1. Completion of Phase V Examination

2. At the Clinic

3. SHS ID the labels for the specimen FFQ, etc Make sure the following are correct for the participant to be examined

4. Consent and HIPPA

5. Check that all questions in the forms are appropriately filled in before participant leaves clinic. No blank allowed. –missing –refusal –unknown. Interview

6. Personal Interview I - Not entered into CC system

7. Personal Interview II Medical History Reproduction and Hormone Use Rose Questionnaire

8. We will add English units for HT, WT, waist, and hip. Make sure to write down both Metric & English units. Check all the questions in the forms are appropriately filled in before participant leaves clinic. No blank allowed. Must be missing, refusal, or unknown. Physical Examination

9. Sample Checklist QC ID

10. CBC Results Locally done, not all the same. Be sure the units match those on the form

11. Psychosocial May be self-administered. Check for completion when participant is in the clinic. If refused, mark appropriately

12. Medication We are using CHS/MESA system. Can not change the form Use drop-down list to choose the medication If the dosage is not in the drop-down list, use the closest one If the medication does not have a match, write it in the COMMENTS field and inform Debra

13. FFQ May be self-administered. Coach the participant how to answer. Use PENCIL Do not change SHS ID for other participant and re-send to Block When requested for correction by Block, do not change ID

14. Pedometer Coach participant how to wear and re-set Need at least 3 days

15. ECG Transmission Make sure SHS ID is enter correctly Set cart # correctly If wrong ID discovered, inform BOTH Cornell and CC

16. Echocardiogram, Carotid Ultrasound, & Popliteal Ultrasound Make sure SHS ID is enter correctly If wrong ID is discovered, inform BOTH Cornell and CC

17. Blood and Urine Samples Make sure the printed label package belongs to the participant being examined Serum, plasma, whole blood, DNA If you need to re-draw the samples, ask the participant to come back fasting. BE SURE to collect ALL of the blood & urine samples.

18. Data Entry Designate one person to check the completion of ALL the forms to be entered At the end of each page, check the monitor screen for correct entry. Connection problem: contact Yiming at (405) 271-3090 x 46728 Other data entry problems: contact Debra at (405) 271-3090 x 46724 If errors are discovered after the data are swabbed, contact Debra

19. New family member examined: Use the SHS-IV Personal Interview Form I, (instead of SHS-V, PI-I), and, MAIL/FAX it to the CC

20. Mortality and Morbidity Surveillance Continue cohort M & M Continue Family mortality surveillance Start Family morbidity surveillance by abstracting self-reported CVD event from Phase IV medical history

21. Make a Log Book:

22. Thank you for coming to the training Good luck and have a successful SHS-V Safe trip home!