Routing for UAS41
restaurants := getRestaurants()
rest_size := sizeof(restaurants)
restaurants_region1 := getRestaurantsByRegion("South Bay")
region_size1 := sizeof(restaurants_region1)
Fill code of question 'FLSouthBay' executed
restaurants_region2 := getRestaurantsByRegion("Antelope Valley")
region_size2 := sizeof(restaurants_region2)
Fill code of question 'FLAntelopeValley' executed
restaurants_region3 := getRestaurantsByRegion("San Fernando Valley")
region_size3 := sizeof(restaurants_region3)
Fill code of question 'FLSFValley' executed
restaurants_region4 := getRestaurantsByRegion("San Gabriel Valley")
region_size4 := sizeof(restaurants_region4)
Fill code of question 'FLSGValley' executed
restaurants_region5 := getRestaurantsByRegion("Westside")
region_size5 := sizeof(restaurants_region5)
Fill code of question 'FLWestside' executed
restaurants_region6 := getRestaurantsByRegion("Gateway Cities")
region_size6 := sizeof(restaurants_region6)
Fill code of question 'FLGatewayCities' executed
restaurants_region7 := getRestaurantsByRegion("Central LA (Downtown, Hollywood)")
region_size7 := sizeof(restaurants_region7)
Fill code of question 'FLCentralLA' executed
if rest_size = 0 then
treatment := 3
Else
if treatment = empty then
treatment := mt_rand(1,2)
End of if
End of if
intro1 (intro)
This survey is for residents of Los Angeles County. We will ask questions about you and your family's health, such as height and weight. We will also ask questions about choices you make for you and your family regularly, such as where you buy groceries and why you eat out.
under18cnt := 0
Loop from 1 to SIZEOF(HHMEMBERFIRSTNAME)
IF hhmemberrelationship[cnt001] = 4 AND hhmemberage[cnt001] < 18 AND hhmemberactive[cnt001] = 1 THEN
under18cnt := under18cnt + 1
End of if
End of loop
IF under18cnt > 0 THEN
SC000A := YES
SC001 := under18cnt
Else
SC000A := NO
End of if
Loop from 1 to SIZEOF(HHMEMBERFIRSTNAME)
IF hhmemberrelationship[cnt001] = 4 AND hhmemberage[cnt001] < 18 AND hhmemberactive[cnt001] = 1 THEN
SC002age[cnt001] := hhmemberage[cnt001]
SC002sex[cnt001] := hhmembergender[cnt001]
End of if
End of loop
SC003 (LEVEL OF HOUSEHOLD INVOLVEMENT)
What is your level of involvement in making decisions about food and beverage choices for your household?
1 I am primarily responsible for all the decisions regarding food and beverage choices in my household.
2 I share responsibility for all the decisions regarding food and beverage choices in my household.
3 I have little to no involvement in the decisions regarding food and beverage choices in my household.
2 I share responsibility for all the decisions regarding food and beverage choices in my household.
3 I have little to no involvement in the decisions regarding food and beverage choices in my household.
IF SC003 = 2 OR SC003 = 3 THEN
Fill code of question 'FLSC004' executed
Group of questions presented on the same screen
SC004 (WHO IS RESPONSIBLE FOR DECISIONS)
Who [else/] is responsible for the decisions about food and beverages for your household? Select all that apply.
1 My spouse or partner
2 My or my spouse's parent(s)
3 My or my spouse's sibling(s)
4 My adult children
5 Other (Specify):
2 My or my spouse's parent(s)
3 My or my spouse's sibling(s)
4 My adult children
5 Other (Specify):
SC004other (WHO IS RESPONSIBLE FOR DECISIONS--OTHER)
STRINGEnd of group of questions
End of if
DepressionSeverity := 0
GH001 (REPORTED HEALTH)
In general, would you say that your own health is excellent, very good, good, fair or poor?
1 Excellent
2 Very good
3 Good
4 Fair
5 Poor
2 Very good
3 Good
4 Fair
5 Poor
GH002_003type (METRIC VS US UNITS FOR HEIGHT AND WEIGHT)
Next are some questions about your height and weight.
Would you like to enter your responses in U.S. units (feet, pounds, etc.) or metric units (meters, kilograms, etc.)?
Would you like to enter your responses in U.S. units (feet, pounds, etc.) or metric units (meters, kilograms, etc.)?
1 U.S. units
2 Metric units
2 Metric units
GH002_003type_preset := 2
IF GH002_003type = EMPTY THEN
GH002_003type_preset := 1
GH002_003type := 1
End of if
Fill code of question 'FL_GH002label1' executed
Fill code of question 'FL_GH002label2' executed
Group of questions presented on the same screen
GH002R1 (R REPORTED HEIGHT--feet/meters)
What is your height?
GH002R2 (R REPORTED HEIGHT--inches/cms)
End of group of questions
IF (GH002_003type = 2 AND (GH002R1 > 2 OR GH002R2 >= 100)) or (GH002_003type = 1 AND (GH002R1 > 7 OR GH002R2 >= 12)) THEN
Fill code of question 'FL_GH002check' executed
GH002check (CHECK TO PREVENT UNREALISTIC REPORTED HEIGHTS)
You reported a number greater than or equal to [100 in the centimeters box/12 in the inches box/3 in the meters box/8 in the feet box/100 in the centimeters box and 3 in the meters box/12 in the inches box and 8 in the feet box]. Can you please go back and review your previous answer?
End of if
Fill code of question 'FL_GH003label' executed
GH003R (REPORTED WEIGHT OF RESPONDENT)
Approximately how much do you currently weigh?
RANGE 20..600GH004 (HOW YOU CONSIDER WEIGHT)
Do you consider yourself...?
1 Underweight
2 The right weight
3 Overweight
2 The right weight
3 Overweight
GH005 (CURRENTLY WATCHING OR LOSING WEIGHT)
Are you currently watching your weight or trying to lose weight?
