Diet and Shopping Questionnaire

Respondent ID No ______Diet and Shopping QuestionnaireDepartments of Health Care for the Elderly Social Studies & Agriculture and Food Science University of NottinghamTel : 0115 9709 777/ 97094131 Thank you for offering to help us by filling in this diary. We are collecting information about what people in your area eat, how often, where they buy it from, how food is prepared and how much they spend. By filling in the diary you will give us useful information that will help to improve our knowledge of what people need in terms of portion sizes, packaging, cost, transport to and from the shops, nutrition information etc. Please read through the instructions for the diary carefully. If you have any problems reading or filling in the diary and would like to talk too someone please telephone Dr Sally Herne or Dr Jeanette Lilley at Queens Medical Centre on 0115 9709 777 or 9709 413 between 9 am and 5 pm.Don't forget to fill in the coupon at the end of the questionnaire to enter our prize draw.2 This section is about what you usually eat. On the next few pages you will find lists of various foods and questions on how you cook and serve these foods. Please be assured that there is no right or wrong answer - we are purely interested in what you enjoy eating.Read through each section and write down how often you think you normally eat these foods. Your diet does vary from time to time so just put down what you think is typical or average for you.Please only give us information on what you eat, not any of the other people in your household.Answering the questionsEach section asks 'how often do you think you eat the following foods?'. Rather than writing out a long answer we have reduced the options for your answer to some simple codes. Write the code in the space provided.If you never have a food write N If you rarely have a food (less than once a month) write RIf you usually have a food : about once a month write 1M about twice a month write 2M about three times a month write 3M about once a week write 1W about twice a week write 2W about three times a week write 3W and so on (4W, 5W, 6W etc.) about once a day write 1D about twice a day write 2D about three times a day write 3D and so on (4D, 5D, 6D etc.)3 ExamplesHow often do you eat the following foods ? (Food) (how often) (any comments) tea 4D 1 CUP milk 2D muesli 1W brown bread N low fat spread R boiled egg 3W 1EGG SOFT BOILED fresh orange 1D sugar 4D chocolate bar 2MThis person usually has1 cup of tea 4 times a day milk twice a day once a week they eat muesli they never eat brown bread and rarely use low fat spreads three times a week they have boiled eggs a glass of fresh orange juice once a day sugar in each cup of tea 4 times a day a bar of chocolate about twice a month ______4 HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods ?Cereals Comments Porridge/oatmeal(cooked) summer ...... ______Porridge/oatmeal (cooked) winter ...... ______Muesli ...... ______Other breakfast cereal ...... ______Sliced bread ...... ______Bread roll ...... ______Boiled rice ...... ______Pasta - dried or fresh ...... ______(spaghetti, macaroni etc, not tinned) ______Q1. What types of breakfast cereal do you usually eat ? Please write in the name(s). If you do not eat breakfast cereals write 'none'. ______Q2. How many slices of bread do you usually eat ? Remember to include bread you use for sandwiches and for toast. If you do not eat bread write 'none'. ______slices per day OR ______slices per 5 week6 Q3. What type of bread do you usually use ? (Please circle one number only)1 Wholemeal or granary bread 2 White bread 3 White bread with added bran e.g. "Mighty White" 4 Brown bread 5 Continental breads e.g. french stick, rye bread, pumpernickel, pitta 6 Other bread (please name)______7 Don't eat breadQ4. Which of the following do you usually spread on bread ? (Please circle one number only )1 Butter 2 Soft margarine 3 Hard (block) margarine 4 Low fat spread 5 Dripping / Lard 6 Nothing 7 Don't eat bread 8 Something else (please name)______Q5. What type of milk do you usually add to cereals, porridge or muesli ? (e.g. whole milk, skimmed, enriched, soya, gold top etc). If you don't add milk write 'none'.Type of milk ...... Q6. How