Start
nshd_99_dd
STRICTLY CONFIDENTIAL

Serial number

Serial number

Nurse number

Nurse number

Interview date

Generic date
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
(Medical Research Council)
DIET DIARY
1999
We would be grateful if you could keep this diary of everything you eat or drink over the next 6 days. This is a very useful and important part of the Survey, and will help us to understand the effects of diet on long-term health. The nurse will fill in the first day up to now with you and then leave you to complete it and the following five days on your own. Some details of how to do this are on the first few pages.
When the last day has been filled in, please complete the questions on the last page and post the booklet back to us in the envelope provided. You do not need a stamp.
Details of how to use the diary
Each day is divided into sections, from first thing in the morning to late evening. Please treat each day separately. Write in the name of all food and drink taken (including water), a description and the amount (even if just a mouthful), for each part of the day. If nothing was eaten or drunk during a part of the day, please draw a line through that section. Please record everything at the time of eating, NOT from memory at the end of the day.
Overleaf is a list of popular foods and drinks with descriptions so that we can tell what it is made of and how much you had. There are also some notes on recording made-up dishes and take-away foods. Please give as much detail as you can.
Where possible, please always state what sort of fat or oil was used for spreading, baking or frying.
For some foods, you may find it easier to describe how much you had by comparing it to one of the pictures. Please write the number and letter of the picture which best describes the amount you have eaten, eg. 6C.
Many packet foods have weights printed on them, so please use these and give brand names whenever possible. Stick the descriptive parts of the wrappers of ready-made packaged meals in your diary, if you can.
At the end of each day, there is a list of snacks and drinks that can easily be forgotten. If not already mentioned in some other part of the day, please write any extra items in here.
Please name any vitamin or other supplements if you had any, giving brand details, and enclosing label(s) if possible.
The general questions at the end of the book will help us identify the foods you usually use.
It is very important that you do not adjust what you eat and drink just because you are keeping a record. Please stick to your usual diet.
THANK YOU FOR YOUR HELP
Food/Drink: Bacon Description & Preparation: lean or streaky; fried or grilled rashers Amount: number
Food/Drink: Baked beans Description & Preparation: standard or reduced sugar Amount: tablespoons, tin size, picture 12
Food/Drink: Beefburger (hamburger) Description & Preparation: home-made, from a packet or take-away; fried, microwaved or grilled; large or small; with or without bread roll Amount: number
Food/Drink: Beer Description & Preparation: e.g. stout, bitter, lager; draught, canned, low-alcohol or home-made Amount: number of pints or half pints
Food/Drink: Biscuits Description and Preparation: what sort and brand; e.g. cheese, wafer, crispbread, sweet, chocolate, shortbread, home-made Amount: number
Food/Drink: Bread (see also sandwiches) Description and Preparation: wholemeal, granary, white or brown; currant, fruit, malt; large or small loaf; thick, medium or thin slices; sliced or unsliced; give brand if possible Amount: number of slices
Food/Drink: Bread rolls Description & Preparation: wholemeal, white or brown; alone or with filling; crusty or soft Amount: number of rolls
Food/Drink: Breakfast cereal, bran, wheatgerm Description and Preparation: what sort: cornflakes; Weetabix; muesli etc; give brand name Amount: tablespoons or picture 1
Food/Drink: Bun Description and Preparation: iced, currant or plain; large or small Amount: number