1 (YES) Yes
2 (NO) No
2 (NO) No
IF sizeof(ShuffleOrder007) = 0 THEN
ShuffleOrder007 := shufflearray(array(1,2,3,4,5,6,7,8))
ShuffleOrder007[9] := 9
End of if
Group of questions presented on the same screen
GH007 (DOCTOR SAID HAD HEALTH CONDITIONS)
Has a doctor or other health professional ever told you that you had/are (Please choose all that apply)
1 Overweight or obese
2 Any kind of heart condition or heart disease (Specify)
3 Asthma
4 Cancer or a malignancy of any kind
5 Coronary heart disease
6 Diabetes
7 Prediabetes
8 Hypertension or high blood pressure
9 None of the above
2 Any kind of heart condition or heart disease (Specify)
3 Asthma
4 Cancer or a malignancy of any kind
5 Coronary heart disease
6 Diabetes
7 Prediabetes
8 Hypertension or high blood pressure
9 None of the above
GH007specify (SPECIFY HEART CONDITION)
STRINGEnd of group of questions
Group of questions presented on the same screen
GH008intro (INTRO to GH008 TABLE)
Over the last two weeks, how often have you been bothered by any of the following problems?
Subgroup of questions
GH008A (LITTLE INTEREST)
Little interest or pleasure in doing things?
0 Not at all
1 Several days
2 More than half the days
3 Nearly every day
1 Several days
2 More than half the days
3 Nearly every day
GH008B (FEELING DOWN)
Feeling down, depressed, or hopeless?
0 Not at all
1 Several days
2 More than half the days
3 Nearly every day
1 Several days
2 More than half the days
3 Nearly every day
GH008C (TROUBLE SLEEPING)
Trouble falling or staying asleep, or sleeping too much?
0 Not at all
1 Several days
2 More than half the days
3 Nearly every day
1 Several days
2 More than half the days
3 Nearly every day
GH008D (FEELING TIRED)
Feeling tired or having little energy?
0 Not at all
1 Several days
2 More than half the days
3 Nearly every day
1 Several days
2 More than half the days
3 Nearly every day
GH008E (POOR APPETITE)
Poor appetite or overeating?
0 Not at all
1 Several days
2 More than half the days
3 Nearly every day
1 Several days
2 More than half the days
3 Nearly every day
GH008F (FEELING BAD)
Feeling bad about yourself - or that you are a failure or have let yourself or your family down?
0 Not at all
1 Several days
2 More than half the days
3 Nearly every day
1 Several days
2 More than half the days
3 Nearly every day
GH008G (TROUBLE CONCENTRATING)
Trouble concentrating on things, such as reading the newspaper or watching television?
0 Not at all
1 Several days
2 More than half the days
3 Nearly every day
1 Several days
2 More than half the days
3 Nearly every day
GH008H (MOVING/SPEAKING SLOWLY)
Moving or speaking so slowly that other people could have noticed? Or the opposite - being so fidgety or restless that you have been moving around a lot more than usual?
0 Not at all
1 Several days
2 More than half the days
3 Nearly every day
1 Several days
2 More than half the days
3 Nearly every day
GH008I (BETTER OFF DEAD)
Thoughts that you would be better off dead, or of hurting yourself in some way?
0 Not at all
1 Several days
2 More than half the days
3 Nearly every day
1 Several days
2 More than half the days
3 Nearly every day
End of subgroup of questions
End of group of questions
DepressionSeverity := GH008A+GH008B+GH008C+GH008D+GH008E+GH008F+GH008G+GH008H+GH008I
IF GH008I >= 1 THEN
dummy := sendPanicEmail()
End of if
IF SC000A = YES THEN
youngestage := EMPTY
Loop from 1 to SIZEOF(HHMEMBERACTIVE)
IF hhmemberactive[cnt002] = 1 AND hhmemberrelationship[cnt002] = 4 THEN
IF youngestage = empty AND hhmemberage[cnt002] = response THEN
youngestage := hhmemberage[cnt002]
GH009 := hhmemberfirstname[cnt002]
youngestsex := hhmembergender[cnt002]
ELSEIF hhmemberage[cnt002] = response AND hhmemberage[cnt002] < youngestage THEN
youngestage := hhmemberage[cnt002]
GH009 := hhmemberfirstname[cnt002]
youngestsex := hhmembergender[cnt002]
End of if
End of if
End of loop
IF youngestage > 1 AND youngestage < 13 THEN
Fill code of question 'FLsex' executed
GH010 (YOUNGEST'S HEALTH)
We would like to ask some questions about the health of your youngest child, [NAME OF YOUNGEST CHILD[]].
Thinking about [NAME OF YOUNGEST CHILD[]], would you generally describe [his/her/his or her] health as..?
Thinking about [NAME OF YOUNGEST CHILD[]], would you generally describe [his/her/his or her] health as..?
1 Excellent
2 Very good
3 Good
4 Fair
5 Poor
2 Very good
3 Good
4 Fair
5 Poor
GH011 (YOUNGEST'S WEIGHT)
Do you consider [NAME OF YOUNGEST CHILD[]] to be...?
1 Underweight
2 The right weight
3 Overweight
2 The right weight
3 Overweight
GH012 (YOUNGEST TOLD OVERWEIGHT BY DR)
Has a doctor or health professional ever told you that [NAME OF YOUNGEST CHILD[]] was overweight...?
1 (YES) Yes
2 (NO) No
2 (NO) No
End of if
End of if
FI_preamble (FOOD INSECURITY PREAMBLE)
Now you will see statements that people have made about their food situation. Please respond whether each statement was often true, sometimes true, or never true for your family in the last 12 months.
Group of questions presented on the same screen
FI_intro (INTRO TO FOOD INSECURITY)
Please tell us how often the following statements are true.