many teaspoons of sugar or other sweetener do you add to cereal, porridge or muesli ? (note 1 dessertspoon = 2 teaspoons )______Q7. Do you add salt to your porridge ? (please circle one answer)Yes No Don't eat porridge______HOW TO ANSWER7 NEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods ?Sweets Comments Crumpet or muffin ...... ______Tea cake or scone ...... ______Fruit loaf or currant bread ...... ______Crispbread/ cracker ...... ______Plain sweet biscuit (e.g. digestive) ...... ______Fancy biscuit (e.g. sandwich) ...... ______Cake ...... ______Milk pudding ...... ______Sponge pudding ...... ______Beverages CommentsTea ...... ______Coffee ...... ____________8 HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually have these drinks ?Drinks Comments Coffee substitute ...... ______Cocoa ...... ______Complan/ Build up ...... ______Flavoured milk ...... ______(e.g. milk shake)Glass of milk ...... ______Q1. Do you have milk : (circle one for each) in your tea ? Yes No Don't drink tea in your coffee ? Yes No Don't drink coffee in your cocoa ? Yes No Don't drink cocoa in other hot drinks ? Yes No Don't drink other hot drinks (e.g. Horlicks)Q2. What type of milk do you usually add to tea/coffee/cocoa etc? (Whole, skimmed, raw, semi-skimmed, enriched etc). If you don't add milk to these drinks or don't drink these drinks write 'none'. Type of milk ...... 9 10 Q3. How many teaspoons of sugar or other sweetener do you have in (Circle one for each) tea ? 0 1 2 3 4 5 6 Don't drink coffee ? 0 1 2 3 4 5 6 Don't drink cocoa ? 0 1 2 3 4 5 6 Don't drink hot chocolate ? 0 1 2 3 4 5 6 Don't drink______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods?Dairy Products and Eggs Comments Regular cheese (cheddar, cheshire, edam etc) ...... ______Cottage cheese ...... ______Cream ...... ______Yoghurt ...... ______Ice cream (summer) ...... ______(winter) ...... ______Dried milk ...... ______11 Liquid milk ...... ____________HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods?Dairy Products and Eggs CommentsCustard ...... ______Fried egg ...... ______Boiled/poached egg ...... ______Scrambled egg/omelette ...... ______Confectionery & Jams CommentsChocolate ...... ______Chocolate covered bar ...... ______(e.g. Mars)Toffees/ boiled sweets ...... ______Honey, jam, marmalade ...... ______Marmite, bovril ...... ______12 Peanut butter ...... ______Q1. When you eat cheese do you use the reduced fat varieties e.g. Delight or St Ivel ? (Please circle one number)1 Always or nearly always 2 Sometimes 3 Rarely or never 4 Do not eat cheese 5 Don't know/ can't rememberQ2. When you eat cream what type is it usually ? (Please circle one number)1 Thickened cream 2 Double cream 3 Single or whipping cream 4 Clotted cream 5 Cream substitute e.g. Elm Lea 6 Other (please give the name) ...... 7 More than one type (please specify which numbers) ...... 8 Do not eat cream 9 Don't know/ can't rememberQ3. When you eat yoghurt what type is it usually ? (Please circle one number)1 Plain natural yoghurt (not fat reduced and without flavouring) 2 Natural yoghurt, low fat 3 Fruit flavoured (not fat reduced) 4 Fruit flavoured, low fat 5 Other (please name)...... 6 More than one type (please specify which numbers) ...... 7 Do not eat yoghurt 8 Don't know/ can't rememberQ4. When you eat ice cream what type is it usually ? (Please circle one number)1 Regular ice cream (full fat) 2 Low calorie/ reduced fat ice cream e.g. 'Too good to be true'13 3 Other (please name)...... 4 More than one type (please specify which numbers) ...... 5 Do not eat ice cream 6 Don't know/ can't remember ______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods?Meats Comments Stew/Casserole/ Curry/Goulash ...... ______Steak ...... ______Pork chop ...... ______Lamb chop ...... ______Roast lamb/pork/beef ...... ______Sausages ...... ______Bacon ...... ______Liver ...... ______Kidney ...... ______Ham ...... ______Luncheon meat ...... ______14 Minced meat ...... ______Hamburger ...... ______Sausage roll ...... ______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods?Meats CommentsMeat pie ...... ______Pasties ...... ______Other pies and pastries e.g. quiche ...... ______Q1. If you eat the following meats how would you usually cook