OMB#: 0925-0584
Exp. XX/XXXX
Public reporting burden for this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0584). Do not return the completed form to this address.
OMB#: 0925-0584
Exp. X/XX/XXXX
CHS/SOL Food Propensity Questionnaire
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FFORM CODE: FPE VVERSION: A 11/04/08 |
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0a. Completion Date: // 0b. Staff ID:
Over the past 12 months, how often did you drink tomato juice or vegetable juice?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
How often did you drink orange juice or grapefruit juice?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
3. How often did you drink apple juice?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
4. How often did you drink grape juice?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
5. Over the past 12 months, how often did you drink other 100% fruit juice/nectar or 100% fruit juice/nectar mixtures (such as apple, grape, pineapple, pear, apricot, or others)?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
6. How often did you drink other fruit drinks (such as cranberry cocktail, Hi-C, lemonade, or Kool-Aid, diet or regular)?
NEVER (GO TO QUESTION 7)
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
6a. How often were your fruit drinks diet or sugar-free drinks?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
7. How often did you drink milk as a beverage (NOT in coffee, NOT in cereal)? (Please include chocolate milk and hot chocolate)
NEVER (GO TO QUESTION 8)
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
7a. What kind of milk did you usually drink?
Whole milk
2% fat milk
1% fat milk
Skim, nonfat, or ½% milk
Soy milk
Rice milk
Raw, unpasteurized milk
Other
Over the past 12 months…
8. How often did you drink meal replacement, energy, or high-protein beverages such as Instant Breakfast, Ensure, Slimfast, Sustacal or others?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
9. Over the past 12 months, did you drink soft drinks, soda, or pop?
NO (GO TO QUESTION 10)
YES
9a. How often did you drink soft drinks, soda, or pop IN THE SUMMER?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
9b. How often did you drink soft drinks, soda, or pop DURING THE REST OF THE YEAR?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
9c. How often were these soft drinks, soda, or pop diet or sugar-free?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
9d. How often were these soft drinks, soda, or pop caffeine-free?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
10. Over the past 12 months, did you drink beer?
NO (GO TO QUESTION 11)
YES
10a. How often did you drink beer IN THE SUMMER?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
10b. How often did you drink beer DURING THE REST OF THE YEAR?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
11. How often did you drink wine or wine coolers?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
12. How often did you drink liquor or mixed drinks?
NEVER
1 time per month or less 1 time per day
2-3 times per month 2-3 times per day
1-2 times per week 4-5 times per day
3-4 times per week 6 or more times per day
5-6 times per week
Over the past 12 months…
13. Did you eat oatmeal, grits, or other cooked cereal?
NO (GO TO QUESTION 14)
YES
13a. How often did you eat oatmeal, grits, or other cooked cereal IN THE WINTER?
NEVER
1-6 times per winter 2 times per week
7-11 times per winter 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
13b. How often did you eat oatmeal, grits, or other cooked cereal DURING THE REST OF THE YEAR?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
13c. How often was the cooked cereal you ate oatmeal?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
14. How often did you eat cold cereal?
NEVER (GO TO QUESTION 15)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
14a. How often was the cold cereal you ate a whole grain type (such as shredded wheat, Wheaties, Cheerios, Raisin Bran or other bran, oat, or whole wheat cereal)?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
14b. Was milk added to your cold cereal?
NO (GO TO QUESTION 15)
YES
14c. What kind of milk was usually added?
Whole milk
2% fat milk
1% fat milk
Skim, nonfat, or ½% milk
Soy milk
Rice milk
Raw, unpasteurized milk
Other
15. How often did you eat applesauce?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
16. How often did you eat apples?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
17. How often did you eat pears (fresh, canned, or frozen)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
Over the past 12 months…
18. How often did you eat bananas?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
19. How often did you eat pineapple?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
20. How often did you eat dried fruit, such as prunes or raisins?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
21. Over the past 12 months, did you eat peaches, nectarines, or plums?
NO (GO TO QUESTION 22)
YES
21a. How often did you eat fresh peaches, nectarines, or plums WHEN IN SEASON?
