Respondent ID No _________

Diet and Shopping Questionnaire

Departments of Health Care for the ElderlySocial Studies & Agriculture and Food ScienceUniversity of Nottingham

Tel : 0115 9709 777/ 9709413

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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.

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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 questions

Each 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 NIf you rarely have a food (less than once a month) write R

If you usually have a food :

about once a month write 1Mabout twice a month write 2Mabout three times a month write 3M

about once a week write 1Wabout twice a week write 2Wabout three times a week write 3Wand so on (4W, 5W, 6W etc.)

about once a day write 1Dabout twice a day write 2Dabout three times a day write 3Dand so on (4D, 5D, 6D etc.)

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Examples

How often do you eat the following foods ?(Food) (how often) (any comments)

tea 4D 1 CUPmilk 2D

muesli 1W

brown bread N

low fat spread R

boiled egg 3W 1EGG SOFT BOILED

fresh orange 1D

sugar 4D

chocolate bar 2M

This person usually has

1 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___________________________________________________________________

HOW TO ANSWER

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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 ?

Cereals CommentsPorridge/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 week

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Q3. What type of bread do you usually use ? (Please circle one number only)

1 Wholemeal or granary bread2 White bread3 White bread with added bran e.g. "Mighty White"4 Brown bread5 Continental breads e.g. french stick, rye bread, pumpernickel, pitta6 Other bread (please name)____________________7 Don't eat bread

Q4. Which of the following do you usually spread on bread ? (Please circle one number only )

1 Butter2 Soft margarine3 Hard (block) margarine 4 Low fat spread5 Dripping / Lard6 Nothing7 Don't eat bread8 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

_________________________________________________________________

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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 ?

Sweets CommentsCrumpet 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 Comments

Tea .......... ____________

Coffee .......... ____________

____________________________________________________________________

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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 have these drinks ?

Drinks CommentsCoffee 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 teain your coffee ? Yes No Don't drink coffeein your cocoa ? Yes No Don't drink cocoain 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 .........................................................................

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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 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?

Dairy Products and Eggs CommentsRegular cheese(cheddar, cheshire, edam etc) .......... ____________

Cottage cheese .......... ____________

Cream .......... ____________

Yoghurt .......... ____________

Ice cream (summer) .......... ____________

(winter) .......... ____________

Dried milk .......... ____________

Liquid milk .......... ____________

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____________________________________________________________________

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?

Dairy Products and Eggs Comments

Custard .......... ____________

Fried egg .......... ____________

Boiled/poached egg .......... ____________

Scrambled egg/omelette .......... ____________

Confectionery & Jams Comments

Chocolate .......... ____________

Chocolate covered bar .......... ____________(e.g. Mars)

Toffees/ boiled sweets .......... ____________

Honey, jam, marmalade .......... ____________

Marmite, bovril .......... ____________

Peanut butter .......... ____________

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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 always2 Sometimes3 Rarely or never4 Do not eat cheese5 Don't know/ can't remember

Q2. When you eat cream what type is it usually ? (Please circle one number)

1 Thickened cream2 Double cream3 Single or whipping cream4 Clotted cream5 Cream substitute e.g. Elm Lea6 Other (please give the name) .......................................7 More than one type (please specify which numbers) .........................8 Do not eat cream9 Don't know/ can't remember

Q3. 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 fat3 Fruit flavoured (not fat reduced)4 Fruit flavoured, low fat5 Other (please name)........................................6 More than one type (please specify which numbers) ..........................7 Do not eat yoghurt8 Don't know/ can't remember

Q4. When you eat ice cream what type is it usually ? (Please circle one number)

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1 Regular ice cream (full fat)2 Low calorie/ reduced fat ice cream e.g. 'Too good to be true'3 Other (please name)...................................................4 More than one type (please specify which numbers) ....................5 Do not eat ice cream6 Don't know/ can't remember____________________________________________________________________

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?

Meats CommentsStew/Casserole/Curry/Goulash .......... ____________

Steak .......... ____________

Pork chop .......... ____________

Lamb chop .......... ____________

Roast lamb/pork/beef ........... ____________

Sausages .......... ____________

Bacon .......... ____________

Liver .......... ____________

Kidney .......... ____________

Ham .......... ____________

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Luncheon meat .......... ____________

Minced meat .......... ____________

Hamburger .......... ____________

Sausage roll .......... ________________________________________________________________________________

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?

Meats Comments

Meat pie .......... ____________

Pasties .......... ____________

Other pies and pastriese.g. quiche

.......... ____________ ___________________________________________________________________

Q1. If you eat the following meats how would you usually cook them ?(Please circle one for each food)

Steak FriedGrilled/baked Microwaved Don't eatChops FriedGrilled/baked Microwaved Don't eatSausages FriedGrilled/baked Microwaved Don't eatBacon FriedGrilled/baked Microwaved Don't eat

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Q2. If you eat meat with fat on do you eat(Please circle one number)

1 All of the fat2 Most of it3 About half4 Little or none5 Don't eat meatQ3. Do you take the skin off chicken ? (Please circle one number)

1 Always or nearly always2 Sometimes (about half the time)3 Rarely4 Never5 Do not eat chicken

Q4. Do you buy any of the following products ?Please enter number 1-5 in the space provided

1 Always or nearly always2 Sometimes3 Rarely4 Never5 Don't eat

Low fat mince (may be marked 'Superlean', 'Lean', 'Extra lean') .................

Low fat sausages ...............