FI001 (FOOD RUNNING OUT)
Within the past 12 months we worried about whether our food would run out before we had money to buy more food.
1 Often true
2 Sometimes true
3 Never true
2 Sometimes true
3 Never true
FI002 (FOOD DIDN'T LAST)
Within the past 12 months the food we bought just didn't last and we didn't have money to get more.
1 Often true
2 Sometimes true
3 Never true
2 Sometimes true
3 Never true
End of group of questions
CB010 (DAILY FRUIT SERVINGS--SELF)
On an average day, about how many servings of fruits do you eat? A serving size for most adults is equal to one medium apple. Please enter "0" for none and leave blank if you do not know.
RANGE 0.0..10.0 |
CB011 (DAILY VEGETABLE SERVINGS--SELF)
On an average day, about how many servings of vegetables do you eat? A serving size for most adults is equal to one handful of broccoli, or a cup of cut carrots. Please enter "0" for none and leave blank if you do not know.
RANGE 0.0..10.0 |
Group of questions presented on the same screen
Subgroup of questions
CB012 (DRINK WATER--SELF)
How often do you drink water? Please give your best guess, choose whatever is easiest in estimating, day or week. Please enter "0" for never.
CB012freq (DRINK WATER SELF--FREQ)
Per:
1 Day
2 Week
2 Week
End of subgroup of questions
Subgroup of questions
CB013 (DRINK SUGARY BEVERAGES--SELF)
How often do you drink beverages sweetened with sugar, such as regular sodas, Gatorade, Red Bull, and Agua Frescas (Horchata, Jamaica, Tamarindo, Pina). Do not include diet sodas or sugar-free drinks. Count a 12-ounce can, bottle, or glass as one drink. Please give your best guess, choose whatever is easiest in estimating, day, week, month, or year. Please enter "0" for never.
CB013freq (SUGARY DRINKS--SELF FREQ)
Per:
1 Day
2 Week
3 Month
4 Year
2 Week
3 Month
4 Year
End of subgroup of questions
Subgroup of questions
CB014 (EAT SWEETS--SELF)
How often do you eat sweets or sweetened foods, such as sweetened cereals, fruit bars, pop-tarts, donuts, cookies, and candies? Please give your best guess, choose whatever is easiest in estimating, day, week, month, or year. Please enter "0" for never.
CB014freq (EAT SWEETS--SELF FREQ)
Per:
1 Day
2 Week
3 Month
4 Year
2 Week
3 Month
4 Year
End of subgroup of questions
Subgroup of questions
CB015 (EAT DEEP FRIED FOOD--SELF)
How often do you eat deep fried food? For example, French Fries, fried chicken, fried fish, chicharones, chicken nuggets, taquitos, potato chips, etc. Please give your best guess, choose whatever is easiest in estimating, day, week, month, or year. Please enter "0" for never.
CB015freq (EAT FRIED FOOD--SELF FREQ)
Per:
1 Day
2 Week
3 Month
4 Year
2 Week
3 Month
4 Year
End of subgroup of questions
End of group of questions
IF SC000A = YES THEN
Loop from 1 to SIZEOF(HHMEMBERFIRSTNAME)
IF hhmemberrelationship[cnt001] = 4 AND hhmemberage[cnt001] < 18 AND hhmemberactive[cnt001] = 1 THEN
CB001 (DAILY FRUIT SERVINGS--CHILD)
On an average day, about how many servings of fruits does [HH MEMBER FIRST NAME[]] eat? A serving size for most young children is equal to about half of one medium apple. Please enter "0" for none and leave blank if you do not know.
RANGE 0.0..10.0 |
CB002 (DAILY VEGETABLE SERVINGS--CHILD)
On an average day, about how many servings of vegetables does [HH MEMBER FIRST NAME[]] eat? A serving size for most young children is equal to about half a cup of carrots. Please enter "0" for none and leave blank if you do not know.
RANGE 0.0..10.0 |
Group of questions presented on the same screen
Subgroup of questions
CB003 (DRINK WATER--CHILD)
How often does [HH MEMBER FIRST NAME[]] drink water? Please give your best guess, choose whatever is easiest in estimating, day or week. Please enter "0" for never.
CB003freq (DRINK WATER --CHILD FREQ)
Per:
1 Day
2 Week
2 Week
End of subgroup of questions
Subgroup of questions
CB004 (DRINK MILK--CHILD)
How often does [HH MEMBER FIRST NAME[]] drink milk? Please give your best guess, choose whatever is easiest in estimating, day, week, month, or year. Please enter "0" for never.
CB004freq (DRINK MILK --CHILD FREQ)
Per:
1 Day
2 Week
3 Month
4 Year
2 Week
3 Month
4 Year
End of subgroup of questions
Subgroup of questions
CB005 (DRINK 100% JUICE--CHILD)
How often does [HH MEMBER FIRST NAME[]] drink 100% fruit juice? Please give your best guess, choose whatever is easiest in estimating, day, week, month, or year. Please enter "0" for never.
CB005freq (DRINK 100% JUICE--CHILD FREQ)
Per:
1 Day
2 Week
3 Month
4 Year
2 Week
3 Month
4 Year
End of subgroup of questions
Subgroup of questions
CB006 (DRINK OTHER FRUIT DRINKS--CHILD)
How often does [HH MEMBER FIRST NAME[]] drink other fruit drinks that are not 100% juice, such as Sunny Delight, Capri Sun, or lemonade? Please give your best guess, choose whatever is easiest in estimating, day, week, month, or year. Please enter "0" for never.
