TQ FPQ C

NHANES Food Questionnaire
More than one member of your household

may have received a questionnaire.
LABEL HERE
3/8" SPINE PERF
Please make sure this is your booklet

before answering any questions.
GENERAL INSTRUCTIONS
• Answer each question as best you can. Estimate if you are not sure.
A guess is better than leaving a blank.
• Use only a No. 2 pencil.
• Be certain to completely blacken in each of the answers.
• Erase completely if you make any changes.
• Do not make any stray marks on this form.
• If you blacken NEVER or NO for a question, please follow any arrows
or instructions that direct you to the next question.
PLEASE DO NOT WRITE IN THIS AREA

SERIAL #
244004 - 1/6
1. Over the past 12 months, how often did you drink 6. How often did you drink other fruit drinks (such as
tomato juice or vegetable juice? cranberry cocktail, Hi-C, lemonade, or Kool-Aid, diet
or regular)?
NEVER
NEVER (GO TO QUESTION 7)
1 time per month or less 1 time per day
2–3 times per month 2–3 times per day 1 time per month or less 1 time per day
1–2 times per week 4–5 times per day 2–3 times per month 2–3 times per day
3–4 times per week 6 or more times per day 1–2 times per week 4–5 times per day
5–6 times per week 3–4 times per week 6 or more times per day
5–6 times per week
2. How often did you drink orange juice or grapefruit 6a. How often were your fruit drinks diet or
juice? sugar-free drinks?
NEVER Almost never or never

About 1/4 of the time
1 time per month or less 1 time per day About 1/2 of the time
2–3 times per month 2–3 times per day About 3/4 of the time
1–2 times per week 4–5 times per day Almost always or always
3–4 times per week 6 or more times per day
7. How often did you drink milk as a beverage (NOT in
coffee, NOT in cereal)? (Please include chocolate
3. How often did you drink apple juice? milk and hot chocolate.)
NEVER NEVER (GO TO QUESTION 8)
1 time per month or less 1 time per day 1 time per month or less 1 time per day
2–3 times per month 2–3 times per day 2–3 times per month 2–3 times per day
1–2 times per week 4–5 times per day 1–2 times per week 4–5 times per day
3/8" SPINE PERF
3–4 times per week 6 or more times per day 3–4 times per week 6 or more times per day
5–6 times per week 5–6 times per week
7a. What kind of milk did you usually drink?

4. How often did you drink grape juice?
Whole milk
NEVER 2% fat milk
1% fat milk
1 time per month or less 1 time per day Skim, nonfat, or 1/2% fat milk
2–3 times per month 2–3 times per day Soy milk
1–2 times per week 4–5 times per day Rice milk
3–4 times per week 6 or more times per day Raw, unpasteurized milk
5–6 times per week Other
5. How often did you drink other 100% fruit juice or

100% fruit juice mixtures (such as pineapple, prune,
or others)?
NEVER BAR
1 time per month or less 1 time per day CODE

2–3 times per month 2–3 times per day
1–2 times per week 4–5 times per day LABEL
5–6 times per week HERE
Question 8 appears on the next page.

3
Over the past 12 months... 10. Over the past 12 months, did you drink beer?
8. How often did you drink meal replacement, energy,
NO (GO TO QUESTION 11)
or high-protein beverages such as Instant
Breakfast, Ensure, Slimfast, Sustacal or others?
YES
NEVER
1 time per month or less 1 time per day 10a. How often did you drink beer IN THE SUMMER?
1–2 times per week 4–5 times per day NEVER
5–6 times per week 1 time per month or less 1 time per day
1–2 times per week 4–5 times per day
9. Over the past 12 months, did you drink soft drinks, 3–4 times per week 6 or more times
soda, or pop? 5–6 times per week per day
NO (GO TO QUESTION 10) 10b. How often did you drink beer DURING THE
REST OF THE YEAR?
YES
NEVER
9a. How often did you drink soft drinks, soda, or 1 time per month or less 1 time per day
pop IN THE SUMMER? 2–3 times per month 2–3 times per day
NEVER 3–4 times per week 6 or more times
5–6 times per week per day
1–2 times per week 4–5 times per day 11. How often did you drink wine or wine coolers?
3–4 times per week 6 or more times
5–6 times per week per day NEVER
9b. How often did you drink soft drinks, soda, or 1 time per month or less 1 time per day
pop DURING THE REST OF THE YEAR? 2–3 times per month 2–3 times per day
NEVER 3–4 times per week 6 or more times per day
1–2 times per week 4–5 times per day 12. How often did you drink liquor or mixed drinks?
3–4 times per week 6 or more times
5–6 times per week per day NEVER
9c. How often were these soft drinks, soda, or pop 1 time per month or less 1 time per day
diet or sugar-free? 2–3 times per month 2–3 times per day
Almost never or never 3–4 times per week 6 or more times per day
About 1/4 of the time 5–6 times per week
Almost always or always
244004 - 2/6
9d. How often were these soft drinks, soda, or pop
caffeine-free?
Almost never or never

