FOOD FREQUENCY QUESTIONNAIRE (Urban)

Name: Study Code ID:

Insert Study Code ID label here

CEREALS Portion

size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year /

Never

Idlis No

Urud vada No

Plain dosa, uttappam etc. No

Masala Dosa No

Roti, pulkhas No

Chapathi, parathas etc. No

Poori, bhatura No

Uppuma, all types Bowl

Ragi ball Ball

Porridge Bowl

Corn flakes, cereal flakes etc. Bowl

Plain cooked polished rice Bowl

Plain cooked unpolished rice Bowl

Avalakki Bowl

Lime rice, veg pulao, puliyogre etc. Bowl

Bisibile bath, khichidi Bowl

Non-vegetarian fried rice, biriyani Bowl

Veg noodles, macroni, pasta, etc Bowl

Non-veg noodles, macroni, pasta etc. Bowl

Bread slices, toast, rolls, buns etc. Slice/no

Pizza, Burgers No

LENTILS / DHALS / GRAVIES Portion

size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year /

Never

Rasam Bowl

Sambar Bowl

Dhal Bowl

Channa, rajma, dry peas etc. curry Bowl

Mixed Vegetable kurma Bowl

Green leafy vegetable curry Bowl

Paneer gravy Bowl

CHUTNEYS Portion

size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year /

Never

Coconut chutney Tbsp

Groundnut chutney Tbsp

Tomato chutney Tbsp

Chutney powder Tbsp

SOUPS / SALADS / OTHERS Portion

size

Average

consumption Per

day

Per

week

Per

Month

Per year /

Never

Cream soup (veg or non-veg) Bowl

Clear soup Bowl

Fresh vegetable salad Tbsp

Raw carrots No

Vegetable raitha Tbsp

Pickle Tsp

Papad fried, sandige, vathal etc. No

Papad roasted No

NON – VEGETARIAN / EGGS Portion

size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year /

Never

Lamb, beef, pork – fry Tbsp

Lamb, beef, pork – cutlet No

Lamb, beef, pork - curry Bowl

Liver, brain, kidney etc. Tbsp

Chicken – curry Bowl

Chicken fry – roasted, grilled No

Fish – fry No

Fish – cutlet No

Fish - curry Bowl

Prawn, crab, shell fish etc. Tbsp

Dried fish, dried seafood Tbsp

Egg - boiled, poached No

Egg - fried, scrambled No

Egg gravy Bowl

Egg omelette No

Non-veg rolls No

Ham, salami, bacon etc. Slices

Sausages No

Non-veg kebab No

SNACKS Portion

size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year /

Never

Mixture, namkeen Tbsp

Nuts Tbsp

Murukku ,chakkli No

Chips, french fries Bowl

Masala vada No

Samosa, bajji , bonda No

Chaat Bowl

Veg & non-veg puff No

Roasted or boiled corn No

Biscuits (salted) No

Biscuits (sweet, creamed, etc) No

DESSERTS / SWEETS Portion

Size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year /

Never

Cakes or sweet pastries No

Puddings, souffle , custard Bowl

Payasam, kheer Bowl

Ice cream Bowl

Kesari bath Tbsp

Jamoon, jilebi, jangir etc. No

Mysore pak, ladoo, etc. No

Others, specify________________ No

Indian milk sweet No

Chocolate pieces Bar

Candy No

BEVERAGES & MILK Portion

size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year /

Never

Plain milk Glass

Flavored Milk (bournvita, Horlicks) Glass

Curd, yoghurt Bowl

Buttermilk Glass

Tea Glass

Coffee Glass

Fresh fruit juice Glass

Soft drink, others etc. Bottle

Beer Glass

Wine Glass

Spirits (rum, whiskey etc.) 30 ml

MISCELLANEOUS Portion

size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year /

Never

Butter/ cream Tsp

Ghee Tsp

Jam Tsp

Sugar Tsp

Cheese Cube

Ketchup, tomato sauce Tbsp

Added salt Tsp

FRUIT Portionsiz

e

Average

consumption

Per

Day

Per

Week

Per

Month

Per year

/ Never

Seasonal

Banana No

Apple (S = 3 mo.) No

Orange (S = 4 mo.) No

Sweet lime (S = 4 mo.) No

Mango (S = 4 mo.) No

Guava No

Grapes Bowl

Pineapple Slice

Papaya Slice

Pomegranate (S = 3.5 mo.) No

Custard apple (S = 3 mo.) No

Sapota or Chikoo No

Watermelon (S = 3 mo.) Bowl

Jackfruit No

Fruit salad Bowl

Dried fruits

Tbsp

VEGETABLES Portionsiz

e

Average

consumption

Per

Day

Per

Week

Per

Month

Per year

/ Never

Seasonal

Palak, methi, other leafy vegetables Tbsp

Potato masala Tbsp

Carrot Tbsp

Beetroot, raddish, yam, etc. Tbsp

Cabbage Tbsp

Beans, cluster beans Tbsp

Ladiesfinger Tbsp

Cauliflower (S = 3 mo.) Tbsp

Chowchow, pumpkin, gourds, etc. Tbsp

Capsicum or green pepper Tbsp

Drumstick (S = 3 mo.) Pieces

Brinjal Tbsp

Mushrooms Tbsp

Fresh peas (S = 3 mo.) Tbsp

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. No. 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?

