Questionnaire - The Viadana Study

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The baseline questionnaire, which requires about 25 minutes to be filled in, is aimed at obtaining information on the presence of specific symptoms that have been reported to be associated with the exposure to formaldehyde and wood dust.
The questionnaire was distributed in 3 languages (Italian, French and English), because 15% of the eligible children came from countries where their mother tongue was not

The follow-up questionnaire, which requires about 15 minutes to be filled in, is aimed at obtaining new informations on the presence of specific symptoms that have been reported to be associated with living near the chipboard industries in the previous questionnaire.
The questionnaire was distributed only in italian version.

Most of the questions were taken from the ISAAC (1), ECRHS (2), SIDRIA (3), MM040NA and MM080 (4, 5) standardized questionnaires, which had been validated in previous international surveys and had an available Italian translation.
Researchers are free to download the questionnaires from this page, to use and modify it, according to the “Attribution-Noncommercial-Share-alike” Creative Commons licence (, provided they cite the source appropriately.

To know how to cite the questionnaires appropriately and to get a Microsoft Publisher version of the questionnaires, please contact


1) Worldwide variation in prevalence of symptoms of asthma, allergic rhinoconjunctivitis, and atopic eczema: ISAAC. The International Study of Asthma and Allergies in Childhood (ISAAC) Steering Committee. Lancet. 1998 Apr 25;351(9111):1225-32.

2) European Community Respiratory Health Survey II Steering Committee. The European Community Respiratory Health Survey II.Eur Respir J. 2002 Nov;20(5):1071-9.

3) Simoni M, Lombardi E, Berti G, Rusconi F, La Grutta S, Piffer S, Petronio MG, Galassi C, Forastiere F, Viegi G; SIDRIA-2 Collaborative Group. Mould/dampness exposure at home is associated with respiratory disorders in Italian children and adolescents: the SIDRIA-2 Study. Occup Environ Med. 2005 Sep;62(9):616-22.

4) Andersson K. Epidemical approach to indoor air problems. Indoor Air: Suppl. 1998;4:32-39.

5) Engvall K, Norrby C, Norback D. Sick building syndrome in relation to building dampness in multi-family residential buildings in Stockholm. Int Arch Occup Environ Health. 2001 May;74(4):270-8.
Unit of Epidemiology and Medical Statistics, Department of Diagnostics and Public Health - University of Verona
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