Food Frequency Questionnaire - v.1.1

What is your year of birth?

1. What is your biological sex?

2. What is your current weight? (Kgr)

3. What is your current height? (cm)

4. How often, on average, are you outside for at least 15 minutes a day with your skin exposed to the sun? (Skin exposure can be as minimal as your arms and face, as in wearing a short-sleeved shirt without a jacket.)

5. Which best describes your daytime or occupational activity?

6. Which best describes your physical activity status (including walking, swimming, cycling, running, exercise classes, each session lasting more than 30 minutes)?

8. Beef, lamb, or veal–including steaks, roasts, hamburgers, meatloaf, meatballs, roast beef, and stews (4-6 oz.)

9. Pork (ham, bacon, etc.), chicken, turkey, and duck–including stews, chops, chicken salad, and turkey salad (4-6 oz.)

10. Seafood–including prawns, shrimp, lobster, crayfish, and crab (3-5 oz.)

11. Oily fish–including salmon (canned and fresh), trout, fresh tuna, mackerel, herring, sardines, swordfish, and bluefish (3-5 oz.)

12. Any fish not included in question 4–including canned tuna (3-5 oz.)

13. Sardines with bones, canned or fresh (3 oz.)

14. Meats, poultry, fish or vegetables that are smoked, barbecued, char grilled or cooked at high temperature for a long time (such as well done roast beef)

15. Eggs (1)–excluding eggs used in baking or as a part of a recipe

16. Processed meats–including hot dogs, sausages, salami, bologna, luncheon meats, Spam®, corned beef, processed chicken, and turkey slices (piece or slice)

17. Liver and kidney (beef, chicken, goose, lamb, or calf)–including cooked liver, as a pâté, or fois gras (3-4 oz.)

18. Giblets (turkey or chicken)–cooked or simmered (3-4 oz.)

19. Soy and soy products–including soy milk, soy yogurt, soy burgers/sausages, soy beans, tofu, and tempeh (3-5 oz.)

20. Legumes (fresh, dried, or canned beans)–including baked, black, fava, kidney, lima, mung, pinto, and red beans. Also chickpeas/garbanzo beans or hummus, all lentils, split and black-eyed peas (1/2 cup)

21. Seeds and nuts–including peanuts and peanut butter, but excluding walnuts and flaxseeds (small package or 1 oz.)

22. High-fiber breakfast cereals (hot or cold)–including granola, muesli (toasted or plain), oats, oat bran, and oatmeal. Also, high-fiber or bran cereals such as All Bran®, Raisin Bran®, Shredded Wheat®, Fiber One®, Total®, Product 19®, Just Right® (1 cup), and high-fiber breakfast bars.

23. Whole grains, brown and whole-wheat breads–including brown bread, whole-wheat bread, rye, pumpernickel, seed breads, 7- or 9-grain breads (1 slice), wholegrain crackers, and bran muffins, brown rice, millet, sorghum, whole-wheat pasta, and bulgur wheat (1 cup)

24. White bread and white flour products–including white bread, rolls, bagels, pita bread, biscuits, crackers, English muffins, waffles, pancakes, tortillas, corn or tortilla chips, pretzels, and pizza

25. White rice and grains–including white rice, all white pasta, couscous, grits, and polenta, also breakfast cereals not high in fiber, e.g., Cornflakes®, Rice Krispies®, Frosted Flakes®, Fruit Loops®, etc.

26. Potatoes–all kinds (mashed, fried, roasted, in a salad, boiled)

27. Sugar added to tea, coffee, cereal–hot or cold (1 tsp.)

28. Chocolate candy (1 oz.), snack bars (with or without chocolate), cookies, brownies, doughnuts, cakes, sweet rolls, pastries, sweet pies, ice cream, puddings, mousse, milk shakes, frozen puddings, and other desserts (1 slice or 1 cookie or 1 cup)

29. Hard candy, licorice, and gummy candy (1 oz.)

30. Regular soft drinks (excludes diet/light drinks)–including colas, fruit-flavored soft drinks, ginger ale, lemonade, root beer, 7-up®, Sprite®, and sweetened iced teas (1 glass, bottle, or can)

31. Salty snacks–including pretzels, salted nuts, salted popcorn and any variety of chips

32. Canned or prepared foods–including canned or packaged soups, canned vegetables, box macaroni and cheese, box hamburger mix, packaged seasoning or gravy mixes, or frozen prepared meals