them ? (Please circle one for each food)SteakFried Grilled/baked Microwaved Don't eat Chops Fried Grilled/baked Microwaved Don't eat Sausages Fried Grilled/baked Microwaved Don't eat Bacon Fried Grilled/baked Microwaved Don't eat15 Q2. If you eat meat with fat on do you eat (Please circle one number)1 All of the fat 2 Most of it 3 About half 4 Little or none 5 Don't eat meat Q3. Do you take the skin off chicken ? (Please circle one number)1 Always or nearly always 2 Sometimes (about half the time) 3 Rarely 4 Never 5 Do not eat chickenQ4. Do you buy any of the following products ? Please enter number 1-5 in the space provided1 Always or nearly always 2 Sometimes 3 Rarely 4 Never 5 Don't eatLow fat mince (may be marked 'Superlean', 'Lean', 'Extra lean') ...... Low fat sausages ...... Low fat burgers ...... ______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______16 ______About how often do you usually eat these foods?Chicken and Fish CommentsRoast chicken ...... ______Crumb coated chicken ...... ______Chicken casserole/stew/curry ...... ______HOW TO ANSWER NEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods? Chicken and Fish Comments Chicken breast portion ...... ______Chicken leg or wing portion ...... ______Fresh/frozen white fish (cod, haddock, halibut, plaice, coley, hake etc) ...... ______Fresh/frozen oily fish (mackerel, herring, kippers fresh tuna / salmon etc) ...... ______Sea food (prawns, cockles, mussels whelks, clams, calamari etc) ...... ______Oven baked fish fillets or fish fingers...... ______Canned fish (sardines, mackerel salmon, tuna etc) ...... ______17 Canned and Dried Vegetables Comments Canned carrots ...... ______Green beans - canned ...... ______Green peas - canned ...... ______Baked beans in sauce ...... ______Other beans - canned ...... ______Other beans - dried ...... ______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you eat these foods ?Sweetcorn - canned ...... ______Tomatoes - canned ...... ______Seasonal FoodsThe following list of foods contains some vegetables that may be eaten more often at certain times of the year. Please fill in details of how often you would eat these vegetables both in summer and in winter. For example if you eat lettuce, cucumber and new potatoes once a day in summer but only once a month in the winter months and sprouts once a week in winter but never in summer, write this in as :18 Summer Winter CommentsLettuce 1D 1MCucumber 1D 1MNew potatoes 1D 1MBrussel sprouts N 1W______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods?Seasonal Vegetables Summer Winter Comments Potato - fresh, mashed ...... ______Potato - fresh, boiled ...... ______Potato - roasted ...... ______Fresh chips ...... ______Frozen chips ...... ______Carrots (fresh/frozen) ...... ______19 Turnip/swede ...... ______(fresh/frozen)Broad beans ...... ______(fresh/frozen)Green beans ...... ______(fresh/frozen)Green peas (fresh/frozen) ...... ______Cabbage (cooked) ...... ______Brussel sprouts (fresh/frozen) ...... ______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods?Seasonal Vegetables Summer Winter CommentsBroccoli ...... ______(fresh/frozen)Cauliflower ...... ______(fresh/frozen)Onion (fresh) ...... ______20 Tomato (fresh) ...... ______Lettuce ...... ______Cucumber ...... ______Celery ...... ______Capsicum ...... ______(red/green/yellow pepper)Mushrooms (fresh) ...... ______Q1. Do you add salt to the cooking water when boiling the following foods? (Please circle one answer for each)Vegetables Always Sometimes Never Don't boil Don't eat Pasta/rice Always Sometimes Never Don't boil Don't eat Q2. Do you add anything other than salt to the cooking water when cooking vegetables ? (If yes, write in what you add. If no, write 'nothing') ______Q3. How often do you add salt to meals after they are cooked? (Please circle one number)1 Rarely or never 2 Sometimes 3 Always or nearly always 4 Don't know/can't rememberQ4. Do you ever soak vegetables before you cook them ? (Please circle one answer)1 Always or nearly always 2 Sometimes 3 Rarely or Never 4 Don't eat vegetables 5 Don't know/can't rememberQ5. When you cook vegetables which method do you usually use ? (Please circle one number)1 Boiled in alot of water 2 Boiled in a little water21 3 Steamed/Pressure cooked 4 Microwaved 5 Stir fried 6 Roasted 7 Other (please describe)...... 