Food/Drink: Butter for bread Description & Preparation: ordinary or low-fat dairy spread, give brand name if possible Amount: thick, average, thin spread
Food/Drink: Cake Description and Preparation: small or piece of large; type and brand; fruit, cream, iced; type of filling Amount: number, slices, picture 13 or 14
Food/Drink: Cheese Description & Preparation: name and type: e.g. chedar, cream, cottage, soft, low fat Amount: picture 2 or tablespoons
Food/Drink: Chips Description & Preparation: fresh, frozen, oven, microwave, take-away; type of fat used for cooking Amount: picture 7
Food/Drink: Chocolate(s) Description and Preparation: what sort: plain, milk, white, fancy, diabetic; give brand name Amount: number; weight of bar
Food/Drink: Chops Description and Preparation: what sort: lean or fatty; large or small; fried, grilled or baked Amount: number
Food/Drink: Coffee Description and Preparation: with milk; half milk/half water; all milk; ground, instant, decaffeinated Amount: cups or mugs
Food/Drink: Cooking oil Description & Preparation: type; brand name Amount: teaspoons
Food/Drink: Cream Description and Preparation: single, whipped, double or clotted, low-fat; fresh, tinned or substitute; sweetened, unsweetened or soured Amount: tablespoons
Food/Drink: Crisps Description & Preparation: type, potato, corn etc; brand name; low-fat or low-salt Amount: packet weight
Food/Drink: Custard Description and Preparation: pouring custard or egg custard Amount: tablespoons
Food/Drink: Doughnut Description & Preparation: plain, jam, cream or iced; round or ring Amount: number
Food/Drink: Egg Description & Preparation: boiled, fried, scrambled, poached, omelette, etc Amount: number
Food/Drink: Fish Description and Preparation:what sort: fried, grilled, poached or steamed; with batter or breadcrumbs; canned in oil, brine or tomato sauce Amount: amount or picture 6
Food/Drink: Fish cakes fish fingers Description and Preparation: what sort and size; fried or grilled or microwaved Amount: number
Food/Drink: Fruit - fresh Description & Preparation: what sort; with or without skin Amount: number
Food/Drink: Fruit - stewed/canned Description & Preparation: what sort: sweetened or unsweetened; in fruit juice or syrup Amount: tablespoons
Food/Drink: Fruit - juice Description & Preparation: what sort: sweetened or unsweetened Amount: glass or carton size
Food/Drink: Gravy Description & Preparation: thick or thin; instant or packet; made with dripping or meat juices Amount: tablespoons
Food/Drink: Ice cream Description & Preparation: type, dairy or non-dairy; brand name Amount: number or tablespoons
Food/Drink: Jam, honey Description & Preparation: specify if low sugar/diabetic Amount: teaspoons
Food/Drink: Liver, kidney Description & Preparation: pig, lamb, ox; fried or stewed Amount: picture 4 or 5
Food/Drink: Margarine Description & Preparation: hard, soft, polyunsaturated, low-fat; give brand name Amount: thick, average or thin spread
Food/Drink: Marmalade Description & Preparation: type and brand; specify if low sugar Amount: teaspoons
Food/Drink: Meats Description & Preparation: what sort; lean or fatty; how cooked; with or without gravy Amount: helping or picture 4 or 5
Food/Drink: Milk - for drinking on its own or for cereals Description & Preparation: full cream, semi-skimmed, skimmed; sterilized, UHT, flavoured, dried, soya, goats' Amount: pints, glasses or cups
Food/Drink: Minced beef Description & Preparation: fatty or lean; alone or with vegetables Amount: tablespoons or picture 5
Food/Drink: Peanuts Description & Preparation: dry roasted or ordinary salted Amount: packet weight
Food/Drink: Pie, fruit or meat Description & Preparation: what sort; individual or helping; one pastry crust or two; type of flour Amount: individual or slice, picture 3
Food/Drink: Porridge Description & Preparation: with sugar or honey; with milk or cream Amount: bowls
