Form Summary

First Name: {field:firstname_1636433303521}

Last Name: {field:lastname_1636433290911}

Email: {field:email_1636433307464}

Mobile: {field:phone_1636433309690}

Clinical Data Dictionary

Clinical Data Dictionary

Clinical Data Dictionary - Probands	{field:clinical_data_dictionary_pr_1641774771568}
Clinical Data Dictionary - Siblings	{field:clinical_data_dictionary_sb_1641775176956}

Main Questionnaire

Children of MACS Probands and Siblings

Number of children & their sex	{field:number_of_children_and_their_sex_1644376618360}
Child eczema	{field:child_eczema_1644376660103}
Child hay fever or allergic rhinitis	{field:child_hay_fever_or_allergic_rhinitis_1644376696379}
Child wheeze	{field:child_wheeze_1644376729029}
Child asthma	{field:child_asthma_1644376752059}
Child Food allergies	{field:child_food_allergies_1644376776277}

Respiratory Health

Wheezing or whistling in chest - ever	{field:wheezing_or_whistling_in_chest-_ever_1642128220220}
Wheezing or whistling in chest- last 12 months	{field:wheezing_or_whistling_in_chest-_last_12_months_1642128797278}
Asthma - ever	{field:asthma_ever_1642129066666}
Asthma - last 12 months	{field:asthma_last_12_1642129145997}

Non-pharmacological intervention for asthma

Asthma Action Plan

{field:asthma_action_plan_1642129201146}

Incapacitating asthma symptoms

Doctor intervention, emergency or hospitalization due to asthma

{field:doctor_intervention_1642129247261}

Wheezing during or after exercise

Wheezy during or after exercise

{field:wheezy_during_or_after_exercise_1644378521886}

Medications for asthma

Medications for asthma

{field:medications_for_asthma_1644378639040}

Cough with phlegm

Chest phlegm without a cold	{field:chest_phlegm_without_a_cold_1644378649520}
Cough with phlegm	{field:cough_with_phlegm_1644378682033}
Episodes of cough- last 12 months	{field:episodes_of_cough-_last_12_months_1644378710799}
Dry cough at night- last 12 months	{field:dry_cough_at_night-_last_12_months_1644378739086}
Medications for cough- last 12 months	{field:medications_for_cough-_last_12_months_1644378767821}

Nasal Symptoms

Nasal symptoms without having a cold or the flu- ever	{field:nasal_symptoms-_ever_1642129593438}
Nasal symptoms without having a cold or the flu- last 12 months	{field:nasal_symptoms-_last_12_months_1642129628785}
Severity of nasal symptoms- last 12 months	{field:severity_nasal_symptoms_1642129660575}
Duration of blocked nose- last 12 months	{field:block_nose_last_12_1642129750739}
Absent of sense of smell- last 12 months	{field:absent_sense_last_12_1642129847478}
Hay fever- ever	{field:hay_fever_1642129904258}
Hay fever- last 12 months	{field:hay_fever-_last_12_months_1644450109689}
Hay fever medications- last 12 months	{field:hay_fever_1644450147740}
Nasal symptoms related animals, grass, tree or pollen	{field:nasal_related_animals_1644450301241}

Skin Conditions

Itchy rash

Dry skin- last 12 months	{field:dry_skin_1642375018680}
Itchy rash- ever	{field:itchy_rash-_ever_1642375079535}
Itchy rash- last 12 months	{field:itchy_rash-_last_12_months_1642375109201}
Location of itchy rash	{field:location_of_itchy_rash_1642375147482}
Itchy rash completed cleared- last 12 months	{field:itchy_rash_last_12_1644451883834}
Being kept awake by itchy rash- last 12 months	{field:beign_kept_awake_itchy_1644451885617}