NEVER
1-6 times per season 2 times per week
7-11 times per season 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
21b. How often did you eat peaches, nectarines, or plums (fresh, canned, or frozen) DURING THE REST OF THE YEAR?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
22. How often did you eat grapes?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
23. Over the past 12 months, did you eat melons (such as cantaloupe, watermelon, or honeydew)?
NO (GO TO QUESTION 24)
YES
23a. How often did you eat fresh melons (such as cantaloupe, watermelon, or honeydew) WHEN IN SEASON?
NEVER
1-6 times per season 2 times per week
7-11 times per season 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
23b. How often did you eat fresh or frozen melons (such as cantaloupe, watermelon, or honeydew) DURING THE REST OF THE YEAR?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
Over the past 12 months…
24. Did you eat strawberries?
NO (GO TO QUESTION 25)
YES
24a. How often did you eat fresh strawberries WHEN IN SEASON?
NEVER
1-6 times per season 2 times per week
7-11 times per season 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
24b. how often did you eat fresh or frozen strawberries DURING THE REST OF THE YEAR?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
25. Over the past 12 months, did you eat oranges, tangerines, clementines, or tangelos?
NO (GO TO QUESTION 26)
YES
25a. How often did you eat fresh oranges, tangerines, clementines, or tangelos WHEN IN SEASON?
NEVER
1-6 times per season 2 times per week
7-11 times per season 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
25b. How often did you eat oranges, tangerines, clementines, or tangelos (fresh or canned) DURING THE REST OF THE YEAR?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
26. Over the past 12 months, did you eat grapefruit?
NO (GO TO QUESTION 26c)
YES
26a. How often did you eat fresh grapefruit WHEN IN SEASON?
NEVER
1-6 times per season 2 times per week
7-11 times per season 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
26b. How often did you eat grapefruit (fresh or canned) DURING THE REST OF THE YEAR?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
26c. How often did you eat mango (fresh, canned, or frozen)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
26d. How often did you eat papaya or fruta bomba (fresh, canned, or frozen)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
27. How often did you eat other kinds of fruit?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
Over the past 12 months…
28. How often did you eat COOKED greens (such as spinach, turnip, collard, mustard, chard, or kale)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
29. How often did you eat RAW greens (such as spinach, turnip, collard, mustard, chard, or kale)? (We will ask about lettuce later.)
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
30. How often did you eat coleslaw?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
31. How often did you eat sauerkraut or cabbage (other than coleslaw)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
32. How often did you eat carrots (fresh, canned, or frozen)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
33. How often did you eat string beans or green beans (fresh, canned, or frozen)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
34. How often did you eat peas (fresh, canned, or frozen)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
35. Over the past 12 months, did you eat corn?
NO (GO TO QUESTION 36)
YES
35a. How often did you eat corn (fresh, canned, or frozen) WHEN IN SEASON?
NEVER
1-6 times per season 2 times per week
7-11 times per season 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
35b. How often did you eat corn (fresh, canned, or frozen) DURING THE REST OF THE YEAR?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
Over the past 12 months…
36. How often did you eat broccoli (fresh or frozen)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
37. How often did you eat cauliflower or Brussels sprouts (fresh or frozen)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
38. How often did you eat mixed vegetables?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
39. How often did you eat onions (including in mixtures)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
40. Over the past 12 months, how often did you eat sweet or hot peppers (green, red, or yellow)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
41. How often did you eat raw cucumbers (not including pickles)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
42. Over the past 12 months, did you eat fresh tomatoes (including those in salads)?
NO (GO TO QUESTION 43)
YES
42a. How often did you eat fresh tomatoes (including those in salads) WHEN IN SEASON?
NEVER
1-6 times per season 2 times per week
7-11 times per season 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
42b. How often did you eat fresh tomatoes (including those in salads) DURING THE REST OF THE YEAR?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
43. Did you eat summer squash (include yellow and green squash)?
NO (GO TO QUESTION 44)
YES
43a. How often did you eat summer squash WHEN IS SEASON (include yellow and green squash)?