Food/Drink: Potatoes Description & Preparation: baked, boiled, roast; mashed/creamed; fried/chips; instant; with butter Amount: tablespoons, pictures 10 or 11
Food/Drink: Pudding Description & Preparation: what sort: e.g. steamed sponge; with fruit; pie (what sort); mousse; instant desserts; milk puddings; give recipe Amount: tablespoons, slices or pictures 3, 13 or 15
Food/Drink: Rice Description & Preparation: white or brown; boiled or fried Amount: tablespoons or picture 8
Food/Drink: Salad Description & Preparation: ingredients; if with dressing what sort (oil and vinegar, mayonnaise) Amount: tablespoons
Food/Drink: Sandwiches and rolls Description & Preparation: wholemeal, white or brown bread; large or small loaf; thick, medium or thin slices; butter or margarine; type of filling; including mayonnaise Amount: number of rolls or slices of bread
Food/Drink: Sauce - hot Description & Preparation: (for vegetables, meat or fish, puddings); what sort; savoury or sweet; thick or thin; give brand or recipe Amount: tablespoons or picture 12
Food/Drink: Sauce - cold Description & Preparation: what sort: e.g. tomato ketchup, brown sauce; soy sauce; salad cream; mayonnaise Amount: tablespoons or picture 12
Food/Drink: Sausages Description & Preparation: what sort: e.g. beef, pork, low-fat; large or small; fried or grilled Amount: number
Food/Drink: Sausage rolls Description & Preparation: large or small; type of pastry Amount: number
Food/Drink: Scone Description & Preparation: fruit, sweet, plain, cheese; type of flour Amount: number
Food/Drink: Snacks - in packet Description & Preparation: what sort: e.g. cheese straws, Twiglets, Pretzels; give brand name Amount: packet weight
Food/Drink: Soft drinks Description & Preparation: squash, undiluted or diluted; fizzy drinks; low calorie; give brand name Amount: glasses, cans or carton size
Food/Drink: Soup Description & Preparation: what sort: canned, packet, instant or vending machine, home-made; brand Amount: tablespoons, bowl or mug
Food/Drink: Spaghetti, other pasta Description & Preparation: type; fresh, boiled, canned in sauce, white, wholemeal Amount: tablespoons or picture 9
Food/Drink: Spirits Description & Preparation: what sort: e.g. whiskey, gin , vodka, rum Amount: measures as in pub
Food/Drink: Sugar Description & Preparation: added to cereals, tea, coffee, fruit, etc Amount: heaped or level teaspoons
Food/Drink: Sweets Description & Preparation: what sort: e.g. toffees, boiled sweets, diabetic; give brand name Amount: number
Food/Drink: Tea Description & Preparation: with/without milk; herb, decaffeinated Amount: cups or mugs
Food/Drink: Vegetables Description & Preparation: what sort: with butter, other fat or sauce; how cooked, or raw Amount: tablespoons
Food/Drink: Wine, sherry, port Description & Preparation: e.g. white, red; sweet,dry; low-alcohol Amount: glasses
Food/Drink: Yoghurt, fromage frais Description & Preparation: what sort: e.g. with fruit, natural, plain; flavour; low fat, creamy, Greek, soya Amount: carton size or tablespoons
Food/Drink: Home-made dishes Description & Preparation: Please say what the dish is called and give recipe or ingredients if you can Amount: tablespoons, or one of the pictures
Food/Drink: Ready-made meals Description & Preparation: Please give name, brand name and description, and enclose label and ingredients list if possible Amount: one of the pictures or packet weight
Food/Drink: Take-away food or food eaten out Description & Preparation: Please say what the dish is called and give main ingredients if you can. Give name of a chain restaurant Amount: tablespoons or one of the pictures
Use the pictures to help you to indicate the size of the portion you have eaten. Write on the food record the picture number and size A, B or C nearest to your own helping.
The pictures could also be used for foods not shown, e.g. fruit crumble might be similar to shepherd's pie, fruit cake similar to veal and ham pie and baked beans similar to peas.
_days < 6 _days < 6

