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The ASA24 Acceptability Questionnaire #2
(Infant Version)
The purpose of this questionnaire is to obtain information about your experience with the ASA24 (the computer tool that you used to tell us what your infant ate and drank in a 24 hour time frame). Please fill out this questionnaire after you have completed the last ASA24 recall and the infant feeding questionnaire. Your responses would be greatly appreciated as they will help us decide which tool you prefer.
1. – Was it easy to find the ASA-24 on the website?
□01 Yes, it was easy to find
□02 No, it was not
2. – Did you have or are you having any of the following technical difficulties in using the ASA24?
(Check ALL boxes that apply)
□2A Wrong computer—website did not work on my computer
□2B Website crashed on me
□2C Got the following message: “Your computer screen’s resolution is not set to
recommended settings of 1024 X 768”
□2D I could not get to the dietary part on my own
□2E I could not navigate the software and make my way through it
□2F Other (2H. Please describe) _________________________________________________
________________________________________________________________________
□2G No problems
3A. - Was it easy for you to get access to the website with the ASA24?
□01 Yes
□02 No
3B. Why not?
□01 No computer available at that time
□02 Too busy with the household to get on computer
□03 Computer connection too slow
□04 I really have no quiet time to do this
□05 I had to go away from home to get computer access
□06 Other (3C. Please describe) ___________________________________
________________________________________________________________
4. – Did you ever quit the ASA24 because it took too long to finish or you could not figure out how to record your infant’s food intake? (Check ONE box)
□01 No, I never quit ASA24 before recording all the foods I ate
□02 One time I quit ASA24 before recording all the foods I ate
□03 More than one time I quit ASA24 before recording all the foods I ate
5A. – How many times did you go to the ASA24 to enter a single day of food intake? (Check ONE box)
□01 One Time only- I always completed the ASA24 in the same session as when I started reporting my infant’s diet
□02 More than one time- I entered some foods, had to do other things and continued
Later
5B. If “More than one time”-- how many times did you stop and start again
last day of recall? ______
6A. – Did the ASA24 include all foods that you wanted to report eating by your infant at your most recent recall?
□01 Yes
□02 No
6B-6K. If No, please name as many missing foods as you can think of from your last recall:
_____________________________________________________________________
_____________________________________________________________________
7. – How difficult was it for you to find your infant’s foods? (Check ONE box)
□01 Very easy
□02 Easy
□03 Moderate
□04 Somewhat difficult
□05 Difficult
□06 Very difficult
8A. – Do you feel you were able to report the foods your infant ate in enough detail? (Check ONE box)
□01 Yes, there was enough detail on all the foods my infant ate
□02 Occasionally there was not enough detail on the ASA24 for the foods my Infant ate
□03 Frequently I could not report the foods my infant ate to the exact detail
8B. Please provide as many food examples or details you have liked to find (this is really helpful to researchers and to other mothers) _____________________________________
__________________________________________________________________________
__________________________________________________________________________
9A. – Were you able to report the amount of the foods your infant ate? (Check ONE box)
□01 Yes, I was always able to report the right amount for foods my infant ate
□02 Occasionally I could not report the amount of the foods my infant ate
□03 Frequently I could not report the right amount of the foods my infant ate
□04 No, I could not report the right amount of the foods my infant ate
9B. How could this be made easier? _______________________________________
_____________________________________________________________
__________________________________________________________________
10. – Were the foods listed or named the way you know them?
□01 Yes
□02 No
11A. – Are there specific foods or foods names you think should be added to the ASA24?
□01 Yes
11B. If Yes, please list as many foods as you can think of: ________________________________________________________________________
________________________________________________________________________________________________________________________________________________
□02 No
12. - About how long did it take to complete the ASA24?
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Minutes
13. - How do you feel about the length of time it took to complete the ASA24? (Check ONE box)
□01 It took a short amount of time
□02 It took just the right amount of time
□03 It took too long
14A. - Would you choose an internet-based tool to answer questions about your child’s dietary habits if you were asked again?
□01 Yes
□02 No
14B. If No, What would you prefer? Please select from the following options (Check ONE box)
□01 Paper and pencil
□02 In person interview
□03 Phone interview
15.- About how long did it take to complete the FFQ?
|___|___|___|
Minutes
16.- Compared to the paper-pencil-based Infant Feeding Questionnaire that you filled out, which method-the Infant Feeding Questionnaire or the ASA24, do you think better captures your infant’s usual dietary intake?
□01 ASA24
□02 Child Food Questionnaire
□03 Both equally good
□04 Both equally bad
17. - Compared to the Infant Feeding Questionnaire, How did you find the ASA24?
□01 Very easy to complete
□02 Easy to complete
□03 Difficult to complete
□04 Very difficult to complete
18. - How would you rank the effort involved in completing the ASA-24?
□01 Very low
□02 Low
□03 High
□04 Very High
19. - How would you rank the effort involved in completing the Infant Feeding Questionnaire
□01 Very low
□02 Low
□03 High
□04 Very High
Thank you for your time and participation!
| File Type | application/msword |
| File Title | The ASA24 Acceptability Questionnaire |
| Author | lporras |
| Last Modified By | hashemip |
| File Modified | 2012-10-17 |
| File Created | 2012-10-11 |