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Panel
titleTobacco Product Usage
Xformpusher
CDASH VariableOrderQuestion TextPromptCRF Completion InstructionsTypeSDTMIG Target VariableSDTMIG Target MappingControlled Terminology Code List NamePermissible ValuesPre-Populated ValueQuery DisplayList StyleHidden
SUCAT1What is the type of tobacco product  used by the subject? Substance Use CategoryRecord the type of tobacco product usedTextSUCAT

Smoked tobacco products;

Chewed tobacco products;

Smokeless tobacco (e.g., chewing tobacco, snuff, dip, snus, or dissolvable tobacco)  







SUTRT4What was the name of the tobacco product? 



TextSUTRT






SUDSTXT5What was the amount of tobacco product used ? AmountIndicate the amount of amount of tobacco product used. TextSUDOSE; SUDOSTXT



Prompt

SUDUR6What was the duration of the tobacco product used?  DurationProvide the duration of the tobacco product usedTextSUDOSFRQ

QD; EVERY WEEK; QM; PA
Prompt

SUCDURU7What was the unit of duration of tobacco product used?UnitSelect the appropriate duration unit of the  tobacco product usedTextSUDUR

DAYS; MONTHS; YEARS
Prompt

SUDOSFRQ8What was the frequency of  the  tobacco product used ? Frequency



(FREQ)QD; EVERY WEEK; QM; PA
Prompt