DAY OF WEEK

Day number

DATE

Generic date
BEFORE BREAKFAST

Food/Drink

Generic text

Description & Preparation

Generic text

Amount

Generic text
BREAKFAST

Food/Drink

Long text

Description & Preparation

Long text

Amount

Long text
MID MORNING - between breakfast time and lunch time

Food/Drink

Generic text

Description & Preparation

Generic text

Amount

Generic text
LUNCH

Food/Drink

Long text

Description & Preparation

Long text

Amount

Long text
TEA - between lunch time and the evening meal

Food/Drink

Generic text

Description & Preparation

Generic text

Amount

Generic text
EVENING MEAL

Food/Drink

Long text

Description & Preparation

Long text

Amount

Long text
LATER EVENING - up to last thing at night

Food/Drink

Generic text

Description & Preparation

Generic text

Amount

Generic text
BETWEEN-MEALS, SNACKS and DRINKS if not already written in
Food/Drink Roster cs_q9_X Generic text Generic text Generic text Generic text
Chocolate/ sweets 1 Description & Preparation
Chocolate/ sweets 1 Amount
Chocolate/ sweets 2 Description & Preparation
Chocolate/ sweets 2 Amount
Fruit 1 Description & Preparation
Fruit 1 Amount
Fruit 2 Description & Preparation
Fruit 2 Amount
Crisps 1 Description & Preparation
Crisps 1 Amount
Crisps 2 Description & Preparation
Crisps 2 Amount
Peanuts 1 Description & Preparation
Peanuts 1 Amount
Peanuts 2 Description & Preparation
Peanuts 2 Amount
Other Snacks 1 Description & Preparation
Other Snacks 1 Amount
Other Snacks 2 Description & Preparation
Other Snacks 2 Amount
Beer 1 Description & Preparation
Beer 1 Amount
Beer 2 Description & Preparation
Beer 2 Amount
Wine 1 Description & Preparation
Wine 1 Amount
Wine 2 Description & Preparation
Wine 2 Amount
Sherry 1 Description & Preparation
Sherry 1 Amount
Sherry 2 Description & Preparation
Sherry 2 Amount
Spirits 1 Description & Preparation
Spirits 1 Amount
Spirits 2 Description & Preparation
Spirits 2 Amount
Other cold drinks 1 Description & Preparation
Other cold drinks 1 Amount
Other cold drinks 2 Description & Preparation
Other cold drinks 2 Amount
Tea 1 Description & Preparation
Tea 1 Amount
Tea 2 Description & Preparation
Tea 2 Amount
Coffee 1 Description & Preparation
Coffee 1 Amount
Coffee 2 Description & Preparation
Coffee 2 Amount
Other hot drinks 1 Description & Preparation
Other hot drinks 1 Amount
Other hot drinks 2 Description & Preparation
Other hot drinks 2 Amount
Ice cream 1 Description & Preparation
Ice cream 1 Amount
Ice cream 2 Description & Preparation
Ice cream 2 Amount
Anything else? 1 Description & Preparation
Anything else? 1 Amount
Anything else? 2 Description & Preparation
Anything else? 2 Amount

Space to write in the Recipe or Ingredients of any made-up dishes or take-away food that you have mentioned if not already done above

Long text
Please name any vitamins, minerals or other food supplements if you had any. Please give all details and enclose label(s) if possible
Brand Name (in full) Number:pills,capsules, teaspoons
Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text Generic textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric textGeneric text
1
2
3
4

End of day number

Day number
GENERAL QUESTIONS ON YOUR DIET LAST WEEK

Which types of milk did you most often use last week? State type

1
Full cream
3
Semi-skimmed
2
Dried skim milk powder
4
Dried whole or filled milk
5
Skimmed/fat-free
6
Soya
7
Sterilized
8
None
9
Other
Other

How much milk do you usually have in tea?

1
A lot
2
Average
3
Hardly any
4
None
5
I did not drink tea

How much milk did you usually have in coffee?

1
A lot
2
Average
3
Hardly any
4
None
5
I did not drink coffee

Did you always drink decaffeinated coffee?

1
Always
2
Sometimes
3
Never

Which types of bread did you usually eat? Name:

1
White
2
Granary
3
Brown, wheatgerm, Hovis
4
Wholemeal
5
Soft grain
6
Did not eat bread
7
Other
Other

Did you eat the skin on apples or pears? Apples

1
Yes
2
No
3
Did not eat apples

Did you eat the skin on apples or pears? Pears

1
Yes
2
No
3
Did not eat pears

What did you do with the visible fat on meat?

1
Ate most of the fat
2
Ate some of the fat
3
Ate as little as possible
4
Did not eat meat

How thickly did you spread butter, margarine etc. on bread or biscuits?

1
Thick
2
Medium
3
Thin
4
None

Which types of fat did you most often use for baking, frying and spreading?

1
None, I did not use any fats
If None, I did not use any fats to question 9i 9i in section GENERAL QUESTIONS ON YOUR DIET LAST WEEK
qc_general_9_i == 1
Else
Which types of fat did you most often use for baking, frying and spreading?
Brand and types used What did you use it for?

