FOOD FREQUENCY QUESTIONNAIRE JAIPUR (URBAN) September 2002 ed. HOUSE CODE NO: INTERVIEWER: Study Code NO: Label here CEREALS Chapati with ghee Chapati without ghee Parantha (plain) Parantha (stuffed) Cornflakes Bread (toast/raw) / Rusk Bread (butter/sandwich) Boiled rice with ghee Boiled rice without ghee Pulao Biryani, fried rice Kichri Upma Poha Daliya (wheat) Rabri (bajra, jau, makka) Puri / Bhature Idli Noodles, pasta, macroni Dosa/Uttapam DALS Kadhi (plain) Kadhi (pakoras) Mangodi (moong) Chole / Rajma / Chana Sambhar Dal with green leafy veg Mixed Dals Paneer gravy CHUTNEYS Coriander / Mint chutney Coconut chutney Garlic (Lehsun) chutney Tamarind (Imli) chutney Year / Year / Year /
SOUPS Year / Soup (cream, clear) Vegetable salad Pickle with oil Pickle without oil NON VEGETARIAN / EGG Egg boiled, Omelette Egg curry Fish curry Fish-fry Chicken fry / roast / grill Chicken curry Mutton Keema SNACKS Biscuits (salty) Biscuits (sweet) Patties Mathri Dry fruits Nuts Namkeen Pizza / Burger Samosa / Kachori / Pakora Chips.. Year / Year / Chaat with Chole Chaat Papadi etc. Chaats with Sprouts Bhel Puri SWEETS Barfi / Mawa Sweets Gulabjamun, jalebi etc. Rasgullah / Chena Cakes/Pastries Chocolates Year / Halwa / Churma Laddo Kheer
Ice cream Others specify BEVERAGES & MILK Tea Coffee Milk (plain) Milk (flavoured) Fresh fruit juice Pepsi, Fanta, Thums up Buttermilk (chaach-salty) Buttermilk (lassi-sweet) Curds Dahi Vada Raita (boondi) Raita (other vegetables) Beer Wine Spirits (Whisky, Rum etc.) MISCELLANOEUS Cheese Butter / cream Ghee Tomato sauce Added salt Jam Jaggery (Gur) Papad FRUITS Apple (S=3 mo.) Banana Mango (S=3 mo.) Orange (S=4 mo.) Mausambi Watermelon (S=3 mo.) Muskmelon (S=3 mo.) Guava (S=4 mo.) Pomegranate Sapota/cheeku (S-6 mo.) Pineapple Cup Cup Bottle 30 ml Year / Year / Year / Seasonal
Grapes (S = 3 mo.) Papaya VEGETABLES Potato in curd gravy Potato (Dry) Potato Tomato/Onion Lowki / turai / tinda Colocasia (Arbi) Gatte Beans Lady-finger (bhindi) Brinjal (Baigan) Parwal-potato Bitter Gourd (Karela) Capsicum (Shimla Mirch) Cauliflower (Phoolgobi) Cabbage (Pattagobi) Carrot (Gajar) Peas (Matar) Green Leafy Vegetables Papad ki Sabzi Karunda Tbsp n. Year / Seasonal Throughout where Y/N is an option, indicate yes=1, no=2 1. How would you describe your food habits? (Vegetarian = 1, Non vegetarian = 2) 2. Do you consume the following foods atleast once a week? (Y/ N) 1. Eggs 2. Chicken 3. Fish 4. Red meats (mutton, pork,beef etc.) 5. Dairy products 3. of family members currently living in your house. (no.) 1. Male adults 2. Male children 3. Female adults 4. Female children
4. How many litres of these oils / fats does your family consume in a month? (Kgs / month) 1. Sunflower oil 2. Groundnut oil 3. Coconut oil 4. Palm Oil 5. Mustard oil 6. Dalda / vanaspathi 7. Butter 8. Ghee 9. Olive oil 10. Corn oil 11. Rice bran oil 12. Others (specify 5. Based on the table above, record the main oil used? (use codes as above, Eg. Palm oil = 4) 6. Have you changed your main type of oil in the last 5 years? (Y / N) a) If yes, to Q 6, What oil/ fat did you use earlier? (use codes as above, Eg.palm oil = 4 ) 7. Which is the cereal that you most consume? (Rice = 1, Ragi = 2, Wheat = 3, Jowar =4, Maize = 5, others = 6, Specify ) 8. Which is the second cereal that you most consume? (Use same codes as above Eg. Rice = 1) 9. Do you routinely remove fat / skin from meat before cooking? (Y/ N ) 10. How many coconuts do you use for cooking in a month? (no / month) 11. Do you add any of the following as a thickening agent for your curries or vegetables at least 2 times a week? (Y?N) 1. Coconut 2. Groundnuts 3. Roasted Bengal gram 12a.What type of milk do you regularly consume?