Eczema

Eczema- ever	{field:eczema-_ever_1642375215627}
Eczema- last 12 months	{field:eczema-_last_12_months_1642375252319}
Severity of eczema- last 12 months	{field:severity_eczema_1644452112760}
Level of itchiness in different parts of the body- last 12 months	{field:level_of_itchiness_1644800263013}
Medications for eczema- last 12 months	{field:medication_eczema_12_1644800265127}

Food and Other Allergies

Other allergiesr	{field:other_allergy_1642375325165}
Intolerances- diagnosed	{field:intolerances_diagnosed_1642375357613}
Food allergies or food intolerances	{field:food_allergies_intolerance_1644453323914}

General Questions

SES- Highest level of education	{field:ses-_highest_level_of_education_1642376048431}
SES- Current occupation	{field:ses-_current_occupation_1642376096740}
Sitting during working hours	{field:sitting_working_hours_1644460238350}
Smoking	{field:smoking_1642376127438}
Other inhaled substances- ever	{field:inhaled_substances_1644459756637}
Other inhaled substances- at least 100 times	{field:other_inhaled_100_times_1644459842235}
Marijuana use	{field:marijuana_use_1644459843612}
Alcohol consumption	{field:alcohol_consumption_1644459850906}

Quality of Life

Self-rated general health	{field:self_general_1644460797183}
Being limited when performing tasks	{field:being_limited_1644460853113}
Physical health affecting daily activities	{field:physical_health_1644460857648}

General Health

Doctor diagnosed conditions	{field:doctor_diagnosed_1644461170345}
Paracetamol and other NSAIDs- frequency in the last 12 months	{field:paracetamol_nsaid_last_12_1644461241949}
Paracetamol and other NSAIDs- for migraine	{field:paracetamol_migraine_1644461352422}
Antibiotics use- last 12 months	{field:antibiotic_12_months_1644461403023}

Family history of illnesses and conditions

Mother	{field:mother_1644534700659}
Father	{field:father_1644534773582}
Mother’s mother	{field:mothers_mother_1644534812511}
Mother’s father	{field:mothers_father_1644534914897}
Father’s mother	{field:fathers_mother_1644534967851}
Father’s father	{field:fathers_father_1644535023072}

Sleep

Hours of sleep	{field:hours_sleep_1644535377735}
Sleep apnea	{field:sleep_apnea_1644535440106}

Activity

Physical activities	{field:physical_activities_1644535525462}
Diet	{field:diet_1644535592832}

Supplemental questions for females

Menstrual period- ever	{field:menstrual_period_1644535695917}
Oral contraceptive pill and hormone replacement therapy use	{field:oral_pill_1644535753350}
Regularity of menstrual period	{field:regularity_menstrual_1644535803383}

Asthma control

Asthma control test	{field:asthma_control_1644535906680}
Attitudes and beliefs about asthma	{field:attitudes_asthma_1644536000859}

Home conditions

Heating type	{field:heating_type_1642377575258}
Cooking type	{field:cooking_type_1642377673674}
Mould or mildew	{field:mould_mildew_1642377697207}
Carpet as floor covering	{field:carpet_floor_1644537377131}
Open windows	{field:open_window_1644537439883}
Backyard type	{field:backyard_type_1644537582632}
Household cigarette smoking- Outdoors	{field:household_smoking_outdoor_1644537640919}
Household cigarette smoking- Indoors	{field:household_smoking_indoor_1644537944900}
Living with animals	{field:living_with_animals_1644538048825}

Indoor/Environmental Exposures

Garage connected to current home	{field:garage_connected_1644538844948}
Cleaning products use	{field:cleaning_1642380779606}
Perfumes or air fresheners or scents use	{field:perfumes_air_fresheners_1644538897574}
Insecticides or pesticides use	{field:insecticides_pesticides_1644538956616}

Emotional Wellbeing

Depression, Anxiety and Stress Scale (DASS-21)	{field:depression_anxiety_stress_1644539031762}
Social support	{field:social_support_1644539126932}

Green Spaces

Green spaces

{field:green_spaces_1644539173609}