CB006freq (DRINK NOT 100% JUICE--CHILD FREQ)
Per:
1 Day
2 Week
3 Month
4 Year
2 Week
3 Month
4 Year
End of subgroup of questions
Subgroup of questions
CB007 (DRINK SWEETENED BEVERAGES--CHILD)
How often does [HH MEMBER FIRST NAME[]] drink beverages sweetened with sugar, such as regular sodas, Gatorade, Red Bull, and Agua Frescas (Horchata, Jamaica, Tamarindo, Pina)? Do not include diet sodas or sugar-free drinks. Please give your best guess, choose whatever is easiest in estimating, day, week, month, or year. Please enter "0" for never.
CB007freq (DRINK SWEETENED BEVERAGES--CHILD FREQ)
Per:
1 Day
2 Week
3 Month
4 Year
2 Week
3 Month
4 Year
End of subgroup of questions
Subgroup of questions
CB008 (EAT SWEETS--CHILD)
How often does [HH MEMBER FIRST NAME[]] eat sweets or sweetened foods, such as sweetened cereals, fruit bars, pop-tarts, donuts, cookies, and candies? Please give your best guess, choose whatever is easiest in estimating, day, week, month, or year. Please enter "0" for never.
CB008freq (EAT SWEETS--CHILD FREQ)
Per:
1 Day
2 Week
3 Month
4 Year
2 Week
3 Month
4 Year
End of subgroup of questions
Subgroup of questions
CB009 (EAT DEEP FRIED FOOD--SELF)
How often does [HH MEMBER FIRST NAME[]] eat deep fried food? For example, French Fries, fried chicken, fried fish, chicharones, chicken nuggets, taquitos, potato chips, etc. Please give your best guess, choose whatever is easiest in estimating, day, week, month, or year. Please enter "0" for never.
CB009freq (EAT FRIED FOOD--CHILD FREQ)
Per:
1 Day
2 Week
3 Month
4 Year
2 Week
3 Month
4 Year
End of subgroup of questions
End of group of questions
End of if
End of loop
End of if
Group of questions presented on the same screen
KA001intro (FOOD GAME INTRO)
This is our food chart. We want to know how much families know about healthy and not-so-healthy foods. "Go Foods" are very healthy foods that are low in calories and have a lot of great nutrition. "Slow Foods" are foods with good nutrition and a fair amount of calories we have to be careful with. "Whoa Foods" are not so healthy foods you should only eat now and then because they are high in calories and low in nutrition.
Please drag the images below in the correct column in the food chart. You can drag more than one image into each box and you can leave boxes empty if you do not think any of the items belong in that category.
Please drag the images below in the correct column in the food chart. You can drag more than one image into each box and you can leave boxes empty if you do not think any of the items belong in that category.
Subgroup of questions
KA001
FoodDragValue
STRINGEnd of subgroup of questions
End of group of questions
Group of questions presented on the same screen
KA002intro (KA002 INTRO TEXT)
In your opinion, how important is each of the following for a healthy diet?
Subgroup of questions
KA002A (EATING MORE FRUIT/VEGETABLES)
Eating more vegetables and fruit
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA002B (EATING LESS FAT)
Eating less fat/fatty foods
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA002H (EATING MORE ORGANIC FOODS)
Eating more organic foods
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA002C (EATING LESS SALT)
Eating less salt/salty foods
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA002I (EATING MORE FROM LOCAL FARMS)
Eating more foods from local farms or local sources
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA002D (CONSUMING LESS SUGAR)
Consuming less sugary foods or drinks
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA002E (EATING MORE FRESH FOOD)
Eating more fresh food/less processed foods
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA002F (EATING FEWER CALORIES)
Eating fewer calories
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA002G (EATING SMALLER PORTIONS)
Eating smaller portions
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
KA003intro (INTRO TEXT TO KA003)
In your opinion, how important is each of the following to a child's present and future health?
Subgroup of questions
KA003J (WHAT A CHILD EATS)
What a child eats
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA003K (EXERCISE A CHILD GETS)
How much exercise a child gets
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA003L (HOW MUCH A CHILD EATS)
How much a child eats
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA003M (TIME CHILD SPENDS WATCHING TV)
How much time a child spends watching TV, using a computer, and/or playing video games
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
KA003N (HOW MUCH A CHILD WEIGHS)
How much a child weighs
1 Extremely important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
2 Very important
3 Somewhat important
4 Not very important
5 Not all important
End of subgroup of questions
End of group of questions
IF SC000A = YES THEN
Fill code of question 'FLKA004_1' executed
Fill code of question 'FLKA004_2' executed
Group of questions presented on the same screen
KA004intro (INTRO TEXT FOR KA004)
How big of an obstacle is each of the following to making sure that your [child/children] [has/have] healthy eating habits? Please rate using a scale from one to ten in which a "10" means the following is very much an obstacle to your [child/children] having healthy eating habits, and a "1" means the following is not at all an obstacle to your [child/children] having healthy eating habits.
Subgroup of questions
KA004A (EXPENSIVE COST)
Expensive cost of healthy foods
1 1
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
KA004B (TOO MANY SNACK FOODS)
Too many snack foods and junk foods available
1 1
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
KA004C (NOT ENOUGH HEALTHY OPTIONS)
Not enough healthy options available
1 1
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
KA004D (HAVING TO EAT OUT)
Having to eat out of the house
1 1
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
KA004E (PRESSURE FROM PEERS)
Pressure from peers or relatives to eat unhealthy foods
1 1
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
KA004F (UNHEALTHY FOOD ADVERTISING)
Unhealthy food advertising
1 1
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
KA004G (NOT ENOUGH TIME TO PREPARE)
Not enough time to prepare healthy meals
1 1
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
KA004H (UNHEALTHY SCHOOL FOODS)
Unhealthy foods served in schools
1 1
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
KA004I (GETTING CHILD TO EAT HEALTHY)
Getting my [child/children] to like eating healthy foods
1 1
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
Not at all an obstacle
2 2
3 3
4 4
5 5
6 6
7 7
8 8
9 9
10 10
Extreme obstacle
End of subgroup of questions
End of group of questions
End of if
IF sizeof(ShuffleOrderFR001) = 0 THEN
ShuffleOrderFR001 := shufflearray(array(1,2))
End of if
Group of questions presented on the same screen
FR001intro (INTRO TEXT TO FR001)
How many times in a typical week do you eat each of the following types of meals? Please include meals eaten in the type of location mentioned, carried out, or delivered from that type of location. Please enter zero for none.