Question 10 appears in the next column.
4
Over the past 12 months... 14a. How often was the cold cereal you ate a whole
grain type (such as shredded wheat, Wheaties,
13. Did you eat oatmeal, grits, or other cooked Cheerios, Raisin Bran or other bran, oat, or
cereal? whole wheat cereal)?
NO (GO TO QUESTION 14) Almost never or never
YES About 1/2 of the time

13a. How often did you eat oatmeal, grits, or other
cooked cereal IN THE WINTER? 14b. Was milk added to your cold cereal?
NEVER NO (GO TO QUESTION 15)
1–6 times per winter 2 times per week YES

7–11 times per winter 3–4 times per week
1 time per month 5–6 times per week
2–3 times per month 1 time per day 14c. What kind of milk was usually added?
1 time per week 2 or more times
per day Whole milk
2% fat milk
13b. How often did you eat oatmeal, grits, or other 1% fat milk
cooked cereal DURING THE REST OF THE Skim, nonfat, or 1/2% fat milk
YEAR? Soy milk
Rice milk
NEVER Raw, unpasteurized milk
Other
1–6 times per year 2 times per week

7–11 times per year 3–4 times per week
1 time per month 5–6 times per week 15. How often did you eat applesauce?
3/8" SPINE PERF
2–3 times per month 1 time per day

1 time per week 2 or more times NEVER
per day
13c. How often was the cooked cereal you ate 7–11 times per year 3–4 times per week
oatmeal? 1 time per month 5–6 times per week
Almost never or never 1 time per week 2 or more times per day
About 3/4 of the time 16. How often did you eat apples?
NEVER
14. How often did you eat cold cereal? 1–6 times per year 2 times per week
NEVER (GO TO QUESTION 15) 1 time per month 5–6 times per week
1–6 times per year 2 times per week 1 time per week 2 or more times per day
2–3 times per month 1 time per day 17. How often did you eat pears (fresh, canned, or
1 time per week 2 or more times per day frozen)?
NEVER

Question 15 appears in the next column. 1 time per week

2 or more times per day
5
Over the past 12 months... 21b. How often did you eat peaches, nectarines,
or plums (fresh, canned, or frozen) DURING
18. How often did you eat bananas ? THE REST OF THE YEAR?
NEVER NEVER
1–6 times per year 2 times per week 1–6 times per year 2 times per week
7–11 times per year 3–4 times per week 7–11 times per year 3–4 times per week
1 time per month 5–6 times per week 1 time per month 5–6 times per week
2–3 times per month 1 time per day 2–3 times per month 1 time per day
1 time per week 2 or more times per day 1 time per week 2 or more times
per day
19. How often did you eat pineapple?

22. How often did you eat grapes?
NEVER
NEVER
7–11 times per year 3–4 times per week 1–6 times per year 2 times per week
1 time per month 5–6 times per week 7–11 times per year 3–4 times per week
2–3 times per month 1 time per day 1 time per month 5–6 times per week
1 time per week 2 or more times per day 2–3 times per month 1 time per day
1 time per week 2 or more times per day
20. How often did you eat dried fruit, such as prunes or
raisins? 23. Over the past 12 months, did you eat melons (such
as cantaloupe, watermelon, or honeydew)?
NEVER

1–6 times per year
2 times per week
7–11 times per year 3–4 times per week YES
1 time per week 2 or more times per day 23a. How often did you eat fresh melons (such as
cantaloupe, watermelon, or honeydew) WHEN
IN SEASON?
21. Over the past 12 months, did you eat peaches,
nectarines, or plums? NEVER

1–6 times per season 2 times per week
7–11 times per season 3–4 times per week
YES
21a. How often did you eat fresh peaches, per day
nectarines, or plums WHEN IN SEASON?
23b. How often did you eat fresh or frozen melons
NEVER (such as cantaloupe, watermelon, or honeydew)
DURING THE REST OF THE YEAR?
7–11 times per season 3–4 times per week NEVER
2–3 times per month 1 time per day 1–6 times per year 2 times per week
244004 - 3/6
1 time per week 2 or more times 7–11 times per year 3–4 times per week
per day 1 time per month 5–6 times per week
per day
Question 22 appears in the next column. Question 24 appears on the next page.
6
Over the past 12 months... 25b. How often did you eat oranges, tangerines,
clementines, or tangelos (fresh or canned)
24. Did you eat strawberries? DURING THE REST OF THE YEAR?
NO (GO TO QUESTION 25) NEVER
YES 1–6 times per year 2 times per week