NEVER
1-6 times per season 2 times per week
7-11 times per season 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
43b. How often did you eat summer squash DURING THE REST OF THE YEAR (include yellow and green squash)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
44. How often did you eat lettuce salads (with or without other vegetables)?
NEVER (GO TO QUESTION 45)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
44a. How often were the lettuce salads you ate made with dark green leaves?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
45. How often did you eat salad dressing (including low-fat) on salads or other vegetables?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
46. How often did you eat sweet potatoes or yams?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
47. How often did you eat French fries, home fries, hash browned potatoes, or tater tots?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
48. How often did you eat potato salad?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
49. How often did you eat baked, boiled, or mashed potatoes?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
Over the past 12 months…
50. How often did you eat salsa?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
51. How often did you eat catsup?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
52. How often did you eat pickles or pickled vegetables?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
53. How often did you eat stuffing, dressing, or dumplings?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
54. How often did you eat chili?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
55. How often did you eat tortillas or tacos?
NEVER (GO TO QUESTION 56)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
55a. How often were your tortillas or tacos corn tortillas or tacos?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
56a. How often did you eat cooked dried beans (such as baked beans, pintos, kidney, blackeyed peas, lima, lentils, soybeans, or refried beans)? (Please don’t include bean soups or chili.)
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
56b. How often did you eat winter squash WHEN IN SEASON (including pumpkin, acorn, and butternut squash)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
56c. How often did you eat winter squash DURING THE REST OF THE YEAR (including pumpkin, acorn, and butternut squash)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
56d. How often did you eat avocado?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
56e. How often did you eat nopal?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
56f. How often did you eat plantain?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
57. How often did you eat other kinds of vegetables?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
58. How often did you eat rice or other cooked grains (such as bulgur, cracked wheat, or millet)?
NEVER (GO TO QUESTION 59)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
58a. How often was the rick or other cooked grains you ate brown rice, cracked wheat, or millet?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
59. How often did you eat pancakes, waffles, or French toast?
NEVER (GO TO QUESTION 60)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
59a. How often was syrup added to your pancakes, waffles, or French toast?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
60. How often did you eat lasagna, stuffed shells, stuffed manicotti, ravioli, or tortellini? (Please do not include spaghetti or other pasta).
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
61. How often did you eat macaroni and cheese?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
62. How often did you eat pasta salad or macaroni salad?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
63. Other than the pastas listed in Questions 60, 61, and 62, how often did you eat pasta, spaghetti, or other noodles?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
63a. How often did you eat your pasta, spaghetti, or other noodles with tomato sauce or spaghetti sauce made WITH meat?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
63b. How often did you eat your pasta, spaghetti, or other noodles with tomato sauce or spaghetti sauce made WITHOUT meat?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
63c. How often did you eat your pasta, spaghetti, or other noodles with margarine, butter, oil, or cream sauce?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
Over the past 12 months…
64. How often did you eat bagels or English muffins?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
The next questions ask about your intake of breads other than bagels or English muffins. First, we will ask about bread you ate as part of sandwiches only. Then we will ask about all other bread you ate.
65. How often did you eat brands or rolls AS PART OF SANDWICHES (including burger and hot dog rolls)?
NEVER (GO TO QUESTION 66)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
65a. How often were the breads or rolls that you used for sandwiches white bread (including burger and hot dog rolls)?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
66. How often did you eat breads or dinner rolls, NOT AS PART OF SANDWICHES?
NEVER (GO TO QUESTION 67)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
66a. How often were the breads or rolls you ate white bread?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
67. How often did you eat jam, jelly, or honey on bagels, muffins, bread, rolls, or crackers?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
68. How often did you eat peanut butter or other nut butter?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
69. How often did you eat roast beef or steak IN SANDWICHES?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
70. How often did you eat turkey or chicken COLD CUTS (such as loaf, luncheon meat, turkey ham, turkey salami, or turkey pastrami)? (We will ask about other turkey or chicken later.)
