Diet History Questionnaire Pdf
The most recent version dhq iii can be used by researchers clinicians or educators to assess food and dietary supplement intakes.
Diet history questionnaire pdf. Estimate if you are not sure. How healthy is your diet. The questions in the diet history questionnaire use measurements like cups ounces tablespoons and teaspoons. General instructions answer each question as best you can.
The questionnaire items elicited the usual frequency of foods consumed in the canadian diet for one or two specified periods of time including current and or past diet history. There are diets that mainly focus on losing weight others gaining weight while others do it to maintain a healthy lifestyle in order to live a long and healthy life. Please bring this questionnaire with you to your appointment. Diet history questionnaire.
A guess is use only a. It was originally printed in 1998 reprinted in 2002 with minor changes to the front page and the development of a spanish translation and reprinted again in 2007 with changes to the today s date field to include the years 2007 2011. Erase completely if you make any changes. The diet history questionnaire dhq is a freely available food frequency questionnaire ffq developed by staff at the risk factor assessment branch rfab.
Do not make stray marks on this form. There are four different versions of dhq ii in both paper and electronic formats. Refer below to convert these measurements to their metric equivalents. This questionnaire asks you about the foods you have eaten in the past month do not fold staple or tear the pages.
The diet history questionnaire dhq is a freely available food frequency questionnaire ffq for use with adults 19 or more years of age. Be certain to completely blacken in each of the answers. Reducing the amount of salt in your diet can help keep your blood pressure down especially if this is part of a healthy diet that includes plenty of fruit and vegetables. Some questions may not apply and may be left unanswered.
Questions you may want to consider making some changes to your diet. Project first diet history questionnaire. Estimate if you are not sure. It can be used by researchers clinicians or teachers without permission.
General instructions answer each question as best you can. Reducing your blood pressure reduces your risk of having a heart attack or stroke. Dhq 1 is the standard version of the nci s diet history questionnaire. 1 cup 240 ml 1 ounce 30 ml 1 tablespoon 15 ml 1 teaspoon 5 ml.
The information you share will help the registered dietitian have a better understanding of your needs. A guess is better than leaving a blank. Put an x in the box next to your answer.