Form:	URS Participant v5.0

CDE ID	CDE Description
* 421	EDRN Participant ID (Go To: 423)
* 423	EDRN Protocol ID (Go To: 422)
* 422	EDRN Site ID (Go To: 929)
* 929	EDRN Staff ID of the person who collected the data: (Go To: 1219)
* 1219	Date of contact (MM/DD/YYYY): (Go To: 2788)
* 2788	Age at selection: (Go To: 1322)
* 1322	Hispanic or Latino (Are you Hispanic or Latino?) (Go To: 1315)
	Permissible Values (value): No (0)
	Yes (1)
	Refused (88)
	Unknown (99)
* 1315	Race (What is your race? Check all that apply.) (Go To: 1292)
	Permissible Values (value): White (1)
	Black or African-American (2)
	American Indian or Alaska Native (3)
	Asian (4)
	Native Hawaiian or other Pacific Islander (7)
	Refused (88)
	Other, specify: (97) (Go To: 1294)
	Unknown (99)
* 1294	Race (Other, specify) (Go To: 1292)
* 1292	Height [in inches] (What is your total current height in inches?) (Go To: 1295)
* 1295	Weight [in pounds] (What is your current weight [in pounds]? (Go To: 1568)
* 1568	Have any of the participants living or deceased first or second-degree blood relatives been diagnosed with prostate cancer? (Go To: 2151)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 1569)
	Refused (88)
	Unknown (99)
* 1569	How many of the participant´s living or deceased first or second-degree blood relatives have been diagnosed with prostate cancer? (Go To: 2151)
* 2151	Have you received any treatment for prostate cancer? (Go To: 4006)
	Permissible Values (value): No (0)
	Yes (1) (Go To: 2193)
	Refused (88)
	Unknown (99)
* 2193	Treatment(s) received for prostate cancer: (Go To: 4006)
	Permissible Values (value): Chemotherapy (1)
	Radiation therapy (2)
	Surgery (3)
	Hormone therapy (4)
	Focal therapy (5)
	Refused (88)
	Other (95)
	Unknown (99)
* 4006	Is radical prostatectomy the only treatment you plan to receive for prostate cancer? (Go To: 4011)
	Permissible Values (value): No (0)
	Yes (1)
	Refused (88)
	Unknown (99)
* 4011	Date of scheduled procedure (MM/DD/YYYY): (Go To: 1698)
* 1698	How many prostate biopsies have you previously had? (Go To: 4537)
* 4537	Number of biopsies that were positive for cancer: (Go To: 1097)
1097	Comments (do not include any participant identifiers) (Go To: End of Form)