CURHAN Base Protocol Food Frequency Questionnaire

Adapted from China CDC Food Frequency Questionnaire 2010


 

FOOD FREQUENCY QUESTIONNAIRE

A. Please recall your eating habits in the past one year

  1. Do you eat on schedule?
  • Not on schedule
  • Largely on schedule
  • Strictly on schedule
  1. How fast are you eating?
  • Slow
  • Average
  • Fast
  • Very fast
  1. Do you like your foods to be
  • Cold
  • Warm
  • Hot
  • Very hot
  1. How many meals do you usually have everyday?

 

  1. How many days do you usually have breakfast per week?

B.Please recall your habits with spoiled foods


  1. Where do you keep your leftovers in the summer?
  • Refrigerator
  • Cooking pot
  • Dishes
  1. How many times per week do you eat leftovers on the average?
  • Never
  • 1-2 times
  • 3-4 times
  • over 5 times
  1. Do you re-heat left-over before eating
  • Never
  • Occasionally
  • Often
  • Always
  1. How do you deal with spoiled vegetables and fruits?
  • Throw away completely
  • Throw away the spoiled part
  1. How do you deal with moldy rice, steam bun, bread or other grain products?
  • Throw away completely
  • Throw away the spoiled part
  1. Do you eat food with strongly sour or bad smell?
  • Never
  • Occasionally
  • Often
  1. Have your grain or rice or other staple foods ever become moldy during storage?
  • Yes
  • No

<If yes, please continue to answer the following questions>

<If no, skip to part C>

7.1 How often does it happen?

  • Seldom
  • Occur in several years
  • Occur every year

7.2 How do you handle moldy corn?

  • Throw away completely
  • Expose the corn to the sun and throw away the moldy part
  • Do not expose the corn to the sun and throw away the moldy part
  • Eat most of the corn

 

7.3 How do you handle moldy peanuts?

  • Throw away completely
  • Expose the peanuts to the sun and throw away the moldy part
  • Do not expose the peanuts to the sun and throw away the moldy part
  • Eat most of the peanuts

 

7.4 How do you handle moldy wheat?

  • Throw away completely
  • Expose the wheat to the sun and throw away the moldy part
  • Do not expose the wheat to the sun and throw away the moldy part
  • Eat most of the wheat

7.5 How do you handle moldy rice or other grains?

  • Throw away completely
  • Expose the grains to the sun and throw away the moldy part
  • Do not expose the grains to the sun and throw away the moldy part
  • Eat most of the grains

 

C.Please estimate your average eating frequency and quantity for the following foods in the past one year

C1 Staple Foods Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Rice
Wheat Flour
Stick Rice
Rice Noodle
Millet
Corn
Sorghum
Sweet Potato
Fired Wheat Flour
Other Cereals (Specify: )
C2 Meat Products Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Pork Meat (Muscle)
Pork Meat (Fat & Muscle )
Pork Steak
Pork Leg and Feet
Beef Meat
Mutton Meat
Chicken Meat
Duck, other Poultry
Pork and other Animal Liver
Sausages
Salted Meats
Other Sausages with Starch
Other Organs (Specify: )
C3 Seafood Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Fresh Water Fish
Sea Fish
Shrimp
Dry Shrimp
Crab
Octopus
Salted Fishes
Shell Fish

 

C4 Milk and Milk Products Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Whole Fresh Milk (Cup)
Low Fat Fresh Milk (Cup)
Whole Milk Powder (Spoon)
Low fat Milk Powder (Spoon)
Fresh Sheep Milk (Cup)
Cheese (Pieces)
Yogurt (Cup)
Ice Cream (Pieces)
Other Dairy Products (Specify: )
C5 Eggs Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Chicken Egg
Duck Egg
Goose Egg
Salted Chicken Egg
Salted Duck Egg
Quail Egg
Preserved Egg

 