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
71. How often did you eat luncheon or deli-style ham? (We will ask about other ham later.)
NEVER (GO TO QUESTION 72)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
Over the past 12 months…
71a. How often was the luncheon or deli-style ham you ate light, low-fat, or fat-free?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
72. How often did you eat other cold cuts or luncheon meats (such as bologna, salami, corned beef, pastrami, or others, including low-fat)? (Please do not include ham, turkey, or chicken cold cuts.)
NEVER (GO TO QUESTION 73)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
72a. How often were the other cold cuts or luncheon meats you ate light, low-fat, or fat-free? (Please do not include ham, turkey, or chicken cold cuts.)
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
73. How often did you eat canned tuna (including in salads, sandwiches, or casseroles)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
74. How often did you eat GROUND chicken or turkey? (We will ask about other chicken and turkey later.)
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
75. How often did you eat beef hamburgers or cheeseburgers?
NEVER (GO TO QUESTION 76)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
75a. How often were the beef hamburgers or cheeseburgers you ate made with lean ground beef?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
76. How often did you eat ground beef in mixtures (such as meatballs, casseroles, chili, or meatloaf)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
77. How often did you eat hot dogs or frankfurters? (Please do not include sausages or vegetarian hot dogs.)
NEVER (GO TO QUESTION 78)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
77a. How often were the hot dogs or frankfurters you ate light or low-fat hot dogs?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
Over the past 12 months…
78. How often did you eat beef mixtures such as beef stew, beef pot pie, beef and noodles, or beef and vegetables?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
79. How often did you eat roast beef or pot roast? (Please do not include roast beef or pot roast in sandwiches.)
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
80. How often did you eat steak (beef)? (Do not include steak in sandwiches)
NEVER (GO TO QUESTION 81)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
80a. How often was the steak you ate lean steak?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
81. How often did you eat pork or beef spareribs?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
82. How often did you eat roast turkey, turkey cutlets, or turkey nuggets (including in sandwiches)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
83. How often did you eat chicken as part of salads, sandwiches, casseroles, stews, or other mixtures?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
84. How often did you eat baked, broiled, roasted, stewed, or fried chicken (including nuggets)? (Please do not include chicken in mixtures.)
NEVER (GO TO QUESTION 85)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
84a. How often was the chicken you ate fried chicken (including deep fried) or chicken nuggets?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
84b. How often was the chicken you ate WHITE meat?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
84c. How often did you eat chicken WITH skin?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
85. How often did you eat baked ham or ham steak?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
86. How often did you eat pork (including chops, roasts, and in mixed dishes)? (Please do not include ham, ham steak, or sausage.)
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
87. How often did you eat gravy on meat, chicken, potatoes, rice, etc.?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
88. How often did you eat liver (all kinds) or liverwurst?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
89. How often did you eat bacon (including low-fat)?
NEVER (GO TO QUESTION 90)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
89a. How often was the bacon you ate light, low-fat, or lean bacon?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
90. How often did you eat sausage (including low-fat)?
NEVER (GO TO QUESTION 91)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
90a. How often was the sausage you ate light, low-fat, or lean sausage?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
91. How often did you eat smoked fish or seafood (such as smoked salmon, lox, or others)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
92. How often did you eat sushi?
NEVER (GO TO QUESTION 93)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
Over the past 12 months…
92a. How often did the sushi you ate contain raw fish or seafood (including shellfish)?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
93. How often did you eat raw oysters, raw clams, or other raw fish (not including raw fish in sushi)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
94. How often did you eat fish sticks or fried fish (including fried seafood or shellfish)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
95. How often did you eat all other fish or seafood (including shellfish) that was NOT FRIED, SMOKED, or RAW?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
96. How often did you eat tofu, soy burgers, or soy meat-substitutes?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
97. Over the past 12 months, did you eat soups?
NO (GO TO QUESTION 98)
YES
97a. How often did you eat soup DURING THE WINTER?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
97b. How often did you eat soup DURING THE REST OF THE YEAR?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
97c. How often were the soups you ate bean soups?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
97d. How often were the soups you ate cream soups (including chowders)?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
97e. How often were the soups you ate tomato or vegetable soups?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
Over the past 12 months…
97f. How often were the soups you ate broth soups (including chicken) with or without noodles or rice?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
