NHS Questionnaires

Question Index: Diet and Supplement Use

Questions
(Vitamin use including dose and duration)
Multivitamin - brand of Multivitamin		x	x	x	x	x	x	x	x	x	x	x	x
Which multi is used most frequently? (mark) Does it include iron?												x
Vitamin A		x	x	x	x	x	x	x	x	x	x	x	x
Vitamin C		x	x	x	x	x	x	x	x	x	x	x	x
Vitamin E		x	x	x	x	x	x	x	x	x	x	x	x
Vitamin D													x
Vitamin B6				x	x	x	x		x		x		x
Beta carotene									x	x	x	x
Iron				x	x	x	x		x
Fish oil (omega-3 Fatty Acids)							x		x
Selenium			x	x	x	x	x		x		x		x
Zinc			x	x	x	x	x		x		x	x	x
Calcium or dolomite			x	x	x	x	x	x	x	x	x	x	x
Folic Acid										x		x
Niacin											x	x	x
Other vitamins (specify)			x	x	x	x	x
Other supplements (ie cod liver oil, brewer's yeast, etc)							x		x		x		x
How many days a week do you have breakfast?													x
How many times a day to you eat? (include meals & snacks)													x
Wat percent of your noon and evening meals are prepared at home? (exclude commercially prepared meals)													x
How many times do you eat meat (beef, pork, lamb) per week?	x
- how is it cooked (ie roasted, panfried, broiled, bbq'd, or boiled/stewed)					x
What do you do with the visible fat on your meat?				x	x
What kind of fat do you use for frying or sauteing?				x	x		x		x		x		x
What kind of fat do you use for baking?				x	x		x		x		x		x
What form of margarine do you use?				x	x				x		x		x
How often do you eat food that is fried at home? (excluding PAM spray)				x	x		x		x		x		x
How often do you eat fried food away from home?				x	x		x		x		x		x
How many teaspoons of sugar do you add to your food each day?				x	x		x		x		x		x
What type of cooking oil do you usually use?				x	x		x		x		x		x
What type of cold breakfast cereal do you usually use?				x	x		x		x		x		x
Are there any other important foods that you usually eat at least once a week? (specify)				x			x		x		x		x
How many shakes of salt do you add to your food per day?					x
How much salt is added during cooking of these foods: meat, veg, staples (rice), soup)					x
In a typical week, number of days you have any form of alcoholic beverage					x	x				x		x
In a typical month during the last year, what was the largest number of drinks you had in one day?						x				x		x
HIGH SCHOOL FFQ					x
When you were 18-20, how many alcoholic beverages did you consume per week?					x
Alcohol consumption per week during these age intervals: 18-22,25-30,35-40, past year						x
How many cups/glasses of home tap water do you drink daily?						x
How many cups/glasses oftap water do you drink daily outside your house?						x
When you have beef/lamb as main dish, how well-done is it cooked?							x
How often do you eat meat that was charred during cooking?							x
How much of the fat of the meat do you remove before eating?							x		x		x		x
Do these apply to you: "I eat anything I want, anytime I want" or "I pay great attention to changes in my figure"									x
During the past year, how often did you eat the following: - Pan-fried chicken; appearance (lightly browned....blackened) - Broiled chicken; appearance (lightly browned....blackened) - Grilled chicken; appearance (lightly browned....blackened)									x
When you eat chicken, how often is it cooked with the skin on? How often do you eat the skin?									x
- Broiled fish; appearance (lightly browned....blackened)									x
- Roast beef; appearance (lightly browned....blackened) - Pan-fried steak; appearance (lightly browned....blackened) - Grilled steak; appearance (lightly browned....blackened) - Homemade beef gravy; appearance (lightly browned....blackened)									x

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