8 Don't knowQ4. Here is a list of fats and oils commonly used in cooking1 Sunflower oil 2 Soft margarine 3 Hard (block) margarine 4 Olive oil 5 Nut oil (walnut/peanut etc) 6 Dripping/lard 7 Butter 8 Blended vegetable oil 9 Nothing 10 OtherFrom the list above which type of fat / oil do you most commonly use when a) roasting or frying meat/fish ...... b) roasting or frying vegetables ...... c) glazing/mashing vegetables ...... ______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods?Fruit CommentsOrange, mandarin, grapefruit ...... ______Apple/pear ...... ______Banana ...... ______22 Berries - fresh/frozen ...... ______Fruit salad ...... ______How often do you eat these fruits when they are in season ?Seasonal Fruits CommentsPeaches/Nectarine ...... ______Plum ...... ______Apricot ...... ______Grapes ...... ______Cherries ...... ______Melon ...... ______Pineapple (fresh) ...... ______23 Are there any other fresh fruits you eat ? If so, please list them here along with the quantity and how often you eat them.Name of fruit How often you eat it____________________________________HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods?Dried and canned fruit CommentsRaisins, sultanas, currants ...... ______Other dried fruit ...... ______Canned fruit in syrup ...... ______Canned fruit in juice ...... ______24 Fruit pie or pastie ...... ______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you usually eat these foods?Nuts and snacks CommentsPotato crisps ...... ______Peanuts (salted) ...... ______Peanuts (unsalted) ...... ______Other nuts - unsalted ...... ______(pecan, walnuts, almonds etc)Other nuts - salted ...... ______Soups Summer Winter CommentsCanned soup ...... ______Packet soup (made up) ...... ______Home-made soup ...... ____________25 Q1. Which flavour of soup do you usually eat ? ______Q2. Is this canned, dried, home-made or another type of soup e.g. chilled ? ______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______About how often do you add the following sauces and dressings to your food? Comments Ordinary mayonnaise ...... ______Reduced fat mayonnaise ...... ______Standard salad dressings ...... ______(Thousand Island, French dressing)Low fat salad dressings ...... ______Salad cream ...... ______Sour cream ...... ______Sweet Pickle (Branston, Piccalilli) ...... ______Tomato sauce (ketchup) ...... ______Brown sauce (e.g. HP) ...... ______Regular table salt ...... ______26 Low sodium salt e.g. 'Lo salt' ...... ______27 ______HOW TO ANSWERNEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1 2 M 2 W 2 D 3 3 3 ______How often do you usually have these drinks ?Beverages CommentsGlass low calorie cordial ...... ______Glass ordinary cordial ...... ______Low calorie fizzy drink ...... ______Ordinary fizzy drink ...... ______Fruit/vegetable juice ...... ______Water ...... ______including mineral waterLow alcohol beer ...... ______includes lagerOrdinary beer ...... ______or lagerCider/perry ...... ______Wine ...... ______Sherry/port/liqueur ...... ______Spirits ...... ______28 Are there any other foods you eat regularly which haven't been mentioned e.g. tofu, textured vegetable protein (TVP), fromage frais, ethnic foods such as polenta etc ? If so please write in the name of the food, your serve size and how often you eat it.Name of food How often you eat it__________________________________________29 SECTION TWOFrom the information you give us in Section One we will get a general idea of what foods the people in your area eat and how often.In this second section we are interested in finding out what combinations of food you eat, when you eat, where and who with. On the following pages you will find a grid to fill in for four days which asks you about your meal patterns, followed by a few questions about your shopping habitsYou may choose any four days to record, but it would be helpful if you could aim for two week days and two weekend days. An example of how to fill in the diary is given overleaf. If you have any problems filling this in please contact us on the number given on page 2.30

Diet and Shopping Questionnaire

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