Subgroup of questions
Loop from 1 to 2
IF ShuffleOrderFR001[cnt001] = 1 THEN
FR001A (FAST FOOD RESTAURANT FREQUENCY)
A meal from a fast-food restaurant or chain such as: McDonalds, Taco Bell, Subway, or similar including take-out and delivery.
RANGE 0..9223372036854775807End of if
IF ShuffleOrderFR001[cnt001] = 2 THEN
FR001B (SIT-DOWN RESTAURANT FREQUENCY)
A meal from a sit-down restaurant such as: neighborhood restaurants, chains, and fine dining establishments including take-out and delivery.
RANGE 0..9223372036854775807End of if
End of loop
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
FR002intro (DINE IN VS CARRY OUT)
When you eat from a restaurant, what percent of time do you eat there versus taking/ordering food to go? Click and drag the blue button on the scale below until you reach the desired percentage value.
FR002A (PER CENT EAT AT THE RESTAURANT)
0 indicates that you always eat at the restaurant. 100 indicates you always get the food to go.
End of group of questions
FR002B := 100 - FR002A
IF sizeof(ShuffleOrderFR003) = 0 THEN
ShuffleOrderFR003 := shufflearray(array(1 => 1, 2=> 2, 3 => 3, 4 => 4, 5 => 5, 6 => 6, 7 => 7, 8 => 8, 9 => 9, 10 => 10))
End of if
ShuffleOrderFR003_temp := ShuffleOrderFR003
Loop from 1 to 3
Fill code of question 'FLFR003' executed
FR003 (IMPORTANT FACTORS)
When you decide to get a meal at a restaurant, instead of a meal prepared in your own home, what is the [most/second most/third most] important factor in your decision?
1 Convenience (less food preparation or cleanup needed)
2 More time together as a family
3 Special family occasion/treat
4 Don't enjoy cooking at home
5 Price (it is cheaper to eat at a restaurant)
6 Taste of food (food tastes better at a restaurant)
7 Health (restaurants serve healthier food)
8 Habit, routine, or family tradition
9 Restaurants serve foods I don't know how or don't want to prepare
10 Other
2 More time together as a family
3 Special family occasion/treat
4 Don't enjoy cooking at home
5 Price (it is cheaper to eat at a restaurant)
6 Taste of food (food tastes better at a restaurant)
7 Health (restaurants serve healthier food)
8 Habit, routine, or family tradition
9 Restaurants serve foods I don't know how or don't want to prepare
10 Other
IF FR003[cnt001] = 10 THEN
FR003other (OTHER SPECIFY)
You choose "Other" as a factor. Please specify.
STRINGEnd of if
IF FR003[cnt001] != 10 THEN
ShuffleOrderFR003_temp[array_search(FR003[cnt001], ShuffleOrderFR003_temp)] := empty
End of if
End of loop
Group of questions presented on the same screen
RF001intro (RF001 QUESTION INTRO)
In general, which of the following issues do you consider when choosing one restaurant over another? (Rate on a scale of 1 to 5 with 1 being very important and 5 being not at all important)
Subgroup of questions
RF001A (COST)
Cost (low prices, family deals)
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF001B (CONVENIENCE)
Convenience (close to home, fast service)
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF001C (FOOD CRAVINGS)
Food cravings
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF001D (LARGE PORTIONS)
Large portion sizes
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF001E (RECOMMENDATIONS)
Recommendations from family, friends, or social media (Yelp, Zagat)
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF001F (HEALTHY OPTIONS AVAILABLE)
Whether healthy options are available (e.g., low sodium, small portion sizes)
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF001G (ENVIRONMENT)
Environment (clean, family friendly, etc.)
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
RF002intro (RF002 QUESTION INTRO)
In general, when you go to a restaurant, what issues do you consider when choosing what to order for yourself? (Rate on a scale of 1 to 5 with 1 being very important and 5 being not at all important)
Subgroup of questions
RF002A (FOOD CRAVING)
Food craving
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002B (HUNGER LEVEL)
Hunger level: the portion is big enough to make me satisfied
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002C (RECOMMENDATIONS)
Recommendations by family, friend, server, etc.
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002D (HEALTHFULNESS)
Healthfulness of the dish (low calories, low fat, or low salt)
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002E (SMALLER PORTIONS)
Smaller portion size (so I don't eat too much)
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002F (COST)
Cost (low prices, coupon, family deal)
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002G (DISH NEVER TRIED)
A dish I've never tried before
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002H (DISH NOT PREPARED AT HOME)
A dish that I could not/would not want to prepare at home
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002I (DISH USUALLY ORDER)
A dish that I usually order
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
End of subgroup of questions
End of group of questions
Fill code of question 'FLRF002D' executed
Group of questions presented on the same screen
RF002healthintro (INTRO )
You said that healthfulness of the dish was "[FILL FOR RF002HEALTH INTRO[]]" to you when selecting a meal from a restaurant. How important are each of these aspects of a healthful dish? (1-5 scale)
Subgroup of questions
RF002Ahealth (CALORIES)
Number of calories
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002Bhealth (FAT CONTENT)
Fat content
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002Chealth (SALT CONTENT)
Salt content
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002Dhealth (SUGAR CONTENT)
Sugar content
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002Ehealth (FRUITS AND VEGETABLES)
Number of fruits and vegetables
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002Fhealth (FRESH)
Fresh (less processed) ingredients
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002Ghealth (ORGANIC INGREDIENTS)
Organic ingredients
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF002Hhealth (LOCAL INGREDIENTS)
Local ingredients
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
End of subgroup of questions
End of group of questions
RF003 (REDUCED SIZE PORTIONS ON MENU)
How often are reduced-size portions (half sizes, smaller size portions) available on the menu of restaurants you typically go to?