33. Do you use salt at the table or while cooking?

34. Butter, stick margarine, lard or ghee on bread, crackers, etc. or in non-fried food preparation (1 tsp. or 1 pat)

35. Full- or reduced-fat tub margarine on bread or crackers, or in non-fried food preparation (1 tsp. or 1 pat)

36. Vegetable oils–including corn and sunflower oil (1 tsp.)

37. Olive oil (1 tsp.)

38. Omega 3 oils–including canola oil, flaxseed oil, linseed oil, or walnut oil (1 tsp.)

39. Flaxseeds or walnuts (1 oz.)

40. Whole milk, full-fat yogurt, and cottage cheese

41. Whole-milk dairy products–including cream, sour cream, crème fraiche, ice cream, yellow and white hard cheese, and cream cheese

42. Reduced-fat or fat-free milk and dairy products–including reduced fat and fat-free yogurt, low-fat cottage cheese, and fat-free cream cheese

43. Fats for shallow frying or deep-frying food at home

44. Fast foods bought outside the home–including beef and chicken burgers, all sandwiches, filled croissants, biscuit/muffin with egg, sausage or bacon, fried chicken, tacos, tostadas, enchiladas, and pizza (4-7 oz. or 1 medium slice)

45. Fruits and vegetables high in vitamin C–including broccoli, grapefruit, guavas, kiwi fruit, kohlrabi, mangoes, melon, oranges, papaya, peaches (frozen, sliced, or sweetened), sweet red pepper, strawberries, and tomatoes (1 fresh fruit or 1/2 cup cooked, frozen, or canned)

46. Fruit and vegetable juice high in vitamin C–all orange juice, grapefruit juice, tomato juice–any fruit juice with added vitamin C or ascorbic acid, and mixed vegetable juices such as V8® juice (3/4 cup or 6 oz.)

47. Fruit juice with added calcium (3/4 cup or 6 oz.)

48. Carrot juice (3/4 cup or 6 oz.)

49. Avocado (1/4 of whole)

50. Tomato products–including canned, sauce, purée, and paste

51. Carrots or winter squash–including pumpkin, butternut, sweet potatoes, and yams (1/2 cup raw, cooked, frozen, or canned)

52. Green leafy vegetables–including chard greens, chicory, escarole, kale, mustard greens, parsley, and spinach (1 cup raw, 1/2 cup cooked, frozen, or canned)

53. Cruciferous vegetables–including broccoli, brussels sprouts, cabbage, cauliflower, daikon radish, kale, kohlrabi, mustard or chard greens, parsnips, rutabagas, and turnips (1/2 cup raw, cooked, frozen or canned)

54. Allium vegetables–including chives, leeks, onions, scallions, shallots, and spring onions (1/2 cup raw, cooked, frozen, or canned)

55. Garlic-fresh, crushed or frozen (1 clove)

56. Coffee–regular, hot or cold (caffeinated) (8 oz.)

57. Tea–regular (caffeinated) (8 oz.)

58. All colas including Coke®, Pepsi®, and caffeinated diet colas (8 oz.)

59. Energy drinks containing caffeine or guarana–including Red Bull®, SoBe®, Adrenaline Rush®, Hype®, Bawls®, and Surge® (8 oz.)

Do you drink any alcohol?

Red Wine (1 standard wine glass)

60. Frequency

61. Quantity

Other Wine (1 standard wine glass)

62. Frequency

63. Quantity

Beer approx. 4% alcohol (1 standard drink 12 oz/355 ml)

64. Frequency

65. Quantity

Beer approx. 6% alcohol (1 standard drink 12 oz/355 ml)

66. Frequency

67. Quantity

Spirits/Liquor approx. 35% alcohol (1 standard shot)

68. Frequency

69. Quantity

Spirits/Liquor approx. 40% alcohol (1 standard shot)

70. Frequency

71. Quantity

Spirits/Liquor approx. 45% alcohol (1 standard shot)

72. Frequency

73. Quantity

74. Do you take any dietary supplements?

FOLIC ACID

75. Frequency

76. Quantity

VITAMIN B6

77. Frequency

78. Quantity (mg)

VITAMIN B12

79. Frequency

80. Quantity (mcg)

VITAMIN C

81. Frequency

82. Quantity (mg)

VITAMIN A

83. Frequency

84. Quantity (IU)

VITAMIN E

85. Frequency

86. Quantity (IU)

VITAMIN D

87. Frequency

88. Quantity (IU)

CALCIUM

(elemental)–including calcium from antacids

89. Frequency

90. Quantity (IU)

OMEGA 3 FATTY ACIDS

-including fish oil, salmon oil, and flaxseed oil supplements

91. Frequency

92. Quantity (g)

COD LIVER OIL

93. Frequency

94. Quantity (mcg)

GARLIC

–including aged garlic extract and garlic oil supplements

95. Frequency

BROCCOLI extract

96. Frequency