98. How often did you eat pizza?
NEVER (GO TO QUESTION 99)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
98a. How often did you eat pizza with pepperoni, sausage, or other meat?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
99. How often did you eat crackers?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
100. How often did you eat corn bread or corn muffins?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
101. How often did you eat biscuits?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
102. How often did you eat potato chips (including low-fat, fat-free, or low-salt)?
NEVER (GO TO QUESTION 103)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
102a. How often were the potato chips you ate low-fat or fat-free chips?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
103. How often did you eat tortilla chips or corn chips (including low-fat, fat-free, or low-salt)?
NEVER (GO TO QUESTION 104)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
103a. How often were the tortilla or corn chips you ate low-fat or fat-free chips?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
104. How often did you eat popcorn (including low-fat)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
105. How often did you eat pretzels?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
Over the past 12 months…
106. How often did you eat peanuts, walnuts, seeds, or other nuts?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
107. How often did you eat granola bars?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
108. How often did you eat yogurt (NOT including frozen yogurt)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
109. How often did you eat cottage cheese (including low-fat)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
110. How often did you eat cheese (including low-fat; including on cheeseburgers or in sandwiches or subs)?
NEVER (GO TO QUESTION 111)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
110a. How often was the cheese you ate light or low-fat cheese?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
111. How often did you eat frozen yogurt, sorbet, or ices (including low-fat or fat-free)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
112. How often did you eat ice cream, ice cream bars, or sherbet (including low-fat or fat-free)?
NEVER (GO TO QUESTION 113)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
112a. How often was the ice cream you ate light, low-fat, or fat-free ice cream or sherbet?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
113. How often did you eat pudding or custard?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
114. How often did you eat cake (including low-fat or fat-free)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
Over the past 12 months…
115. How often did you eat cookies or brownies (including low-fat or fat-free)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
116. How often did you eat doughnuts, sweet rolls, Danish, or pop-tarts?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
117. How often did you eat sweet muffins or dessert breads (including low-fat or fat-free)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
118. How often did you eat fruit crisp, cobbler, or strudel?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
119. How often did you eat pie?
NEVER (GO TO QUESTION 120)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
119a. How often was the pie you ate fruit pie (such as apple, cherry, peach, blueberry, or others)?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
120. How often did you eat chocolate candy?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
121. How often did you eat other candy?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
122. How often did you eat eggs, egg whites, or egg substitutes (NOT counting eggs in baked good and desserts)? (Please include eggs in salads, quiche, and soufflés.)
NEVER (GO TO QUESTION 123)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
122a. How often were the eggs you ate egg substitutes?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
Over the past 12 months…
122b. How often were the eggs you ate egg whites only?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
122c. How often were the eggs you ate regular whole eggs?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
122d. How often were the eggs you ate part of egg salad?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
123. How many cups of coffee, caffeinated or decaffeinated, did you drink?
NONE (GO TO QUESTION 124)
Less than 1 cup per month 1 cup per day
1-3 cups per month 2-3 cups per day
1 cup per week 4-5 cups per day
2-4 cups per week 6 or more cups per day
5-6 cups per week
123a. How often was the coffee you drank decaffeinated?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
124. How many glasses of ICED tea, caffeinated or decaffeinated, did you drink?
NONE (GO TO QUESTION 125)
Less than 1 cup per month 1 cup per day
1-3 cups per month 2-3 cups per day
1 cup per week 4-5 cups per day
2-4 cups per week 6 or more cups per day
5-6 cups per week
124a. How often was the iced tea you drank decaffeinated or herbal tea?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
125. How many cups of HOT tea, caffeinated or caffeinated, did you drink?
NONE (GO TO QUESTION 126)
Less than 1 cup per month 1 cup per day
1-3 cups per month 2-3 cups per day
1 cup per week 4-5 cups per day
2-4 cups per week 6 or more cups per day
5-6 cups per week
125a. How often was the hot tea you drank decaffeinated or herbal tea?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
