Please circle the relevant
answer.
| Diet
Profile |
|
Grains
|
|
1
|
What kind of bread do you use?
|
|
Whole Grain
|
White
|
|
|
|
|
2
|
How many slices of bread or
dinner rolls you use daily?
|
0
|
1
|
2
|
3
|
4
|
>5
|
|
3
|
How often do you have cereal
a week?
|
Never
|
1
|
2
|
3
|
4
|
>5
|
|
4
|
How often do you have pancakes?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
|
5
|
How often do you have noodles
a week?
|
Never
|
1
|
2
|
3
|
4
|
>5
|
|
6
|
How often do you eat rice a
week?
|
Never
|
1
|
2
|
3
|
4
|
>5
|
|
Protein
|
|
7
|
Are you a vegetarian?
|
|
yes
|
no
|
|
|
|
|
8
|
How often do you eat tofu?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
|
9
|
How often do you eat legumes?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
|
Meat
|
|
If you are a vegetarian, skip
the next 4 questions
|
|
10
|
How often do you eat pork a
week?
|
Never
|
1
|
2
|
3
|
4
|
>5
|
|
11
|
How often do you eat beef a
week?
|
Never
|
1
|
2
|
3
|
4
|
>5
|
|
12
|
How often do you eat chicken
a week?
|
Never
|
1
|
2
|
3
|
4
|
>5
|
|
13
|
How often do you eat fish a
week?
|
Never
|
1
|
2
|
3
|
4
|
>5
|
|
Fruits |
|
14
|
How many fresh fruits do you
eat daily?
|
0
|
1
|
2
|
3
|
4
|
>5
|
|
15
|
How many glasses of fruit juice
do you drink per day?
|
0
|
1
|
2
|
3
|
4
|
>5
|
|
16
|
How often do you eat oranges?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
|
Vegetables
|
|
17
|
How many servings of cooked
vegetables (1/2 cup) do you eat daily?
|
0
|
1
|
2
|
3
|
4
|
>5
|
|
18
|
How often do you take green
leafy vegetables (not salad)?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
|
19
|
How often do you take salad?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
|
Beverages
|
|
20
|
How many cups of coffee do you
drink a day?
|
0
|
1
|
2
|
3
|
4
|
>5
|
| 21 |
How many cups of tea do you drink
a day? |
0
|
1
|
2
|
3
|
4
|
>5
|
| 22 |
How many tea spoon of sugar you
add for your tea or coffee? |
0
|
1
|
2
|
3
|
4
|
>5
|
| 23 |
How many cola drinks do you drink
a week? |
0
|
1-2
|
3-4
|
5-6
|
7-8
|
>9
|
| 24 |
How many soft drinks do you drink
a week? |
0
|
1-2
|
3-4
|
5-6
|
7-8
|
>9
|
| 25 |
How many alcoholic beverages do
you take a week? |
0
|
1-2
|
3-4
|
5-6
|
7-8
|
>9
|
| |
Desserts |
| 26 |
How often do you take cakes/pies/cookies?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
| 27 |
How often do you take ice cream/shakes?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
| 28 |
How often do you take candies or sweets?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
| |
Dairy Products |
| 29
|
How many cups of milk do you drink a day?
|
0
|
1
|
2
|
3
|
4
|
>5
|
| 30
|
How often do you take cheese?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
| 31
|
How often do you take yogurt?
|
Never
|
1 time per month
|
1 time every 2 weeks
|
1 time per week
|
2 times per week
|
daily
|
| |
Lifestyle |
| 32 |
How often do you dine out?
|
0
|
1
|
2
|
3
|
4
|
>5
|
| 33 |
How often do you dine in a fast food restaurant?
|
0
|
1
|
2
|
3
|
4
|
>5
|
| 34 |
How often do you dine in a hawker center or Food Junction?
|
0
|
1
|
2
|
3
|
4
|
>5
|
| 35 |
Do you add salt or soy sauce at the table?
|
|
yes
|
no
|
|
|
|