24a. How often did you eat fresh strawberries 2–3 times per month 1 time per day
WHEN IN SEASON? 1 time per week 2 or more times
per day
NEVER
1–6 times per season 2 times per week 26. Over the past 12 months, did you eat grapefruit?
1 time per month 5–6 times per week NO (GO TO QUESTION 27)
1 time per week 2 or more times YES
per day
24b. How often did you eat fresh or frozen 26a. How often did you eat fresh grapefruit
strawberries DURING THE REST OF THE WHEN IN SEASON?
YEAR?
NEVER
NEVER
1–6 times per year 2 times per week 7–11 times per season 3–4 times per week
7–11 times per year 3–4 times per week 1 time per month 5–6 times per week
1 time per month 5–6 times per week 2–3 times per month 1 time per day
2–3 times per month 1 time per day 1 time per week 2 or more times
3/8" SPINE PERF

per day
26b. How often did you eat grapefruit (fresh or
canned) DURING THE REST OF THE YEAR?
25. Over the past 12 months, did you eat oranges,
tangerines, clementines, or tangelos? NEVER
NO (GO TO QUESTION 26) 1–6 times per year 2 times per week
YES 1 time per month 5–6 times per week
25a. How often did you eat fresh oranges, per day
tangerines, clementines, or tangelos WHEN
IN SEASON?
27. How often did you eat other kinds of fruit?
NEVER
NEVER
7–11 times per season 3–4 times per week 1–6 times per year 2 times per week
1 time per week 2 or more times 2–3 times per month 1 time per day
per day 1 time per week 2 or more times per day

7
Over the past 12 months... 33. How often did you eat string beans or green
beans (fresh, canned, or frozen)?
28. How often did you eat COOKED greens (such as
spinach, turnip, collard, mustard, chard, or kale)? NEVER
NEVER
2 times per week 1 time per month 5–6 times per week
7–11 times per year 3–4 times per week 2–3 times per month 1 time per day
1 time per month 5–6 times per week 1 time per week 2 or more times per day
34. How often did you eat peas (fresh, canned, or
frozen)?
29. How often did you eat RAW greens (such as
spinach, turnip, collard, mustard, chard, or kale)? NEVER
(We will ask about lettuce later.)
NEVER 7–11 times per year 3–4 times per week
1–6 times per year 2 times per week 2–3 times per month 1 time per day
7–11 times per year 3–4 times per week 1 time per week 2 or more times per day
1 time per week 2 or more times per day 35. Over the past 12 months, did you eat corn?

30. How often did you eat coleslaw?
YES
NEVER
1–6 times per year 2 times per week 35a. How often did you eat corn (fresh, canned, or
7–11 times per year 3–4 times per week frozen) WHEN IN SEASON?
2–3 times per month 1 time per day NEVER
31. How often did you eat sauerkraut or cabbage 1 time per month 5–6 times per week
(other than coleslaw)? 2–3 times per month 1 time per day
NEVER
per day

2 times per week 35b. How often did you eat corn (fresh, canned, or
7–11 times per year 3–4 times per week frozen) DURING THE REST OF THE YEAR?
2–3 times per month 1 time per day NEVER
32. How often did you eat carrots (fresh, canned, or 1 time per month 5–6 times per week
frozen)? 2–3 times per month 1 time per day
244004 - 4/6
NEVER
per day

2 times per week

8
Over the past 12 months... 41. How often did you eat raw cucumbers (not including
pickles)?
36. How often did you eat broccoli (fresh or frozen)?
NEVER
NEVER
1–6 times per year 2 times per week 7–11 times per year 3–4 times per week
2–3 times per month 1 time per day 1 time per week 2 or more times per day
42. Over the past 12 months, did you eat fresh tomatoes
37. How often did you eat cauliflower or Brussels (including those in salads)?
sprouts (fresh or frozen)?
NEVER
YES
1 time per month 5–6 times per week 42a. How often did you eat fresh tomatoes
2–3 times per month 1 time per day (including those in salads) WHEN IN SEASON?
NEVER
38. How often did you eat mixed vegetables? 1–6 times per season 2 times per week
NEVER 1 time per month 5–6 times per week
1–6 times per year 2 times per week 1 time per week 2 or more times
7–11 times per year 3–4 times per week per day
3/8" SPINE PERF

2–3 times per month 1 time per day 42b. How often did you eat fresh tomatoes
1 time per week 2 or more times per day (including those in salads) DURING THE
REST OF THE YEAR?
39. How often did you eat onions (including in mixtures)? NEVER
NEVER 1–6 times per year 2 times per week

1–6 times per year 2 times per week 1 time per month 5–6 times per week
1 time per month 5–6 times per week 1 time per week 2 or more times
2–3 times per month 1 time per day per day
40. Over the past 12 months, how often did you eat
sweet or hot peppers (green, red, or yellow)?
NEVER


9
Over the past 12 months... 45. How often did you eat salad dressing (including
low-fat) on salads or other vegetables?
43. Did you eat summer squash (include yellow and
green squash)?
NEVER

YES 1 time per month 5–6 times per week
43a. How often did you eat summer squash WHEN
IN SEASON (include yellow and green squash)?
46. How often did you eat sweet potatoes or yams?
NEVER
NEVER

7–11 times per season 3–4 times per week 1–6 times per year
2 times per week
1 time per week 2 or more times 2–3 times per month 1 time per day
per day 1 time per week 2 or more times per day
43b. How often did you eat summer squash

DURING THE REST OF THE YEAR (include 47. How often did you eat French fries, home fries,
yellow and green squash)? hash browned potatoes, or tater tots?
NEVER NEVER
1 time per week 2 or more times 1 time per week 2 or more times per day
per day
48. How often did you eat potato salad?