1 Always
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
RF004 (ORDER REDUCED SIZE PORTIONS)
When available on the menu, how often do you order reduced-sized portions?
1 Always
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
IF SC000A = YES THEN
RF005 (CHILDRENS MEALS AVAILABLE)
How often are children's meals available on the menu of the restaurants you typically go to?
1 Always
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
RF006 (HOW OFTEN ORDER CHILDRENS MEALS)
When available, how often do you order children's meals for your children?
1 Always
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
RF007 (HEALTH OF CHILDRENS MEALS)
In general, how healthy are the children's meals at the restaurants you typically visit?
1 Extremely healthy
2 Very healthy
3 Somewhat healthy
4 Not very healthy
5 Not at all healthy
2 Very healthy
3 Somewhat healthy
4 Not very healthy
5 Not at all healthy
RF008 (ORDERING HEALTHY ITEMS FOR CHILDREN)
When available, how often do you order healthy items for your children (for example, apples instead of French Fries or milk instead of soda)?
1 Always
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
2 Most of the time
3 About half of the time
4 Less than half of the time
5 Never
End of if
IF SC000A = YES THEN
Loop from 1 to SIZEOF(HHMEMBERFIRSTNAME)
IF hhmemberrelationship[cnt001] = 4 AND hhmemberage[cnt001] < 18 AND hhmemberactive[cnt001] = 1 THEN
Fill code of question 'FLRF009' executed
RF009 (CHILD AMOUNT OF SAY/CHOICE)
How much say/choice does [HH MEMBER FIRST NAME[]] have when deciding what [he/she] eats at restaurants?
1 All
2 Most
3 Some
4 Very little
5 None
2 Most
3 Some
4 Very little
5 None
End of if
End of loop
End of if
IF SC000A = YES THEN
Group of questions presented on the same screen
RF010intro (RF010 INTRO TEXT)
What do you consider when you decide what to order for your children at a restaurant? (Rate on a scale of 1 to 5 with 1 being very important and 5 being not at all important)
Subgroup of questions
RF010A (TASTE)
Taste / what my child wants to eat
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF010B (NUTRITION)
Nutrition (low calories, includes fruits and vegetables, etc.)
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF010C (PRICE)
Price
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF010D (LARGE AMOUNT OF FOOD)
Large amount of food
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF010E (SMALL AMOUNT OF FOOD)
Small amount of food
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
RF010F (TOY OR PRIZE)
Meal includes toy or prize
1 1
Very important
2 2
3 3
4 4
5 5
Not at all important
Very important
2 2
3 3
4 4
5 5
Not at all important
End of subgroup of questions
RF010G (OTHER)
Other:
STRINGRF010H (DO NOT ORDER FOR CHILDREN)
1 I do not order for my children
End of group of questions
if RF010H = response and (RF010A = response or RF010B = response or RF010C = response or RF010D = response or RF010E = response or RF010F = response) then
RF010_warning
You selected "I do not order for my children" and responded in the table about ordering for your children. Please go back to the previous screen and review your responses.
End of if
End of if
Group of questions presented on the same screen
RF011intro (INTRO TEXT TO RF011)
Now we want to know your thoughts about eating at a restaurant versus eating at home. Tell us if you strongly agree, agree, neither agree nor disagree, disagree, or strongly disagree with the following statements.
Subgroup of questions
RF011A (EATING AT RESTAURANT HEALTHY)
Eating out at a restaurant is just as healthy or more healthy as eating at home
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
RF011B (CONTROLLING PORTIONS)
I have an easier time controlling the amount/portions I eat when I eat a meal cooked at home versus a meal I eat in a restaurant.
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
RF011C (RESTAURANT MEALS UNHEALTHY)
Meals at restaurants are loaded with unhealthy fats, sodium, and sugar.
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
RF011D (MEALS AT HOME HEALTHIER)
Meals I prepare at home are generally healthier because I have more control over the ingredients that go into my meal
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
RF011E (EASIER CONTROLLING CALORIES AT HOME)
When I eat at home I have an easier time controlling the calories that I eat
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
RF011F (RESTAURANT ONLY FOR SPECIAL OCCASIONS)
I eat out at a restaurant only for special occasions or to treat myself or the family
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
RF012intro (INTRO TO RF012 QUESTIONS)
Now we want to get your thoughts on what type of eater you are. Please tell us whether you agree with each statement on a scale of 1 to 5 with 1 being strongly agree and 5 being strongly disagree.
Subgroup of questions
RF012A (HEALTHY EATER)
I am a healthy eater
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012B (EATS NUTRITIOUS)
I am someone who eats in a nutritious manner
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012C (CAREFUL EATER)
I am someone who is careful about what I eat
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012D (SAD EATER)
I am someone who eats more when sad/depressed
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012E (STRESSED EATER)
I am someone who eats more when stressed/anxious
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012F (OVEREATER)
I am an overeater
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012G (MEAT EATER)
I am a meat eater
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012H (LIKES MEAT WITH EVERY MEAL)
I am someone who likes meat with every meal
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012I (JUNK FOOD EATER)
I am a junk food eater
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012J (PICKY EATER)
I am a picky eater
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
RF012K (TRIES NEW FOODS)
I am someone who likes to try new foods
1 1
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
Strongly agree
2 2
3 3
4 4
5 5
Strongly disagree
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
RF013intro (INTRO TEXT TO RF013 QUESTIONS)
How strongly do you agree or disagree with the following statements?