C6 Legume and Products Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Tofu
Tofu Paste
Soy Bean Milk
Other Soy Bean Products
Fried Tofu
Dry Soy Bean
Other Dry Bean (Specify: )
C7 Salted Vegetables Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Salted Radish
Salted Cucumber
Preserved Sichuan Pickle
Pickles
Fermented Tofu

 

C8 Snacks and Nuts Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Cakes
Bread
Other Sweet (Specify: )
Peanut
Walnut
Chestnut
Sunflower Seed
Other nuts (Specify: )
C9 Beer, Wine and Liquor Average Intake Each TimeGlass/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Liquor, Low Alcohol Content (<38)
Liquor, High Alcohol Content    ( >38)
Beer
Wine, Champagne
Other Wine

 

C10 Fungi and Mushroom Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Dry Mushroom
Kelp
C11 Fresh Vegetables Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Vegetables Total

Name of Vegetables Consumed and % of the Total Intake

Code Name of Vegetable Frequency (Times/Year) % of Total Intake Food Code
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
C12 Fruits Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Water Melon
Honeydew
Apple
Pear
Orange Juice
Grape
Peach
Dates
Melon
Strawberry
Apricot
Plum
Fresh Longan
Lychee
Pineapple
Persimmon
Hawthorn
Canned
Dried Grapes
Other Dried Fruits (Specify: )
C13 Tea and Drinks Average Intake Each TimeCup(s) Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Black Tea
Jasmine Tea
Coffee
Coke
Other Soft Drink

 

C14 Sugar and Starch Average Intake Each TimeLiang Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Tick ONE column only Time /Week Time/Month Time/Year
Sugar
Other Candy (Specify: )
Starch Noodle

C15\C16 The Following Questions be Asked per Family by Month, How Many Persons are There Eating Together in the Family _____ ?

C15 Edible Oil Food Code Intake (Jin/Month/Family ) Intake/Person/Day* (Gram/Day)
Peanut Oil
Soy Bean Oil
Grape Seed Oil
Mixed Vegetable Oil
Other Vegetable Oils (Specify: )
Pork Fat
Other Animal Oil (Specify: )

 

C16 Spices Food Code Intake (Jin/Month/Family ) Intake/person/day* (Gram/Day)
Salt
Soy Sauce
Vinegar
Catsup
Sesame Catsup
Monosodium Glutamate

Note. * Individual intake(g/day) = family intake (Jin\month) × 500 ÷ family members ÷ 30

C17 Food Supplements and Medicines Average Intake Each Time Food Frequency Food Code
Never Eat Yes, I consume it If Yes, how often do you consume it?(Fill in only the appropriate column)
Dose Quantity Tick ONE column only Time /Week Time/Month Time/Year
Multiple Vitamins
Vitamin A
Vitamin E
Fish Liver Oil
Vitamin C
Multiple Vit B
Vitamin B1
Vitamin B2
Vitamin B6
Vitamin B12
Folic Acid
Iron
Zinc
Calcium
Aspirin
Other Supplements
C18 Other Food Frequently Consumed Average Intake Each TimeLiang/Bowl/Cup Food Frequency Food Code
If Yes, how often do you consume it?(Fill in only the appropriate column)
Time /Week Time/Month Time/Year

 


24-hour Diet Recall Questionnaire

Code 2 Name of Dish 3 Raw Materials 4 Food Code 5 Quantity (liang) 6 Time of Eating 7 Place of Eating 8 Cooking Method

 

Note. 6 meals : (1) breakfast, (2) morning; snack, (3) lunch, (4) afternoon snack, (5) dinner, (6) night snack; 7 place of eating : (1) home , (2) office, (3) restaurant/street, (4)relative house; 8 cooking method : (1) boiling, (2) fry 3-fried, (4) steam, (5) bake, (6) raw.


 

CURHAN Food Frequency Questionnaire Protocol, March 9, 2016

anyShare分享到:

About 陈馨雨

2014级本科生
This entry was posted in 开放问题 and tagged . Bookmark the permalink.

发表评论