44. How often did you eat lettuce salads (with or without
other vegetables)? NEVER
NEVER (GO TO QUESTION 45) 1–6 times per year 2 times per week
49. How often did you eat baked, boiled, or mashed
44a. How often were the lettuce salads you ate made potatoes?
with dark green leaves?
NEVER
About 1/4 of the time 1–6 times per year 2 times per week
About 1/2 of the time 7–11 times per year 3–4 times per week
244004 - 5/6
About 3/4 of the time 1 time per month 5–6 times per week
Almost always or always 2–3 times per month 1 time per day

10
Over the past 12 months... 55. How often did you eat tortillas or tacos?
50. How often did you eat salsa? NEVER (GO TO QUESTION 56)

1 time per week 2 or more times per day 55a. How often were your tortillas or tacos corn
tortillas or tacos?
51. How often did you eat catsup? Almost never or never
NEVER About 1/2 of the time
1–6 times per year 2 times per week Almost always or always
2–3 times per month 1 time per day 56. How often did you eat cooked dried beans (such as
1 time per week 2 or more times per day baked beans, pintos, kidney, blackeyed peas, lima,
lentils, soybeans, or refried beans)? (Please don’t
include bean soups or chili.)
52. How often did you eat pickles or pickled
vegetables? NEVER
NEVER
2 times per week 1 time per month 5–6 times per week
3/8" SPINE PERF
57. How often did you eat other kinds of vegetables?
53. How often did you eat stuffing, dressing, or NEVER

dumplings?
1 time per week 2 or more times per day 58. How often did you eat rice or other cooked
grains (such as bulgur, cracked wheat, or millet)?
54. How often did you eat chili? NEVER (GO TO QUESTION 59)


11
Over the past 12 months... 62. How often did you eat pasta salad or macaroni
salad?
58a. How often was the rice or other cooked
grains you ate brown rice, cracked wheat, NEVER
or millet?
Almost never or never 7–11 times per year 3–4 times per week
About 1/2 of the time 2–3 times per month 1 time per day
About 3/4 of the time 1 time per week 2 or more times per day
63. Other than the pastas listed in Questions 60, 61, and
59. How often did you eat pancakes, waffles, or French 62, how often did you eat pasta, spaghetti, or other
toast? noodles?
NEVER (GO TO QUESTION 60) NEVER (GO TO QUESTION 64)
1 time per week 2 or more times per day 1 time per week 2 or more times per day
59a. How often was syrup added to your

63a. How often did you eat your pasta, spaghetti, or
pancakes, waffles, or French toast?
other noodles with tomato sauce or spaghetti
sauce made WITH meat?
About 1/4 of the time Almost never or never
About 1/2 of the time About 1/4 of the time
Almost always or always About 3/4 of the time
60. How often did you eat lasagna, stuffed shells, 63b. How often did you eat your pasta, spaghetti, or
stuffed manicotti, ravioli, or tortellini? (Please do other noodles with tomato sauce or spaghetti
not include spaghetti or other pasta.) sauce made WITHOUT meat?

1–6 times per year 2 times per week About 1/2 of the time
7–11 times per year 3–4 times per week About 3/4 of the time
1 time per month 5–6 times per week Almost always or always
1 time per week 2 or more times per day 63c. How often did you eat your pasta, spaghetti, or
other noodles with margarine, butter, oil, or
cream sauce?
61. How often did you eat macaroni and cheese?
7–11 times per year 3–4 times per week Almost always or always
244004 - 6/6

12
Over the past 12 months... 67. How often did you eat jam, jelly, or honey on
bagels, muffins, bread, rolls, or crackers?
64. How often did you eat bagels or English muffins?
NEVER
NEVER
1–6 times per year 2 times per week 7–11 times per year 3–4 times per week
2–3 times per month 1 time per day 1 time per week 2 or more times per day
68. How often did you eat peanut butter or other

The next questions ask about your intake of breads nut butter?
other than bagels or English muffins. First, we will ask
about bread you ate as part of sandwiches only. Then NEVER
we will ask about all other bread you ate.
65. How often did you eat breads or rolls AS PART OF 7–11 times per year 3–4 times per week
SANDWICHES (including burger and hot dog rolls)? 1 time per month 5–6 times per week
NEVER (GO TO QUESTION 66) 1 time per week 2 or more times per day