Subgroup of questions
RF013A (INTENTION TO PURCHASE HEALTHY FOODS)
During the next month I intend to consume healthier foods more often than I do now.
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
RF013B (EATING HEALTHY IMPROVING HEALTH)
Eating healthy (e.g. more fruits/vegetables, less sugar, less sodium, smaller portions) will improve my health.
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
RF013C (OPINION OF IMPORTANT PEOPLE)
Most people who are important to me think I should consume healthier food/drinks.
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
RF013D (ABLE TO CONSUME HEALTHIER FOODS)
If I chose to, I would be able to consume healthier foods.
1 Strongly agree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
2 Agree
3 Neither agree nor disagree
4 Disagree
5 Strongly disagree
End of subgroup of questions
End of group of questions
Group of questions presented on the same screen
SE_intro (SELF EFFICACY INTRO)
Below is a list of things that people might do while trying to change their eating habits. We are mainly interested in salt and fat intake, rather than weight reduction. Whether you are trying to change your eating habits or not, please rate how confident you are that you could really motivate yourself to do things like these consistently, for at least six months.
How sure are you that you can do these things?
How sure are you that you can do these things?
Subgroup of questions
SE001 (LOW FAT LOW SALT WHEN FEEL DEPRESSED)
Stick to your low fat, low salt foods when you feel depressed, bored, or tense.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE002 (HIGH FAT HIGH SALT READILY AVAILABLE)
Stick to your low fat, low salt foods when there is high fat, high salt food readily available at a party.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE003 (WHEN DINING WITH FRIENDS)
Stick to your low fat, low salt foods when dining with friends or co-workers.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE004 (VENDING MACHINE)
Stick to your low fat, low salt foods when the only snack close by is available from a vending machine.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE005 (NO ONE IS WATCHIING)
Stick to your low fat, low salt foods when you are alone, and there is no one watching you.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE006 (EAT SMALLER PORTIONS)
Eat smaller portions at dinner.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE007 (COOK SMALLER PORTIONS)
Cook smaller portions so there are no leftovers.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE008 (LUNCH AS MAIN MEAL)
Eat lunch as your main meal of the day, rather than dinner.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE009 (EAT SMALLER PORTIONS AT PARTY)
Eat smaller portions of food at a party.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE010 (EAT SALADS FOR LUNCH)
Eat salads for lunch.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE011 (ADD LESS SALT)
Add less salt than the recipe calls for.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE012 (EAT UNSALTED PEANUTS)
Eat unsalted peanuts, chips, crackers, and pretzels.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE013 (AVOID ADDING SALT)
Avoid adding salt at the table.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE014 (UNSALTED UNBUTTERED POPCORN)
Eat unsalted, unbuttered popcorn.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE015 (SALT SHAKER)
Keep the salt shaker off the kitchen table.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE016 (VEGETARIAN ENTREES)
Eat meatless (vegetarian) entrees for dinner.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE017 (SUBSTITUTE NONFAT MILK)
Substitute low or non-fat milk for whole milk at dinner.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE018 (CUT DOWN ON GRAVIES)
Cut down on gravies and cream sauce.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE019 (EAT POULTRY AND FISH)
Eat poultry and fish instead of red meat at dinner.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
SE020 (AVOID ORDERING RED MEAT)
Avoid ordering red meat (beef, pork, ham, lamb) at restaurants.
1 I know I cannot
2 Maybe I can
3 I know I can
8 Does not apply
2 Maybe I can
3 I know I can
8 Does not apply
End of subgroup of questions
End of group of questions
DM001 := age
DM002 := gender
DM003 := education
DM004 := spanish
IF DM004 = 1 THEN
DM005 := spanishgroup
End of if
IF DM004 !=1 THEN
DM006 := race
End of if
DM007 := maritalstatus
DM008A := 0
DM008B := 0
Loop from 1 to SIZEOF(HHMEMBERACTIVE)
IF hhmemberactive[cnt3] = 1 AND hhmemberage[cnt3] = response AND hhmemberage[cnt3] < 18 THEN
DM008A := DM008A + 1
ELSEIF hhmemberactive[cnt3] = 1 AND hhmemberage[cnt3] >= 18 THEN
DM008B := DM008B + 1
End of if
End of loop
Fill code of question 'FLconsent' executed
consent (CONSENT TO TAKE UAS33)
[Thank you for your participation in this study! We have another opportunity for you, but this time away from your computer!
Would you be willing to visit a local restaurant participating in the Choose Health LA project within the next week? Even if none are convenient to your home, there may be one close to where you work. This is sort of like a secret shopper survey, where you will go and take pictures on your phone or tablet, then upload them to our secure site. We will load $10 on your Clincard to offset your spending, and also pay you $5 for uploading pictures of your receipts, the menu, the restaurant itself, and any signage you see that has the Choose Health LA logo.
If something comes up and you do not end up going to a restaurant, we will deduct the $10 we added from your other survey earnings. If you find out that no restaurants are close enough to where you live or work you can decline the study at a later time.
Would you be willing to participate in this extra study?/Thank you for your participation in this study! We have another opportunity for you, but this time away from your computer!
Would you be willing to visit a local restaurant of your choice within the next week? Even if none are convenient to your home, there may be one close to where you work. This is sort of like a secret shopper survey, where you will go and take pictures on your phone or tablet, then upload them to our secure site. We will load $10 on your Clincard to offset your spending, and also pay you $5 for uploading pictures of your receipts, the menu, and the restaurant itself.
If something comes up and you do not end up going to a restaurant, we will deduct the $10 we added from your other survey earnings. If you find out that no restaurants are close enough to where you live or work you can decline the study at a later time.
Would you be willing to participate in this extra study?]
