pr40 - Washingtonians Dietary Behaviors and Perceptions of...

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Washingtonians’ Dietary Behaviors and Perceptions of Healthy Eating and Drinking Case #: __________________ Interviewer’s Name ____________________ Interviewee’s Phone Number ____________________ Hello, my name is _________________. I’m calling long distance from Washington State University. May I please speak to the adult in your household who has had the most recent birthday? If Yes → Re-start intro at ‘BIRTHDAY INTRODUCTION below when the person comes on the line. If No → Ask “Do you have time to answer some questions for me now?” If Yes → Continue to read introduction below. If No → Ask “When is good time for me to call back?” and type down the scheduled time. Introduction continued: We are conducting a study of Washingtonians’ eating habits and I have a few questions for you. We are not trying to sell anything, and most people finish this survey in 10 to 15 minutes. You may stop participating at any time and you don’t have to answer any question you don’t want to. This study has been approved by WSU’s Institutional Review Board. Is this a good time to begin the interview? Birthday Introduction: Hello, my name is _________________. I’m calling long distance from Washington State University. We are conducting a study of Washingtonians’ eating habits and I have a few questions for you. We are not trying to sell anything, and most people finish this survey in 10 to 15 minutes. You may stop participating at any time and you don’t have to answer any question you don’t want to. This study has been approved by WSU’s Institutional Review Board. Is this a good time to begin the interview?
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Eating/Drinking Habit s Instructions: We will begin by asking you questions about your eating habits and perceptions of healthy eating. Please answer the questions to the best of your ability. 1. Please indicate how often you include the following in your daily food intake by rating each item always, occasionally or rarely: a) Breakfast R Rarely R Occasionally R Always b) Low fat or nonfat dairy foods R Rarely R Occasionally R Always c) Sugar added beverages, excluding natural fruit juice R Rarely R Occasionally R Always d) Whole grain breads, cereals or pastas R Rarely R Occasionally R Always e) Desserts and sweets R Rarely R Occasionally R Always f) High protein (such as lean meat) R Rarely R Occasionally R Always g) Fruit and vegetables R Rarely R Occasionally R Always h) Water a Rarely R Occasionally R Always 2. How much do you currently care about eating healthy? a Not at All R A little R Neutral R Somewhat R Very Much 3. How concerned are you regarding your current eating habits? Please rate the following items using a 5-point scale; one meaning not at all concerned and five meaning very concerned. Not at All
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pr40 - Washingtonians Dietary Behaviors and Perceptions of...

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