7–11 times per year 3–4 times per week 69. How often did you eat roast beef or steak IN
1 time per month 5–6 times per week SANDWICHES?
1 time per week 2 or more times per day NEVER
65a. How often were the breads or rolls that you used 1–6 times per year 2 times per week
for your sandwiches white bread (including 7–11 times per year 3–4 times per week
burger and hot dog rolls)? 1 time per month 5–6 times per week
Almost never or never 1 time per week 2 or more times per day
About 3/4 of the time 70. How often did you eat turkey or chicken COLD
Almost always or always CUTS (such as loaf, luncheon meat, turkey ham,
turkey salami, or turkey pastrami)? (We will ask
about other turkey or chicken later.)
66. How often did you eat breads or dinner rolls, NOT
AS PART OF SANDWICHES? NEVER
71. How often did you eat luncheon or deli-style ham?
66a. How often were the breads or rolls you ate (We will ask about other ham later.)
white bread?
About 1/4 of the time 1–6 times per year 2 times per week
Almost always or always 2–3 times per month 1 time per day
13
Over the past 12 months... 75. How often did you eat beef hamburgers or
cheeseburgers?
71a. How often was the luncheon or deli-style ham
you ate light, low-fat, or fat-free? NEVER (GO TO QUESTION 76)
Almost never or never 1–6 times per year 2 times per week
Almost always or always 1 time per week 2 or more times per day
75a. How often were the beef hamburgers or

72. How often did you eat other cold cuts or luncheon cheeseburgers you ate made with lean ground
meats (such as bologna, salami, corned beef, beef?
pastrami, or others, including low-fat)? (Please do not
include ham, turkey, or chicken cold cuts.) Almost never or never
NEVER (GO TO QUESTION 73) About 1/2 of the time
2–3 times per month 1 time per day 76. How often did you eat ground beef in mixtures
1 time per week 2 or more times per day (such as meatballs, casseroles, chili, or meatloaf)?
72a. How often were the other cold cuts or luncheon NEVER
meats you ate light, low-fat, or fat-free?
(Please do not include ham, turkey, or chicken 1–6 times per year 2 times per week
cold cuts.) 7–11 times per year 3–4 times per week
Almost never or never 2–3 times per month 1 time per day
3/8" SPINE PERF

About 1/4 of the time 1 time per week 2 or more times per day
Almost always or always 77. How often did you eat hot dogs or frankfurters?
(Please do not include sausages or vegetarian
hot dogs.)
73. How often did you eat canned tuna (including in
salads, sandwiches, or casseroles)? NEVER (GO TO QUESTION 78)

1 time per week 2 or more times per day 77a. How often were the hot dogs or frankfurters you
ate light or low-fat hot dogs?
74. How often did you eat GROUND chicken or turkey? Almost never or never
(We will ask about other chicken and turkey later.) About 1/4 of the time

14
Over the past 12 months... 82. How often did you eat roast turkey, turkey cutlets,
or turkey nuggets (including in sandwiches)?
78. How often did you eat beef mixtures such as beef
stew, beef pot pie, beef and noodles, or beef NEVER
and vegetables?
1 time per week 2 or more times per day 83. How often did you eat chicken as part of
salads, sandwiches, casseroles, stews, or
other mixtures?
79. How often did you eat roast beef or pot roast?
(Please do not include roast beef or pot roast in NEVER
sandwiches.)
1 time per week 2 or more times per day 84. How often did you eat baked, broiled, roasted,
stewed, or fried chicken (including nuggets)?
(Please do not include chicken in mixtures.)
80. How often did you eat steak (beef)? (Do not include
steak in sandwiches) NEVER (GO TO QUESTION 85)
1 time per week 2 or more times per day 84a. How often was the chicken you ate fried
chicken (including deep fried) or chicken
80a. How often was the steak you ate lean steak? nuggets?
Almost never or never Almost never or never
Almost always or always Almost always or always
84b. How often was the chicken you ate WHITE

81. How often did you eat pork or beef spareribs? meat?

15
Over the past 12 months... 89. How often did you eat bacon (including low-fat)?
84c. How often did you eat chicken WITH skin? NEVER (GO TO QUESTION 90)
89a. How often was the bacon you ate light, low-fat,
85. How often did you eat baked ham or ham steak? or lean bacon?

90. How often did you eat sausage (including low-fat)?
86. How often did you eat pork (including chops, roasts,
and in mixed dishes)? (Please do not include ham, 1–6 times per year 2 times per week
ham steak, or sausage.) 7–11 times per year 3–4 times per week
NEVER 2–3 times per month 1 time per day
7–11 times per year 3–4 times per week 90a. How often was the sausage you ate light,
1 time per month 5–6 times per week low-fat, or lean sausage?
3/8" SPINE PERF

1 time per week 2 or more times per day Almost never or never
87. How often did you eat gravy on meat, chicken, About 3/4 of the time
potatoes, rice, etc.? Almost always or always
NEVER
91. How often did you eat smoked fish or seafood (such
as smoked salmon, lox, or others)?
2 times per week
7–11 times per year 3–4 times per week NEVER
1 time per week 2 or more times per day 7–11 times per year 3–4 times per week
88. How often did you eat liver (all kinds) or liverwurst? 1 time per week 2 or more times per day
NEVER
92. How often did you eat sushi?
7–11 times per year 3–4 times per week NEVER (GO TO QUESTION 93)