(whole milk = 1, Skimmed Milk =2, Toned milk = 3, Skimmed milk powder = 4, others = 5, Specify ) 12b. In which form do you consume it? (Fresh milk = 1, Stale Milk with cream =2, Stale Milk without cream = 3) 13. Which is the most common method of cooking vegetables? (Pressure cooker = 1, Frying = 2, With lid open = 3, With lid closed = 4, Prolonged cooking = 5)
14. Do you discard excess water after cooking vegetables? (Y / N ) 15. What type of rice do you consume? (Polished = 1, Unpolished = 2) 16.How many meals do you consume in a day?(1 meal=1, 2 meals=2, 3 meals=3, >3meals=4) 17. Do you consume any vitamin or mineral supplement at least once a week? Brand name / Type Dosage(mg) / week 18. Do you consume tinned /canned food? (Y / N ) a) If yes to Q 18, How many tins/cans do you consume in a month? 19.Are you on any special diet? (Y / N ) a) If yes to Q 19, what diets are you currently following (Diabetic diet=1, Low fat diet=2, High fiber diet=3, Low salt diet=4, Weight reducing diet=5, Others=6, Specify ),,, 20. Since how many years are you on this special diet? (yrs) 21. On at what time do you consume the following meals: Main Morning meal Afternoon meal Main Evening / Night meal Sleep time 22. What type of fish do you consume the most? (Sardine=1, Mackarel=2, Seer=3, Tuna=4, Anchory=5, Pomfret=6, Others=7, Specify ) 23. Do you sieve the flour before kneading? (Y/N) a) If yes to Q23, what do you do with the sieved material? (Throw away=1, Use it while kneading=2, Use it for other dishes=3, Others=4, Specify )
FOOD FREQUENCY QUESTIONNAIRE JAIPUR (RURAL) HOUSE CODE NO: INTERVIEWER: September 2002 ed. Study Code NO: Label here CEREALS Chapati (wheat flour) Chapati (Bajra) Chapati (Jau) Paratha Bread Rice Kichri Daliya (wheat) Rabri (jau) Rabri (wheat) Rabri (bajra) Puri Mixed roti DALS Kadhi (plain)/khatto Kadhi (Vegetables) Mangodi (moong) Moth Dal Dal with green leafy veg Mixed Dals CHUTNEYS Coriander / Mint chutney Coconut chutney Garlic (Lehsun) chutney Tamarind (Imli) chutney Amla chutney Tomato chutney Vegetable salad Pickle with oil Pickle without oil NON VEGETARIAN / EGG Egg (boiled, omelette) Fish (curry & others) Chicken Mutton.... Year / Year / Year / Year /
SNACKS Biscuits (salty) Biscuits (sweet) Mathri Nuts Dry fruits Namkeen Samosa / Kachori / Pakora Chips Year / SWEETS Barfi / Mawa Sweets Deep fried sweets (Gulabjamun, jalebi) Rasgullah / Chena Halwa / Churma Laddo Kheer Ice cream Others specify Year / BEVERAGES & MILK Tea Milk (Cow, sheep, goat) Milk (Buffalo`s) Pepsi, Fanta, Thums up Buttermilk (chaach-salty) Buttermilk (lassi-sweet) Curd Raita Beer Wine Spirits (Whisky, Rum etc.) Local arrack MISCELLANOEUS Butter / cream Ghee Added salt Added sugar Jaggery (Gur) Papad Cup Bottle 30 ml Year / Year /
