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The CERTAS library is a website resource that contains
approximately 50 CERTAS protocols. These protocols include one or more
questionnaires that were created using the CERTAS program and can be downloaded
to the CERTAS program for your use.
Protocols include both standardized and customized questionnaires on numerous
cancer prevention topics. Protocols are indexed by the following categories:
Smoking, Diet, Physical Activity, Radiation/UV Exposure, Cancer Risk Factor
Screening, Heath Communications, Emotional Well-being, and Physical Well-Being.
All questionnaires provided within the library have been obtained from
multiple sources. These questionnaires have been modified for use within the
CERTAS system. You may need to obtain permission for use of these
questionnaires within your studies. All source information is included.
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| Recently Added Protocols
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| Category:
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Diet |
| Protocol Name:
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| Weight Efficacy Lifestyle Questionnaire |
Download |
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| Author:
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Clark, M.M., Abrams, D.B., Niaura, R.S., Eaton ,C.A., & Rossi, J.S. (1991) |
| Description:
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Questionnaire that assesses an individual's confidence to abstain from eating in different situations. |
| Keywords:
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fat, diet, eating, self-efficacy |
| # of Questionnaire Items:
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22 |
| Date Added:
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04/19/2007 |
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| Category:
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Physical activity |
| Protocol Name:
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| Physical Activity Questionnaire |
Download |
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| Author:
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Cooper Insitute for Aerobics Research (Retrieved on April 2007, from http://www.twu.edu/womenshealth/pioneerproject_forms/questionnaire13.htm) |
| Description:
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Tool that asks about moderate and vigorous physical activity performed in the past 3 months. |
| Keywords:
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Physical activity, exercise |
| # of Questionnaire Items:
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46 |
| Date Added:
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04/19/2007 |
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| Category:
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Physical activity |
| Protocol Name:
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| International Physical Activity Questionnaire- Short Version |
Download |
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| Author:
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International Consensus Group for the Development of an International Physical Activity Questionnaire (August 2002) |
| Description:
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Questionnaire that inquires about different types of physical activity performed in the last 7 days.
Retrieved on April 2007, from http://www.ipaq.ki.se/IPAQ.asp?mnu_sel=DD&pg_sel= |
| Keywords:
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Physical activity, exercise |
| # of Questionnaire Items:
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14 |
| Date Added:
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04/19/2007 |
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| Category:
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Physical activity |
| Protocol Name:
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| Physical Activity Questionnaire -MeDesign |
Download |
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| Author:
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MeDesign (Retrieved on April 2007, from http://www.srl.cam.ac.uk/epic/questionnaires/epaq2/epaq2.pdf) |
| Description:
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Questionnaire that assesses physical activity patterns at home, at work, and for recreational purposes. |
| Keywords:
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Physical activity, exercise |
| # of Questionnaire Items:
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164 |
| Date Added:
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04/19/2007 |
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| Category:
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Emotional Well-Being |
| Protocol Name:
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| Zung Self-Rating Depression Scale |
Download |
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| Author:
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Zung, W. (1965) |
| Description:
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Screening tool for depression that covers the affective and somatic symptoms of depression. |
| Keywords:
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Depression, Zung, scale |
| # of Questionnaire Items:
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22 |
| Date Added:
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04/19/2007 |
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