Summary Form (SPSF) [PDF – 133 KB]
- 2009 Surveillance Period Visit Form (SPVF) [PDF – 230 KB]
- 2008 Medical History Form (MHF) [PDF – 143 KB]
- 2008 Surveillance Period Inpatient Form (SPIF) [PDF – 126 KB]
- 2008 Surveillance Period Summary Form (SPSF) [PDF – 231 KB]
- 2008 Surveillance Period Visit Form (SPVF) [PDF – 223 KB]
- 2007 Medical History Form (MHF) [PDF – 174 KB]
- 2007 Surveillance Period Inpatient Form (SPIF) [PDF – 142 KB]
- 2007 Surveillance Period Summary Form (SPSF) [PDF – 124 KB]
- 2007 Surveillance Period Visit Form (SPVF) [PDF – 193 KB]