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Thank you for taking the time to complete this questionnaire. It should take around 5- 10 minutes to complete. All questions are anonymous and confidential so please answer as honestly as possible.
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A few questions about you and your household
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1.
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What is your current marital status?
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3.
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How many children do you have?
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4.
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How many of your children are under the age of 5?
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5.
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What is the highest level of education you have achieved?
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6.
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Are you the chief income earner in your household?
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7.
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which of these income groups best represents your household income?
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8.
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Are you currently employed?
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Questions about your last job
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9.
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Do (did) you work as an employee or are (were) you self employed?
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10.
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How many people work (worked) at the place you were last employed?
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11.
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Do (did) you supervise any other employees on a day to day basis?
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12.
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Please tick the box which best describes the sort of job you do (did)
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Section B: Questions about the foods you have eaten in the last month
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For each of the food item there is a measurment listed as either a 'medium' seving or a household measurment such as a 'teaspoon'. Please tick the box that applies to how often you have eaten each food over the last month. Do not leave boxes blank if you have not eaten the iteam or unsure, then in which case please tick the 'never or less than a month' box.
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14.
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Other meat and fish
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Bread,cereals, potatoes, rice and pasta (medium portion)
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Dairy products and fats (medium portion)
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sweets and snacks (medium portion)
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Fruits and vegatbles (medium portion)
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Soups and condiments (medium portion)
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Thank you for taking the time to complete this questionaire.
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