16
Over the past 12 months... 97. Over the past 12 months, did you eat soups?
92a. How often did the sushi you ate contain raw NO (GO TO QUESTION 98)
fish or seafood (including shellfish)?
YES
About 1/2 of the time 97a. How often did you eat soup DURING THE
About 3/4 of the time WINTER?
NEVER
93. How often did you eat raw oysters, raw clams, or 1–6 times per winter 2 times per week
other raw fish (not including raw fish in sushi)? 7–11 times per winter 3–4 times per week
1–6 times per year 2 times per week per day
1 time per month 5–6 times per week 97b. How often did you eat soup DURING THE
2–3 times per month 1 time per day REST OF THE YEAR?
NEVER
94. How often did you eat fish sticks or fried fish 1–6 times per year 2 times per week
(including fried seafood or shellfish)? 7–11 times per year 3–4 times per week
1–6 times per year 2 times per week per day
1 time per month 5–6 times per week 97c. How often were the soups you ate bean soups?
1 time per week 2 or more times per day Almost never or never
95. How often did you eat all other fish or seafood About 3/4 of the time
(including shellfish) that was NOT FRIED, SMOKED, Almost always or always
or RAW ?
97d. How often were the soups you ate cream
NEVER soups (including chowders)?
1–6 times per year 2 times per week Almost never or never
1 time per month 5–6 times per week About 1/2 of the time
2–3 times per month 1 time per day About 3/4 of the time
1 time per week 2 or more times per day Almost always or always
97e. How often were the soups you ate tomato or

96. How often did you eat tofu, soy burgers, or soy vegetable soups?
meat-substitutes?
7–11 times per year 3–4 times per week Almost always or always

17
Over the past 12 months... 102. How often did you eat potato chips (including
low-fat, fat-free, or low-salt)?
97f. How often were the soups you ate broth soups
(including chicken) with or without noodles or rice? NEVER (GO TO QUESTION 103)
About 1/4
of the time 7–11 times per year 3–4 times per week
102a. How often were the potato chips you ate

98. How often did you eat pizza?
low-fat or fat-free chips?
2–3 times per month 1 time per day Almost always or always
98a. How often did you eat pizza with pepperoni,

103. How often did you eat tortilla chips or corn chips
sausage, or other meat?
(including low-fat, fat-free, or low-salt)?


Almost always or always 1 time per month 5–6 times per week
3/8" SPINE PERF

99. How often did you eat crackers?
103a. How often were the tortilla or corn chips you
NEVER ate low-fat or fat-free chips?
1–6 times per year 2 times per week Almost never or never
2–3 times per month 1 time per day About 3/4 of the time
1 time per week 2 or more times per day Almost always or always
100. How often did you eat corn bread or corn muffins? 104. How often did you eat popcorn (including low-fat)?
NEVER NEVER
101. How often did you eat biscuits? 105. How often did you eat pretzels?
NEVER NEVER
18
Over the past 12 months... 110a. How often was the cheese you ate light or
low-fat cheese?
106. How often did you eat peanuts, walnuts, seeds,
or other nuts? Almost never or never
111. How often did you eat frozen yogurt, sorbet, or
ices (including low-fat or fat-free)?
NEVER
107. How often did you eat granola bars? 1–6 times per year 2 times per week
2–3 times per month 1 time per day 112. How often did you eat ice cream, ice cream bars, or
1 time per week 2 or more times per day sherbet (including low-fat or fat-free)?

108. How often did you eat yogurt (NOT including
frozen yogurt)? 1–6 times per year 2 times per week
1 time per month 5–6 times per week 112a. How often was the ice cream you ate light,
2–3 times per month 1 time per day low-fat, or fat-free ice cream or sherbet?
109. How often did you eat cottage cheese About 1/2 of the time
(including low-fat)? About 3/4 of the time
NEVER
113. How often did you eat pudding or custard?
110. How often did you eat cheese (including low-fat; 1 time per week 2 or more times per day
including on cheeseburgers or in sandwiches or subs)?
NEVER (GO TO QUESTION 111) 114. How often did you eat cake (including low-fat or
fat-free)?
Question 111 appears in the next column. 1 time per week 2 or more times per day
19
Over the past 12 months... 119a. How often was the pie you ate fruit pie (such
as apple, cherry, peach, blueberry, or others)?
115. How often did you eat cookies or brownies
(including low-fat or fat-free)? Almost never or never
2–3 times per month 1 time per day 120. How often did you eat chocolate candy?
NEVER
116. How often did you eat doughnuts, sweet rolls, 1–6 times per year 2 times per week
Danish, or pop-tarts? 7–11 times per year 3–4 times per week
1 time per month 5–6 times per week 121. How often did you eat other candy?
1 time per week 2 or more times per day NEVER

117. How often did you eat sweet muffins or 7–11 times per year 3–4 times per week
dessert breads (including low-fat or fat-free)? 1 time per month 5–6 times per week
NEVER 1 time per week 2 or more times per day
3/8" SPINE PERF

7–11 times per year 3–4 times per week 122. How often did you eat eggs, egg whites, or egg
1 time per month 5–6 times per week substitutes (NOT counting eggs in baked goods and
2–3 times per month 1 time per day desserts)? (Please include eggs in salads, quiche,
1 time per week 2 or more times per day and souffles.)