FRUITS Apple (S=3 mo.) Banana Mango (S=3 mo.) Orange (S=4 mo.) Mausambi Watermelon (S=3 mo.) Muskmelon (S=3 mo.) Guava (S=4 mo.) Pomegranate Sapota/cheeku (S-6 mo.) Grapes (S = 3 mo.) Papaya Ber Pineapple VEGETABLES Potato in gravy Potato (Dry) Karunda Lowki / turai / tinda Colocasia (Arbi) Gatte Beans Lady-finger (bhindi) Brinjal (Baigan) Parwal-potato Bitter Gourd (Karela) Capsicum (Shimla Mirch) Cauliflower (Phoolgobi) Cabbage (Pattagobi) Carrot (Gajar) Peas (Matar) Papad ki Sabzi Green Leafy Vegetables Tbsp Year / Year / Seasonal Seasonal Throughout where Y/N is an option, indicate yes=1, no=2 1. How would you describe your food habits? (Vegetarian = 1, Non vegetarian = 2)
2. Do you consume the following foods atleast once a week? (Y/ N) 1. Eggs 2. Chicken 3. Fish 4. Red meats (mutton, pork,beef etc.) 5. Dairy products 3. of family members currently living in your house. (no.) 1. Male adults 2. Male children 3. Female adults 4. Female children 4. How many litres of these oils / fats does your family consume in a month? (Kgs / month) 1. Sunflower oil 2. Groundnut oil 3. Coconut oil 4. Palm Oil 5. Mustard oil 6. Dalda / vanaspathi 7. Butter 8. Ghee 9. Olive oil 10. Corn oil 11. Rice bran oil 12. Others (specify 5. Based on the table above, record the main oil used? (use codes as above, Eg. Palm oil = 4) 6. Have you changed your main type of oil in the last 5 years? (Y / N) b) If yes, to Q 6, What oil/ fat did you use earlier? (use codes as above, Eg.palm oil = 4 ) 7. Which is the cereal that you most consume? (Rice = 1, Ragi = 2, Wheat = 3, Jowar =4, Maize = 5, others = 6, Specify ) 8. Which is the second cereal that you most consume? (Use same codes as above Eg. Rice = 1) 9. Do you routinely remove fat / skin from meat before cooking? (Y/ N ) 10. How many coconuts do you use for cooking in a month? (no / month) 11. Do you add any of the following as a thickening agent for your curries or vegetables at least 2 times a week? (Y?N) 1. Coconut 2. Groundnuts 3. Roasted Bengal gram 12.What type of milk do you regularly consume?(whole milk = 1, Skimmed Milk =2, Toned milk = 3, Skimmed milk powder = 4, others = 5, Specify )
13. Which is the most common method of cooking vegetables? (Pressure cooker = 1, Frying = 2, With lid open = 3, With lid closed = 4, Prolonged cooking = 5) 14. Do you discard excess water after cooking vegetables? (Y / N ) 15. What type of rice do you consume? (Polished = 1, Unpolished = 2) 16.How many meals do you consume in a day?(1 meal=1, 2 meals=2, 3 meals=3, >3meals=4) 17. Do you consume any vitamin or mineral supplement at least once a week? Brand name / Type Dosage(mg) / week 18. Do you consume tinned /canned food? (Y / N ) a) If yes to Q 18, How many tins/cans do you consume in a month? 19.Are you on any special diet? (Y / N ) b) If yes to Q 19, what diets are you currently following (Diabetic diet=1, Low fat diet=2, High fiber diet=3, Low salt diet=4, Weight reducing diet=5, Others=6, Specify ),,, 20. Since how many years are you on this special diet? (yrs) 24. On at what time do you consume the following meals: Main Morning meal Afternoon meal Main Evening / Night meal Sleep time 25. What type of fish do you consume the most? (Sardine=1, Mackarel=2, Seer=3, Tuna=4, Anchory=5, Pomfret=6, Others=7, Specify ) 26. Do you sieve the flour before kneading? (Y/N) a) If yes to Q23, what do you do with the sieved material? (Throw away=1, Use it while kneading=2, Use it for other dishes=3, Others=4, Specify )