Would you be willing to visit a local restaurant participating in the Choose Health LA project within the next week? Even if none are convenient to your home, there may be one close to where you work. This is sort of like a secret shopper survey, where you will go and take pictures on your phone or tablet, then upload them to our secure site. We will load $10 on your Clincard to offset your spending, and also pay you $5 for uploading pictures of your receipts, the menu, the restaurant itself, and any signage you see that has the Choose Health LA logo.
If something comes up and you do not end up going to a restaurant, we will deduct the $10 we added from your other survey earnings. If you find out that no restaurants are close enough to where you live or work you can decline the study at a later time.
Would you be willing to participate in this extra study?/Thank you for your participation in this study! We have another opportunity for you, but this time away from your computer!
Would you be willing to visit a local restaurant of your choice within the next week? Even if none are convenient to your home, there may be one close to where you work. This is sort of like a secret shopper survey, where you will go and take pictures on your phone or tablet, then upload them to our secure site. We will load $10 on your Clincard to offset your spending, and also pay you $5 for uploading pictures of your receipts, the menu, and the restaurant itself.
If something comes up and you do not end up going to a restaurant, we will deduct the $10 we added from your other survey earnings. If you find out that no restaurants are close enough to where you live or work you can decline the study at a later time.
Would you be willing to participate in this extra study?]
settingfollowtype
if consent = 1 then
temp_select := autoselectUAS33()
End of if
if consent = 1 and treatment = 2 then
Group of questions presented on the same screen
consent2 (RESTAURANT LIST INTRO)
Great! Please review the list of participating Choose Health LA restaurants and their locations on the map links provided. Keep in mind that you may visit one that is closer to your work rather than your home if that is more convenient for you.
When you have selected a restaurant, please record the name and address of the restaurant so that you may visit it within the next week.
On the next screen, you will see instructions on which items you will need to take pictures of for the CHLA restaurant that you visit.
When you have selected a restaurant, please record the name and address of the restaurant so that you may visit it within the next week.
On the next screen, you will see instructions on which items you will need to take pictures of for the CHLA restaurant that you visit.
rest_list (LIST OF RESTAURANTS)
Central LA (Downtown, Hollywood) [RESTAURANT LIST[]]
Gateway Cities [RESTAURANT LIST[]]
San Fernando Valley [RESTAURANT LIST[]]
San Gabriel Valley [RESTAURANT LIST[]]
Westside [RESTAURANT LIST[]]
South Bay [RESTAURANT LIST[]]
Antelope Valley [RESTAURANT LIST[]]
Gateway Cities [RESTAURANT LIST[]]
San Fernando Valley [RESTAURANT LIST[]]
San Gabriel Valley [RESTAURANT LIST[]]
Westside [RESTAURANT LIST[]]
South Bay [RESTAURANT LIST[]]
Antelope Valley [RESTAURANT LIST[]]
End of group of questions
Group of questions presented on the same screen
Fill code of question 'FLinstructions' executed
instructions (RESTAURANT SELECTION INSTRUCTIONS)
The additional survey is designed to be taken while you are at the restaurant using your smart phone or tablet, or after you get home. Please note you will need to take five pictures while you are at the restaurant.
] Please fill out the information below and an email will be sent to you with the full directions on how to participate in this additional study. Then click the next button for the final questions of this survey.
- The restaurant entrance, near the doorway
- The counter where you place your order
- Your table if you sat, or an empty table if you took your food to go
- The menu board or menu
- A picture of your receipt
] Please fill out the information below and an email will be sent to you with the full directions on how to participate in this additional study. Then click the next button for the final questions of this survey.
firstname (FIRST NAME FOR AUTO EMAIL)
Please enter your first name:
STRINGenter_email (RESP EMAIL TO RECEIVE ADDITIONAL SURVEY INSTRUCTIONS)
Please enter your email address:
STRINGconfirm_email (CONFIRM ADDITIONAL STUDY INSTRUCTIONS EMAIL)
Confirm email address:
STRINGEnd of group of questions
tempv := send_emailUAS41_CHLA(firstname, enter_email)
elseif consent = 1 and (treatment = 1 or treatment = 3) then
Group of questions presented on the same screen
Fill code of question 'FLinstructions' executed
instructions (RESTAURANT SELECTION INSTRUCTIONS)
The additional survey is designed to be taken while you are at the restaurant using your smart phone or tablet, or after you get home. Please note you will need to take five pictures while you are at the restaurant.
] Please fill out the information below and an email will be sent to you with the full directions on how to participate in this additional study. Then click the next button for the final questions of this survey.
- The restaurant entrance, near the doorway
- The counter where you place your order
- Your table if you sat, or an empty table if you took your food to go
- The menu board or menu
- A picture of your receipt
] Please fill out the information below and an email will be sent to you with the full directions on how to participate in this additional study. Then click the next button for the final questions of this survey.
firstname (FIRST NAME FOR AUTO EMAIL)
Please enter your first name:
STRINGenter_email (RESP EMAIL TO RECEIVE ADDITIONAL SURVEY INSTRUCTIONS)
Please enter your email address:
STRINGconfirm_email (CONFIRM ADDITIONAL STUDY INSTRUCTIONS EMAIL)
Confirm email address:
STRINGEnd of group of questions
tempv := send_emailUAS41_nonCHLA(firstname, enter_email)
End of if
CS_001 (HOW PLEASANT INTERVIEW)
Could you tell us how interesting or uninteresting you found the questions in this interview?
1 Very interesting
2 Interesting
3 Neither interesting nor uninteresting
4 Uninteresting
5 Very uninteresting
2 Interesting
3 Neither interesting nor uninteresting
4 Uninteresting
5 Very uninteresting
CS_003 (comments)
Do you have any other comments on the interview? Please type these in the box below.(If you have no comments, please click next to complete this survey.)
STRINGCS_004 (THANK YOU SCREEN)
Thank you for taking the survey! Your responses have been recorded.