1 - Baking

2 - Frying

3 - Spreading

Generic text

1 - Baking

2 - Frying

3 - Spreading

Generic text

1 - Baking

2 - Frying

3 - Spreading

Generic text

1 - Baking

2 - Frying

3 - Spreading

Generic text
Butter
Low fat spread
Very low fat spread
Polyunsaturated margarine
Other soft margarine
Hard margarine
Vegetable oils 1
Vegetable oils 2
White vegetable fat
Lard
Dripping
Other

Do you feel that this was more-or-less a typical week, as far as your eating went? If not, how was it different?

Generic text
Please return the diary in the pre-paid envelope.
Thank you very much for your cooperation in completing such a long and detailed form.
End

nshd_99_dd

STRICTLY CONFIDENTIAL
Serial number
Serial number
Nurse number
Nurse number
Interview date
Generic date
NATIONAL SURVEY OF HEALTH AND DEVELOPMENT
(Medical Research Council)
DIET DIARY
We would be grateful if you could keep this diary of everything you eat or drink over the next 6 days. This is a very useful and important part of the Survey, and will help us to understand the effects of diet on long-term health. The nurse will fill in the first day up to now with you and then leave you to complete it and the following five days on your own. Some details of how to do this are on the first few pages.
When the last day has been filled in, please complete the questions on the last page and post the booklet back to us in the envelope provided. You do not need a stamp.
Details of how to use the diary
Each day is divided into sections, from first thing in the morning to late evening. Please treat each day separately. Write in the name of all food and drink taken (including water), a description and the amount (even if just a mouthful), for each part of the day. If nothing was eaten or drunk during a part of the day, please draw a line through that section. Please record everything at the time of eating, NOT from memory at the end of the day.
Overleaf is a list of popular foods and drinks with descriptions so that we can tell what it is made of and how much you had. There are also some notes on recording made-up dishes and take-away foods. Please give as much detail as you can.
Where possible, please always state what sort of fat or oil was used for spreading, baking or frying.
For some foods, you may find it easier to describe how much you had by comparing it to one of the pictures. Please write the number and letter of the picture which best describes the amount you have eaten, eg. 6C.
Many packet foods have weights printed on them, so please use these and give brand names whenever possible. Stick the descriptive parts of the wrappers of ready-made packaged meals in your diary, if you can.
At the end of each day, there is a list of snacks and drinks that can easily be forgotten. If not already mentioned in some other part of the day, please write any extra items in here.
Please name any vitamin or other supplements if you had any, giving brand details, and enclosing label(s) if possible.
The general questions at the end of the book will help us identify the foods you usually use.
It is very important that you do not adjust what you eat and drink just because you are keeping a record. Please stick to your usual diet.
THANK YOU FOR YOUR HELP
Food/Drink: Bacon Description & Preparation: lean or streaky; fried or grilled rashers Amount: number
Food/Drink: Baked beans Description & Preparation: standard or reduced sugar Amount: tablespoons, tin size, picture 12
Food/Drink: Beefburger (hamburger) Description & Preparation: home-made, from a packet or take-away; fried, microwaved or grilled; large or small; with or without bread roll Amount: number
Food/Drink: Beer Description & Preparation: e.g. stout, bitter, lager; draught, canned, low-alcohol or home-made Amount: number of pints or half pints
Food/Drink: Biscuits Description and Preparation: what sort and brand; e.g. cheese, wafer, crispbread, sweet, chocolate, shortbread, home-made Amount: number
Food/Drink: Bread (see also sandwiches) Description and Preparation: wholemeal, granary, white or brown; currant, fruit, malt; large or small loaf; thick, medium or thin slices; sliced or unsliced; give brand if possible Amount: number of slices
