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Visit
Date of the visit:
Month
Jan
Feb
Mar
Apr
May
Jun
Jul
Aug
Sep
Oct
Nov
Dec
*
/
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Subject ID
Gender
M
F
Age
Site
Page
Date of data entry
Inclusion
Ethnic origin
Caucasian
Mediterranean
North African
Black
Asian
Other
Other:
Hair structure
Straight
Wavy
Curly
Unknown
Marital status
Single
Married/cohabitation
Divorced/separated
Widow/widower
Area of residence
Full-time employment
Yes
No
if yes:
Full time (35 hours and more)
Part time or hourly basis
Leave of absence (parental leave or similar)
Apprentice, retraining student
if no:
Pensioner / pensioner in early retirement
Housewife / Househusband
Pupil, student
Unemployed
not employed for other reasons
Educational level
Secondary school diploma
Primary school 7-10 years
Vocational School
High School
College or university (less than 4 years)
College or university (4 or more years)
Did not graduate
Version 4_UKE_Oct2023
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