126. How often did you add sugar or honey to your coffee or tea?
NEVER
Less than 1 time per month 1 time per day
1-3 times per month 2-3 times per day
1 time per week 4-5 times per day
2-4 times per week 6 or more times per day
5-6 times per week
127. How often did you add artificial sweetener to your coffee or tea?
NEVER
Less than 1 time per month 1 time per day
1-3 times per month 2-3 times per day
1 time per week 4-5 times per day
2-4 times per week 6 or more times per day
5-6 times per week
Over the past 12 months…
128. How often was non-dairy creamer added to your coffee or tea?
NEVER (GO TO QUESTION 129)
Less than 1 time per month 1 time per day
1-3 times per month 2-3 times per day
1 time per week 4-5 times per day
2-4 times per week 6 or more times per day
5-6 times per week
128a. What kind of non-dairy creamer did you usually use?
Regular powdered
Low-fat or fat-free powdered
Regular liquid
Low-fat or fat-free liquid
129. How often was cream or half and half added to your coffee or tea?
NEVER
Less than 1 time per month 1 time per day
1-3 times per month 2-3 times per day
1 time per week 4-5 times per day
2-4 times per week 6 or more times per day
5-6 times per week
130. How often was milk added to your coffee or tea?
NEVER (GO TO QUESTION 131)
Less than 1 time per month 1 time per day
1-3 times per month 2-3 times per day
1 time per week 4-5 times per day
2-4 times per week 6 or more times per day
5-6 times per week
130a. What kind of milk was usually added to your coffee or tea?
Whole milk
2% fat milk
1% fat milk
Skim, nonfat, or ½% milk
Soy milk
Rice milk
Raw, unpasteurized milk
Other
131. How often was sugar or honey added to foods you ate? (Please do no include sugar in coffee, tea, other beverages, or baked goods.)
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
132. How often did you eat margarine on breads, bagels, English muffins, other muffins, pancakes, or waffles?
NEVER (GO TO QUESTION 133)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
133. How often did you eat butter on breads, bagels, English muffins, other muffins, pancakes, or waffles?
NEVER (GO TO QUESTION 134)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
133a. How often was the butter you ate on these breads low-fat or fat-free?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
Over the past 12 months…
134. How often did you eat margarine on potatoes, cooked vegetables, rice, grains, or beans?
NEVER (GO TO QUESTION 135)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
134a. How often was the margarine you ate on these cooked potatoes, cooked vegetables, rice, grains, or beans low-fat or fat-free?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
135. How often did you eat butter on potatoes, cooked vegetables, rice, grains, or beans?
NEVER (GO TO QUESTION 136)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
135a. How often was the butter you ate on these cooked potatoes, cooked vegetables, rice, grains, or beans low-fat or fat-free?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
136. How often did you eat mayonnaise as a spread of as part of food mixtures?
NEVER (GO TO QUESTION 137)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
136a. How often was the mayonnaise you ate low-fat or fat-free?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
137. How often did you eat cream cheese?
NEVER (GO TO QUESTION 138)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
137a. How often was the cream cheese you ate low-fat or fat-free?
Over the past 12 months…
138. How often did you eat sour cream?
NEVER (GO TO QUESTION 139)
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
138a. How often was the sour cream you ate low-fat or fat-free?
Almost never or never
About ¼ of the time
About ½ of the time
About ¾ of the time
Almost always or always
139. How often did you eat foods with oils added or with oils used in cooking (do not include baked goods or salads)?
NEVER
1-6 times per year 2 times per week
7-11 times per year 3-4 times per week
1 time per month 5-6 times per week
2-3 times per month 1 time per day
1 time per week 2 or more times per day
139a. What kind of oils do you usually eat? (Mark all that apply.)
Olive
Corn
Canola/rapeseed
Other
File Type | application/msword |
Author | CSCC |
Last Modified By | CSCC |
File Modified | 2008-11-06 |
File Created | 2008-11-06 |