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2013
January
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Hello:
- Think about what you usually ate lasty month.
- Please think about all the fruits and vegetables that you ate
last month
. Include those that were:
-Raw and cooked,
-eaten as snacks and at meals,
-eaten at home and away from home (restaurants, friends, take-out), and
-eaten alone and mixed with other foods.
-Report how many times per month, week, or day you ate each food, and if you ate it, how many you usually had.
-If you mark "never" for a question, follow the "Go-to" instruction.
-Choose the best answer for each question. Mark only one response for each question.
Thank you very much for your time and support. Please start with the survey now by clicking on the
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button below.
I Agree
1. Over the last month, how many times per month, week, or day did you drink 100% juice such as orange, apple, grape, or grapefruit?
Do not count
fruitdrinks like Kool-Aid, lemonade, Hi-C, cranberry juice drink, Tang, and Twister. Include juice you drank at all mealtimes and between meals.
Never
1-3 times last month
1-2 times per week
3-4 times per week
5-6 times per week
1 time per day
2 times per day
3 times per day
4 times per day
5 or more times per day
1a. Each time you drank
100% juice
, how much did you usually drink?
Less than 3/4 cup (less than 6 ounces)
3/4 to 1 1/4 cup (6 to 10 ounces)
1 1/4 to 2 cups (10 to 16 ounces)
More than 2 cups (more than 16 ounces)
2. Over the last month, how many times per month, week, or day did you eat fruit? Count any kind of fruit (fresh, canned, and frozen). Do not count juices. Include fruit you ate at all mealtimes and for snacks.
Never
1-3 times last month
1-2 times per week
3-4 times per week
5-6 times per week
1 time per day
2 times per day
3 times per day
4 times per day
5 or more times per day
2a. Each time you ate fruit, how much did you usually eat?
Less than 1 medium fruit
1 medium fruit
2 medium fruits
More than 2 medium fruits
Less than 1/2 cup
About 1/2 cup
About 1 cup
More than 1 cup
3. Over the last month, how often did you eat lettuce salad (with or without other vegetables?)
Never
1-3 times last month
1-2 times per week
3-4 times per week
5-6 times per week
1 time per day
2 times per day
3 times per day
4 times per day
5 or more times per day
3a. Each time you ate lettuce salad, how much did you usually eat?
About 1/2 cup
About 1 cup
About 2 cups
More than 2 cups
4. Over the last month, how often did you eat french fries or fried potatoes?
Never
1-3 times per month
1-2 times per week
3-4 times per week
5-6 times per week
1 time per day
2 times per day
3 times per day
4 times per day
5 or more times per day
4a. Each time you ate French fries or fried pototoes, how much did you usually eat?
Small order or less (about 1 cup or less)
Medium order (About 1 1/2 cups)
Large order (About 2 cups)
Super Size order or more (About 3 cups or more)
5. Over the last month, how often did you eat other white potatotes? Count baked, boiled, and mashed potatoes, potato salad, and white potatoes that were not fried.
Never
1-3 times last month
1-2 times per week
3-4 times per week
5-6 times per week
1 times per day
2 times per day
3 times per day
4 times per day
5 or more times per day
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