Food/Drink: Bread rolls Description & Preparation: wholemeal, white or brown; alone or with filling; crusty or soft Amount: number of rolls
Food/Drink: Breakfast cereal, bran, wheatgerm Description and Preparation: what sort: cornflakes; Weetabix; muesli etc; give brand name Amount: tablespoons or picture 1
Food/Drink: Bun Description and Preparation: iced, currant or plain; large or small Amount: number
Food/Drink: Butter for bread Description & Preparation: ordinary or low-fat dairy spread, give brand name if possible Amount: thick, average, thin spread
Food/Drink: Cake Description and Preparation: small or piece of large; type and brand; fruit, cream, iced; type of filling Amount: number, slices, picture 13 or 14
Food/Drink: Cheese Description & Preparation: name and type: e.g. chedar, cream, cottage, soft, low fat Amount: picture 2 or tablespoons
Food/Drink: Chips Description & Preparation: fresh, frozen, oven, microwave, take-away; type of fat used for cooking Amount: picture 7
Food/Drink: Chocolate(s) Description and Preparation: what sort: plain, milk, white, fancy, diabetic; give brand name Amount: number; weight of bar
Food/Drink: Chops Description and Preparation: what sort: lean or fatty; large or small; fried, grilled or baked Amount: number
Food/Drink: Coffee Description and Preparation: with milk; half milk/half water; all milk; ground, instant, decaffeinated Amount: cups or mugs
Food/Drink: Cooking oil Description & Preparation: type; brand name Amount: teaspoons
Food/Drink: Cream Description and Preparation: single, whipped, double or clotted, low-fat; fresh, tinned or substitute; sweetened, unsweetened or soured Amount: tablespoons
Food/Drink: Crisps Description & Preparation: type, potato, corn etc; brand name; low-fat or low-salt Amount: packet weight
Food/Drink: Custard Description and Preparation: pouring custard or egg custard Amount: tablespoons
Food/Drink: Doughnut Description & Preparation: plain, jam, cream or iced; round or ring Amount: number
Food/Drink: Egg Description & Preparation: boiled, fried, scrambled, poached, omelette, etc Amount: number
Food/Drink: Fish Description and Preparation:what sort: fried, grilled, poached or steamed; with batter or breadcrumbs; canned in oil, brine or tomato sauce Amount: amount or picture 6
Food/Drink: Fish cakes fish fingers Description and Preparation: what sort and size; fried or grilled or microwaved Amount: number
Food/Drink: Fruit - fresh Description & Preparation: what sort; with or without skin Amount: number
Food/Drink: Fruit - stewed/canned Description & Preparation: what sort: sweetened or unsweetened; in fruit juice or syrup Amount: tablespoons
Food/Drink: Fruit - juice Description & Preparation: what sort: sweetened or unsweetened Amount: glass or carton size
Food/Drink: Gravy Description & Preparation: thick or thin; instant or packet; made with dripping or meat juices Amount: tablespoons
Food/Drink: Ice cream Description & Preparation: type, dairy or non-dairy; brand name Amount: number or tablespoons
Food/Drink: Jam, honey Description & Preparation: specify if low sugar/diabetic Amount: teaspoons
Food/Drink: Liver, kidney Description & Preparation: pig, lamb, ox; fried or stewed Amount: picture 4 or 5
Food/Drink: Margarine Description & Preparation: hard, soft, polyunsaturated, low-fat; give brand name Amount: thick, average or thin spread
Food/Drink: Marmalade Description & Preparation: type and brand; specify if low sugar Amount: teaspoons
Food/Drink: Meats Description & Preparation: what sort; lean or fatty; how cooked; with or without gravy Amount: helping or picture 4 or 5
Food/Drink: Milk - for drinking on its own or for cereals Description & Preparation: full cream, semi-skimmed, skimmed; sterilized, UHT, flavoured, dried, soya, goats' Amount: pints, glasses or cups
Food/Drink: Minced beef Description & Preparation: fatty or lean; alone or with vegetables Amount: tablespoons or picture 5
Food/Drink: Peanuts Description & Preparation: dry roasted or ordinary salted Amount: packet weight
Food/Drink: Pie, fruit or meat Description & Preparation: what sort; individual or helping; one pastry crust or two; type of flour Amount: individual or slice, picture 3