118. How often did you eat fruit crisp, cobbler, or
strudel? 1–6 times per year 2 times per week
1 time per month 5–6 times per week 122a. How often were the eggs you ate egg
2–3 times per month 1 time per day substitutes?
119. How often did you eat pie? About 1/2 of the time
NEVER (GO TO QUESTION 120) Almost always or always

20
Over the past 12 months... 124a. How often was the iced tea you drank
decaffeinated or herbal tea?
122b. How often were the eggs you ate egg
whites only? Almost never or never
Almost never or never About 1/2 of the time
About 1/2 of the time Almost always or always
125. How many cups of HOT tea, caffeinated or
122c. How often were the eggs you ate regular decaffeinated, did you drink?
whole eggs?
NONE (GO TO QUESTION 126)
About 1/4 of the time Less than 1 cup per 5–6 cups per week
About 1/2 of the time month 1 cup per day
About 3/4 of the time 1–3 cups per month 2–3 cups per day
Almost always or always 1 cup per week 4–5 cups per day
2–4 cups per week 6 or more cups per day
122d. How often were the eggs you ate part of egg
salad? 125a. How often was the hot tea you drank
decaffeinated or herbal tea?
About 1/4 of the time Almost never or never
Almost always or always About 3/4 of the time
123. How many cups of coffee, caffeinated or
decaffeinated, did you drink?
126. How often did you add sugar or honey to your
NONE (GO TO QUESTION 124) coffee or tea?
Less than 1 cup per 5–6 cups per week NEVER

month 1 cup per day
1–3 cups per month 2–3 cups per day Less than 1 time per 5–6 times per week
1 cup per week 4–5 cups per day month 1 time per day
2–4 cups per week 6 or more cups per day 1–3 times per month 2–3 times per day
1 time per week 4–5 times per day
123a. How often was the coffee you drank 2–4 times per week 6 or more times per day
decaffeinated?
Almost never or never 127. How often did you add artificial sweetener to
About 1/4 of the time your coffee or tea?
About 3/4 of the time NEVER
Less than 1 time per 5–6 times per week
month 1 time per day
124. How many glasses of ICED tea, caffeinated or
decaffeinated, did you drink?
NONE (GO TO QUESTION 125) 2–4 times per week 6 or more times per day
Less than 1 cup per 5–6 cups per week

month 1 cup per day
1–3 cups per month 2–3 cups per day
1 cup per week 4–5 cups per day
2–4 cups per week 6 or more cups per day

21
Over the past 12 months... 131. How often was sugar or honey added to foods you
ate? (Please do not include sugar in coffee, tea,
128. How often was non-dairy creamer added to your other beverages, or baked goods.)
coffee or tea?
NEVER
Less than 1 time per 5–6 times per week 7–11 times per year 3–4 times per week
month 1 time per day 1 time per month 5–6 times per week
1–3 times per month 2–3 times per day 2–3 times per month 1 time per day
1 time per week 4–5 times per day 1 time per week 2 or more times per day
128a. What kind of non-dairy creamer did you 132. How often did you eat margarine on breads, bagels,
usually use? English muffins, other muffins, pancakes, or waffles?
Regular powdered NEVER (GO TO QUESTION 133)

Low-fat or fat-free powdered
Regular liquid 1–6 times per year 2 times per week
Low-fat or fat-free liquid 7–11 times per year 3–4 times per week
129. How often was cream or half and half added to 1 time per week 2 or more times per day
your coffee or tea?
132a. How often was the margarine you ate on
NEVER these breads low-fat or fat-free?
Less than 1 time per 5–6 times per week Almost never or never
month 1 time per day About 1/4 of the time
1–3 times per month 2–3 times per day About 1/2 of the time
3/8" SPINE PERF

2–4 times per week 6 or more times per day Almost always or always
130. How often was milk added to your coffee or tea? 133. How often did you eat butter on breads, bagels,
English muffins, other muffins, pancakes, or waffles?
Less than 1 time per 5–6 times per week
month 1 time per day 1–6 times per year 2 times per week
1–3 times per month 2–3 times per day 7–11 times per year 3–4 times per week
1 time per week 4–5 times per day 1 time per month 5–6 times per week
2–4 times per week 6 or more times per day 2–3 times per month 1 time per day
130a. What kind of milk was usually added to
your coffee or tea? 133a. How often was the butter you ate on these
breads low-fat or fat-free?
Whole milk
2% milk Almost never or never
1% milk About 1/4 of the time
Skim, nonfat, or 1/2%

milk About 1/2 of the time
Evaporated or condensed (canned) milk About 3/4 of the time
Soy milk Almost always or always

