A few questions about you and your household

1.	What is your current marital status?
	single
	married but living alone
	in a relationship but living alone
	divorced
	widowed
	other

2.	How old are you?
	under 18
	18-29
	30-49
	50+

3.	How many children do you have?
	1
	2
	3
	4+

4.	How many of your children are under the age of 5?
	0
	1
	2
	3+

5.	What is the highest level of education you have achieved?
	postgraduate degree
	undergraduate degree
	A-level or equivalent
	GCSE or equivalent
	no qualification

6.	Are you the chief income earner in your household?
	yes
	no

7.	which of these income groups best represents your household income?
	0-£10,000
	£10,000-20,000
	£20,000-30,000
	£40,000+

8.	Are you currently employed?
	yes
	no

Questions about your last job

9.	Do (did) you work as an employee or are (were) you self employed?
	employed
	self employed
	self employed without employees

10.	How many people work (worked) at the place you were last employed?
	1-24
	25 or more

11.	Do (did) you supervise any other employees on a day to day basis?
	yes
	no

12.	Please tick the box which best describes the sort of job you do (did)
	Modern professional occupations such as: Teacher, nurse, social worker , welfare officer, artist police officer, software designer
	Clerical and intermediate occupations such as: secretary, clerical worker, office clerk, call centre agent, nurse nurse, nursing auxiliary
	Senior managers or administrators such as: finance manager or chief executive
	Technical  and craft occupations such as: electrician,Plummer, motor mechanic
	Semi routine manual and service occupations such as: postal worker, machine operative, security guard, receptionist , sales assistant
	Routine manual and service occupations such as: HGV driver, packer, sewing machinist , labour, bar staff, waiter/waitress
	Middle or junior managers such as:restaurant manager, bank manager, warehouse manager , publican
	Traditional  professional occupations such as: accountant , solicitor, medical practitioner, scientist , engineer

Section B: Questions about the foods you have eaten in the last month

For each of the food item there is a measurement listed as either a 'medium' serving or a household measurement 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 item or unsure, then in which case please tick the never or less than a month box.

meat and fish

13.	Amounts eaten in the last month
		Never or less than once a month		1-3 times a    month		once a week		1-3 times a week		4-6 times a week		once a day		1-3 times a day		4-6 times a day		more than 6 times a day
	beef
	beef burgers
	pork
	lamb
	chicken or poultry
	bacon
	ham
	corned beef products such e.g spam
	sausages
	meat pies and pasties
	liver products
	fried fish
	fishcakes/fingers
	fresh or frozen or white fish , e.g cod
	fresh of frozen oily fish, e.g tuna
	shellfish

14.	Other meat and fish
	please state any other meat or products and amount eaten in the last month

Bread,cereals, potatoes, rice and pasta (medium portion)

15.	Amounts eaten in the last month
		never or less than a month		1-3 times a month		once a week		1-3 times a week		4-6 times a week		once a day		1-3 times a day		4-6 times a day		more than 6 times a day
	white bread/ products
	brown bread/ products
	wholemeal bread/ products
	crackers
	crispbread
	gluten free bread
	soda bread
	porridge
	weetabix (1)
	breakfast cereal
	potatoes boiled mashed or jacket
	chips
	roast potatoes
	white rice
	brown rice
	white or green pasta
	wholemeal pasta
	lasagne or similar products
	pizza

16.	Other bread, cereals,rice, or pasta products
	please state  any other and amount consumed in the last month

Dairy products and fats (medium portion)

17.	Amounts eaten in the last month
		never or less than once a month		1-3 times a month		once a week		1-3 times a week		4-6 times a week		once a day		1-3 times a day		4-6 times a day		more than 6 times a day
	single or sour cream
	double or clotted cream
	low fat yogurt
	full fat yogurt
	dairy-based deserts
	cheese
	cottage or low fat cheese
	eggs boiled or poached
	eggs fried or scrambled
	quiche or similar product
	low fat/ salad cream (tsp)
	salad dressings (tsp)
	butter
	margarine
	low fat spread

18.	other dairy/products
	please state any other dairy/products and amounts eaten in the last month.

sweets and snacks (medium portion)

19.	Amounts eaten in the last month
		never or less than once a month		1-3 times a month		once a week		1-3 times a week		4-6 times a day		once a day		1-3 times a week		4-6 times a day		more than 6 times a day
	biscuits chocolate
	biscuits plain
	biscuits cream layered
	cakes e.g sponge
	buns and pastries
	fruit pies tarts or crumbles
	sponge puddings
	milk pudding
	ice cream / products
	chocolate single pieces
	chocolate bars
	sweets
	sugar (tsp)
	crisp or similar products
	nuts

20.	other sweets or snacks
	please state, any other sweets or snacks and amounts eaten in the last month

Fruits and vegetables (medium portion)

21.	Amounts eaten in the last month
		never or less than once a month		1-3 times a month		once a week		1-3 times a week		4-6 times a week		once a day		1-3 times a day		4-6 times a day		more than 6 times a day
	apple
	pear
	orange
	grapefruit
	banana
	grapes
	melon
	berries e.g raspberries and Stawberries
	tinned fruit
	dried fruit
	carrot
	peas, dried beans or lentils
	cabbage
	cauliflower
	broccoli
	onion
	mushrooms
	baked beans
	green beans
	spinach
	Brussels sprouts
	courgette marrow
	leeks
	garlic
	mushrooms
	peppers
	green salad
	watercress
	tomatoes
	sweetcorn
	beetroot
	avocado

22.	other fruit and vegetables
	please state, any other fruit & vegetables and amounts eaten in the last month

Soups and condiments (medium portion)

23.	Amounts eaten in the last month
		never or less than once a month		1-3 a month		once a week		1-3 times a week		4-6 times a week		once a day		1-3 times a day		4-6 times a day		more than 6 times a day
	Vegetable soup (bowl)
	meat soup (bowl)
	sauces e.g gravy
	ketchup (tsp)
	chutneys and pickles (tsp)
	vegetable extracts e.g marmite
	fruit jams and honey
	peanut butter

24.	other soups and condiments
	please state, any other soups, condiments and amounts

Drinks

25.	Amounts drunk in the last month
		never or less than once a month		1-3 times a month		once a week		1-3 times a week		4-6 times a week		once a day		1-3 times a day		4-6 times a day		more than 6 times a day
	tea
	coffee
	coffee (decaf)
	hot chocolate
	horlicks
	wine
	beer, larger and cider
	stout beer
	port, sherry, vermouth , liqueurs
	spirits
	alcopops
	fizzy drinks
	diet fizzy drinks
	pure fruit juice
	fruit squash or cordial
	milk (skimmed)
	milk (semi-skimmed)
	milk (whole)
	milk (Soya)

26.	Any other drinks
	please state, any other drinks and amounts drunk in the last month

27.	please state, any other food or drinks and amounts consumed in the last month

Thank you for taking the time to complete this questionnaire.