Food/Drink: Porridge Description & Preparation: with sugar or honey; with milk or cream Amount: bowls
Food/Drink: Potatoes Description & Preparation: baked, boiled, roast; mashed/creamed; fried/chips; instant; with butter Amount: tablespoons, pictures 10 or 11
Food/Drink: Pudding Description & Preparation: what sort: e.g. steamed sponge; with fruit; pie (what sort); mousse; instant desserts; milk puddings; give recipe Amount: tablespoons, slices or pictures 3, 13 or 15
Food/Drink: Rice Description & Preparation: white or brown; boiled or fried Amount: tablespoons or picture 8
Food/Drink: Salad Description & Preparation: ingredients; if with dressing what sort (oil and vinegar, mayonnaise) Amount: tablespoons
Food/Drink: Sandwiches and rolls Description & Preparation: wholemeal, white or brown bread; large or small loaf; thick, medium or thin slices; butter or margarine; type of filling; including mayonnaise Amount: number of rolls or slices of bread
Food/Drink: Sauce - hot Description & Preparation: (for vegetables, meat or fish, puddings); what sort; savoury or sweet; thick or thin; give brand or recipe Amount: tablespoons or picture 12
Food/Drink: Sauce - cold Description & Preparation: what sort: e.g. tomato ketchup, brown sauce; soy sauce; salad cream; mayonnaise Amount: tablespoons or picture 12
Food/Drink: Sausages Description & Preparation: what sort: e.g. beef, pork, low-fat; large or small; fried or grilled Amount: number
Food/Drink: Sausage rolls Description & Preparation: large or small; type of pastry Amount: number
Food/Drink: Scone Description & Preparation: fruit, sweet, plain, cheese; type of flour Amount: number
Food/Drink: Snacks - in packet Description & Preparation: what sort: e.g. cheese straws, Twiglets, Pretzels; give brand name Amount: packet weight
Food/Drink: Soft drinks Description & Preparation: squash, undiluted or diluted; fizzy drinks; low calorie; give brand name Amount: glasses, cans or carton size
Food/Drink: Soup Description & Preparation: what sort: canned, packet, instant or vending machine, home-made; brand Amount: tablespoons, bowl or mug
Food/Drink: Spaghetti, other pasta Description & Preparation: type; fresh, boiled, canned in sauce, white, wholemeal Amount: tablespoons or picture 9
Food/Drink: Spirits Description & Preparation: what sort: e.g. whiskey, gin , vodka, rum Amount: measures as in pub
Food/Drink: Sugar Description & Preparation: added to cereals, tea, coffee, fruit, etc Amount: heaped or level teaspoons
Food/Drink: Sweets Description & Preparation: what sort: e.g. toffees, boiled sweets, diabetic; give brand name Amount: number
Food/Drink: Tea Description & Preparation: with/without milk; herb, decaffeinated Amount: cups or mugs
Food/Drink: Vegetables Description & Preparation: what sort: with butter, other fat or sauce; how cooked, or raw Amount: tablespoons
Food/Drink: Wine, sherry, port Description & Preparation: e.g. white, red; sweet,dry; low-alcohol Amount: glasses
Food/Drink: Yoghurt, fromage frais Description & Preparation: what sort: e.g. with fruit, natural, plain; flavour; low fat, creamy, Greek, soya Amount: carton size or tablespoons
Food/Drink: Home-made dishes Description & Preparation: Please say what the dish is called and give recipe or ingredients if you can Amount: tablespoons, or one of the pictures
Food/Drink: Ready-made meals Description & Preparation: Please give name, brand name and description, and enclose label and ingredients list if possible Amount: one of the pictures or packet weight
Food/Drink: Take-away food or food eaten out Description & Preparation: Please say what the dish is called and give main ingredients if you can. Give name of a chain restaurant Amount: tablespoons or one of the pictures
Use the pictures to help you to indicate the size of the portion you have eaten. Write on the food record the picture number and size A, B or C nearest to your own helping.
The pictures could also be used for foods not shown, e.g. fruit crumble might be similar to shepherd's pie, fruit cake similar to veal and ham pie and baked beans similar to peas.