Low fat burgers ..............____________________________________________________________________

HOW TO ANSWER

NEVER RARELY TIMES A TIMES A TIMES A MONTH WEEK DAY N R 1 1 1

2 M 2 W 2 D15

3 3 3_____________________________________________________________________About how often do you usually eat these foods?

Chicken and Fish Comments

Roast chicken .......... ____________

Crumb coated chicken .......... ____________

Chicken casserole/stew/curry .......... ________________________________________________________________________________

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?Chicken and Fish CommentsChicken 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, musselswhelks, clams, calamari etc) .......... ____________

Oven baked fish fillets or fish fingers......... ____________

Canned fish (sardines, mackerelsalmon, tuna etc) .......... ____________

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Canned and Dried Vegetables CommentsCanned carrots .......... ____________

Green beans - canned .......... ____________

Green peas - canned .......... ____________

Baked beans in sauce .......... ____________

Other beans - canned .......... ____________

Other beans - dried .......... ________________________________________________________________________________

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 eat these foods ?

Sweetcorn - canned .......... ____________

Tomatoes - canned .......... ____________

Seasonal Foods

The 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 :

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Summer Winter Comments

Lettuce 1D 1M

Cucumber 1D 1M

New potatoes 1D 1M

Brussel sprouts N 1W

____________________________________________________________________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?

Seasonal Vegetables Summer Winter CommentsPotato - fresh, mashed .......... .......... ____________ Potato - fresh, boiled .......... .......... ____________

Potato - roasted .......... .......... ____________

Fresh chips .......... .......... ____________

Frozen chips .......... .......... ____________

Carrots (fresh/frozen) .......... .......... ____________

Turnip/swede .......... .......... ____________

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(fresh/frozen)

Broad beans .......... .......... ____________(fresh/frozen)

Green beans .......... .......... ____________(fresh/frozen)

Green peas(fresh/frozen) .......... .......... ____________

Cabbage (cooked) .......... .......... ____________

Brussel sprouts(fresh/frozen) .......... .......... ________________________________________________________________________________

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?

Seasonal Vegetables Summer Winter Comments

Broccoli .......... .......... ____________(fresh/frozen)

Cauliflower .......... .......... ____________(fresh/frozen)

Onion (fresh) .......... .......... ____________

Tomato (fresh) .......... .......... ____________

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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 eatPasta/rice Always Sometimes Never Don't boil Don't eatQ2. 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 always4 Don't know/can't remember

Q4. Do you ever soak vegetables before you cook them ? (Please circle one answer)

1 Always or nearly always 2 Sometimes 3 Rarely or Never4 Don't eat vegetables 5 Don't know/can't remember

Q5. When you cook vegetables which method do you usually use ?(Please circle one number)

1 Boiled in alot of water2 Boiled in a little water

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3 Steamed/Pressure cooked4 Microwaved5 Stir fried6 Roasted7 Other (please describe)...............................................8 Don't know

Q4. Here is a list of fats and oils commonly used in cooking

1 Sunflower oil 2 Soft margarine 3 Hard (block) margarine4 Olive oil 5 Nut oil (walnut/peanut etc) 6 Dripping/lard 7 Butter8 Blended vegetable oil 9 Nothing 10 Other

From 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 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?

Fruit Comments

Orange, mandarin, grapefruit .......... ____________

Apple/pear .......... ____________

Banana .......... ____________

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Berries - fresh/frozen .......... ____________

Fruit salad .......... ____________

How often do you eat these fruits when they are in season ?

Seasonal Fruits Comments

Peaches/Nectarine .......... ____________

Plum .......... ____________

Apricot .......... ____________

Grapes .......... ____________

Cherries .......... ____________

Melon .......... ____________

Pineapple (fresh) .......... ____________

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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 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?

Dried and canned fruit Comments

Raisins, sultanas, currants .......... ____________

Other dried fruit .......... ____________

Canned fruit in syrup .......... ____________

Canned fruit in juice .......... ____________

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Fruit pie or pastie .......... ________________________________________________________________________________

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?

Nuts and snacks Comments

Potato crisps .......... ____________

Peanuts (salted) .......... ____________

Peanuts (unsalted) .......... ____________

Other nuts - unsalted .......... ____________(pecan, walnuts, almonds etc)

Other nuts - salted .......... ____________

Soups Summer Winter Comments

Canned soup .......... .......... ____________

Packet soup (made up) .......... .......... ____________

Home-made soup .......... .......... ____________

_____________________________________________________________

Q1. Which flavour of soup do you usually eat ?

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___________________________

Q2. Is this canned, dried, home-made or another type of soup e.g. chilled ? ____________________________________________________________________

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 add the following sauces and dressings to your food?

CommentsOrdinary 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 .......... ____________

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Low sodium salt e.g. 'Lo salt' .......... ____________

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____________________________________________________________________ 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_____________________________________________________________________

How often do you usually have these drinks ?

Beverages Comments

Glass low calorie cordial .......... ____________

Glass ordinary cordial .......... ____________

Low calorie fizzy drink .......... ____________

Ordinary fizzy drink .......... ____________

Fruit/vegetable juice .......... ____________

Water .......... ____________including mineral water

Low alcohol beer .......... ____________includes lager

Ordinary beer .......... ____________or lager

Cider/perry .......... ____________

Wine .......... ____________

Sherry/port/liqueur .......... ____________

Spirits .......... ____________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

_____________________________________________________________

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SECTION TWO

From 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 habits

You 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.