Rice milk
Raw, unpasteurized milk
Other
22
Over the past 12 months... 136. How often did you eat mayonnaise as a spread or as
part of food mixtures?
134. How often did you eat margarine on potatoes,
cooked vegetables, rice, grains, or beans? NEVER (GO TO QUESTION 137)
1 time per week 2 or more times per day 136a. How often was the mayonnaise you ate low-fat
or fat-free?
134a. How often was the margarine you ate on these
cooked potatoes, cooked vegetables, rice, Almost never or never
grains, or beans low-fat or fat-free? About 1/4 of the time
Almost never or never About 3/4 of the time
About 1/4 of the time Almost always or always

Almost always or always 137. How often did you eat cream cheese?

135. How often did you eat butter on potatoes, cooked
vegetables, rice, grains, or beans? 1–6 times per year 2 times per week
NEVER (GO TO QUESTION 136) 1 time per month 5–6 times per week
1 time per month 5–6 times per week 137a. How often was the cream cheese you ate
2–3 times per month 1 time per day low-fat or fat-free?
135a. How often was the butter you ate on these About 1/4 of the time
cooked potatoes, cooked vegetables, rice, About 1/2 of the time
grains, or beans low-fat or fat-free? About 3/4 of the time

23
Over the past 12 months... 139. How often did you eat foods with oils added or with
oils used in cooking (do not include baked goods or
138. How often did you eat sour cream? salads)?
NEVER (GO TO QUESTION 139) NEVER

1 time per month
2–3 times per month
1 time per day
1 time per week
2 or more times per day 1 time per week 2 or more times per day
138a. How often was the sour cream you ate low-fat 139a. What kind of oils do you usually eat?
or fat-free? (Mark all that apply.)

Olive
Corn
Canola/rapeseed
Other
Thank you very much for completing this questionnaire! Because we want to be
3/8" SPINE PERF

able to use all the information you have provided, we would greatly appreciate it
if you would please take a moment to review each page making sure that you:
• Did not skip any pages,

• Completely blackened-in each answer, and
• Completely erased any changes you may have made.
If found, please return to:
Janice Hall
Westat
1650 Research Blvd
Rockville, MD 20850
DE by NCS Pearson 244004-4 U.S. GOVERNMENT PRINTING OFFICE:2004–715-759
24

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NHANES Food Questionnaire

More than one member of your household

Please make sure this is your booklet

PLEASE DO NOT WRITE IN THIS AREA

NEVER Almost never or never

NEVER NEVER (GO TO QUESTION 8)

7a. What kind of milk did you usually drink?

5. How often did you drink other 100% fruit juice or

1 time per month or less 1 time per day CODE

Question 8 appears on the next page.

Almost never or never

NO (GO TO QUESTION 14) Almost never or never

About 1/4 of the time

YES About 1/2 of the time

About 3/4 of the time

Almost always or always

NEVER NO (GO TO QUESTION 15)

1–6 times per winter 2 times per week YES

YEAR? Soy milk

NEVER Raw, unpasteurized milk

1–6 times per year 2 times per week

2–3 times per month 1 time per day

1–6 times per year 2 times per week

Question 15 appears in the next column. 1 time per week

19. How often did you eat pineapple?

NO (GO TO QUESTION 24)

NO (GO TO QUESTION 22)

NO (GO TO QUESTION 25) NEVER

YES 1–6 times per year 2 times per week

1 time per week 2 or more times per day

Question 26 appears in the next column.

NO (GO TO QUESTION 36)

1–6 times per year

1–6 times per year

Question 36 appears on the next page.

1 time per month 5–6 times per week

NEVER 1–6 times per year 2 times per week

1–6 times per year 2 times per week

Question 43 appears on the next page.

NO (GO TO QUESTION 44)

1–6 times per season 2 times per week

43b. How often did you eat summer squash

48. How often did you eat potato salad?

Question 45 appears in the next column.

NEVER 1–6 times per year 2 times per week

53. How often did you eat stuffing, dressing, or NEVER

NEVER 1–6 times per year 2 times per week

Question 59 appears on the next page.

NEVER (GO TO QUESTION 60) NEVER (GO TO QUESTION 64)

59a. How often was syrup added to your

NEVER Almost never or never

Question 64 appears on the next page.

68. How often did you eat peanut butter or other

1–6 times per year 2 times per week

75a. How often were the beef hamburgers or

3/8" SPINE PERF

NEVER 1–6 times per year 2 times per week

Question 78 appears on the next page.

Almost never or never Almost never or never

DE by NCS Pearson 244004-4 U.S. GOVERNMENT PRINTING OFFICE:2004–715-759