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)

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) No. / 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 Average at what time do you consume the following meals:

Main Morning meal Afternoon meal Main Evening / Night

meal

Time at which person

goes to sleep

FOOD FREQUENCY QUESTIONNAIRE (Rural)

Name: Study Code ID:

Insert Study Code ID label here

CEREALS Portion

size Average

consumpti

on

Per

Day

Per

Week

Per

Mont

h

PerYear

/ Never

Seasonal

Plain Polished Rice Bowl

Plain Unpolished Rice Bowl

Ragi balls Ball

Ragi balls (mixed with rice) Ball

Kanji (rice) Bowl

Idli No

Dosa No

Uppma Bowl

Lime rice, tomato rice, pulav etc. Bowl

Chapathi No

Poori No

Non-Veg biryani Bowl

Bread, bun No

LENTILS / DHALS / GRAVIES Portion

Size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year

/ Never

Seasonal

Plain Thur dhal Sambar Ladle

Thur dhal Sambar with potato Ladle

Thur dhal Sambar with Drumstick/cabbage Ladle

Thur dhal Sambar with other vegetables Ladle

Other dhals sambar (plain) Ladle

Other dhal sambar with vegetables Ladle

Green leafy vegetable sambar Ladle

Tomato rasam Ladle

Tamrind rasam Ladle

Vegetable Sambar Ladle

Wholegram curry (channa, avarekai) Ladle

CHUTNEYS / OTHERS Portion

Size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year

/ Never

Seasonal

Coconut chutney Tbsp

Groundnut chutney Tbsp

Tamarind chutney Tbsp

Tomato chutney Tbsp

Vegetable raitha Tbsp

Pickle Tbsp

Papad Applam, sandige, vathal etc. No

NON – VEGETARIAN Portion

Size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year

/ Never

Seasonal

Mutton, pork curry Ladle

Mutton, pork Fry No

Beef curry Ladle

NON – VEGETARIAN Portion

Size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year

/ Never

Seasonal

Beef fry No

Chicken Curry Ladle

Chicken fry No

Fish curry Ladle

Fish Fry No

Liver, brain kidney Tbsp

Egg (boiled, omlette etc) No

SNACKS Portion

Size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year

/ Never

Seasonal

Mixture, Khara Bondhi Tbsp

Nuts Tbsp

Murukku ,chakkli No

Vada No

Bajji, bonda etc. No

Roasted / Boiled Corn No

Salt biscuits No

Sweet biscuits No

DESSERTS / SWEETS Portion

Size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year

/ Never

Seasonal

Payasam , kheer etc. Bowl

Mysore pak, Ladoo etc No

Kesari bath Tbsp

Obbattu No

Jangir, jilebi, jamoon, badashah etc. No

Karjikai, suggilu , kajjayya etc. No

Chocolates, Candy No

BEVERAGES & MILK Portion

Size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year

/ Never

Seasonal

Plain milk Glass

Flavored Milk (bournvita, Horlicks) Glass

Curd Bowl

Buttermilk Glass

Tea Glass Coffee Glass

Coconut water Glass

Lime juice Glass

Other fresh juices Glass

Pepsi, fanta, thumbs up etc. Bottle Beer Glass Spirits (rum, whiskey, arrack etc.) 30 ml

Local arrack (kallu , toddy) Glass

MISCELLANEOUS Portion

Size Average

consumpti

on

Per

Day

Per

Week

Per

Month

Per Year

/ Never

Seasonal

Butter/ cream Tsp

Ghee Tsp

Sugar Tsp

Jaggery Tsp

Added salt Tsp

FRUIT Portion size

Average

consumption

Per

Day

Per

Week

Per

Month

Peryear

/ Never

Seasonal

Banana No

Apple (S = 3 mo.) No

Orange (S = 4 mo.) No

Sweet lime (S = 4 mo.) No

Mango (S = 4 mo.) No

Guava No

Grapes (S = 3 mo.) Bowl

Pineapple Slice

Papaya Slice

Pomegranate (S = 3.5 mo.) No

Custard apple (S = 3 mo.) No

Sapota or Chikoo No

Watermelon (S = 3 mo.) Bowl

Jackfruit No

Sugarcane No.

Dried fruits Tbsp

VEGETABLES Portionsiz

e

Average

consumption

Per

Day

Per

Week

Per

Month

Peryear

/ Never

Seasonal

Green leafy vegetable palya Tbsp

Potato palya Tbsp

Carrot palya Tbsp

Beetroot, raddish, yam palya Tbsp

Cabbage Palya Tbsp

Beans palya Tbsp

Ladiesfinger palya Tbsp

Cauliflower palya (S = 3 mo.) Tbsp

Pumpkin, Gourds etc. Tbsp

Drumstick palya Tbsp

Brinjal palya Tbsp

Mushrooms palya Tbsp

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. No. 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?

Tick

Here

Type Weekly (ml) Monthly(kg) Yearly(kg) Total

Quantity(kg)

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

12. What type of milk do you regularly consume? (Whole milk = 1, Skimmed Milk =2 , Toned milk = 3,

Skimmed milk powder = 4) 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 meal = 3 , >3meals = 4)

17. Do you consume any vitamin or mineral supplement at least once a week?

Brand name / Type Dosage(mg) No. / 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)

21. On Average at what time do you consume the following meals:

Main Morning meal Afternoon meal Main Evening /

Night meal

Time at which you

go to sleep