_days < 6

DAY OF WEEK
Day number
DATE
Generic date

BEFORE BREAKFAST

Food/Drink
Generic text
Description & Preparation
Generic text
Amount
Generic text

BREAKFAST

Food/Drink
Long text
Description & Preparation
Long text
Amount
Long text

MID MORNING - between breakfast time and lunch time

Food/Drink
Generic text
Description & Preparation
Generic text
Amount
Generic text

LUNCH

Food/Drink
Long text
Description & Preparation
Long text
Amount
Long text

TEA - between lunch time and the evening meal

Food/Drink
Generic text
Description & Preparation
Generic text
Amount
Generic text

EVENING MEAL

Food/Drink
Long text
Description & Preparation
Long text
Amount
Long text

LATER EVENING - up to last thing at night

Food/Drink
Generic text
Description & Preparation
Generic text
Amount
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BETWEEN-MEALS, SNACKS and DRINKS if not already written in

Food/Drink Roster cs_q9_X Generic text Generic text Generic text Generic text
Chocolate/ sweets 1 Description & Preparation
Chocolate/ sweets 1 Amount
Chocolate/ sweets 2 Description & Preparation
Chocolate/ sweets 2 Amount
Fruit 1 Description & Preparation
Fruit 1 Amount
Fruit 2 Description & Preparation
Fruit 2 Amount
Crisps 1 Description & Preparation
Crisps 1 Amount
Crisps 2 Description & Preparation
Crisps 2 Amount
Peanuts 1 Description & Preparation
Peanuts 1 Amount
Peanuts 2 Description & Preparation
Peanuts 2 Amount
Other Snacks 1 Description & Preparation
Other Snacks 1 Amount
Other Snacks 2 Description & Preparation
Other Snacks 2 Amount
Beer 1 Description & Preparation
Beer 1 Amount
Beer 2 Description & Preparation
Beer 2 Amount
Wine 1 Description & Preparation
Wine 1 Amount
Wine 2 Description & Preparation
Wine 2 Amount
Sherry 1 Description & Preparation
Sherry 1 Amount
Sherry 2 Description & Preparation
Sherry 2 Amount
Spirits 1 Description & Preparation
Spirits 1 Amount
Spirits 2 Description & Preparation
Spirits 2 Amount
Other cold drinks 1 Description & Preparation
Other cold drinks 1 Amount
Other cold drinks 2 Description & Preparation
Other cold drinks 2 Amount
Tea 1 Description & Preparation
Tea 1 Amount
Tea 2 Description & Preparation
Tea 2 Amount
Coffee 1 Description & Preparation
Coffee 1 Amount
Coffee 2 Description & Preparation
Coffee 2 Amount
Other hot drinks 1 Description & Preparation
Other hot drinks 1 Amount
Other hot drinks 2 Description & Preparation
Other hot drinks 2 Amount
Ice cream 1 Description & Preparation
Ice cream 1 Amount
Ice cream 2 Description & Preparation
Ice cream 2 Amount
Anything else? 1 Description & Preparation
Anything else? 1 Amount
Anything else? 2 Description & Preparation
Anything else? 2 Amount
Space to write in the Recipe or Ingredients of any made-up dishes or take-away food that you have mentioned if not already done above
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Please name any vitamins, minerals or other food supplements if you had any. Please give all details and enclose label(s) if possible

Brand Name (in full) Number:pills,capsules, teaspoons
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2
3
4
End of day number
Day number

GENERAL QUESTIONS ON YOUR DIET LAST WEEK

Which types of milk did you most often use last week? State type
1
Full cream
3
Semi-skimmed
2
Dried skim milk powder
4
Dried whole or filled milk
5
Skimmed/fat-free
6
Soya
7
Sterilized
8
None
9
Other
Other
How much milk do you usually have in tea?
1
A lot
2
Average
3
Hardly any
4
None
5
I did not drink tea
How much milk did you usually have in coffee?
1
A lot
2
Average
3
Hardly any
4
None
5
I did not drink coffee
Did you always drink decaffeinated coffee?
1
Always
2
Sometimes
3
Never
Which types of bread did you usually eat? Name:
1
White
2
Granary
3
Brown, wheatgerm, Hovis
4
Wholemeal
5
Soft grain
6
Did not eat bread
7
Other
Other
Did you eat the skin on apples or pears? Apples
1
Yes
2
No
3
Did not eat apples
Did you eat the skin on apples or pears? Pears
1
Yes
2
No
3
Did not eat pears
What did you do with the visible fat on meat?
1
Ate most of the fat
2
Ate some of the fat
3
Ate as little as possible
4
Did not eat meat
How thickly did you spread butter, margarine etc. on bread or biscuits?
1
Thick
2
Medium
3
Thin
4
None
Which types of fat did you most often use for baking, frying and spreading?
1
None, I did not use any fats

Which types of fat did you most often use for baking, frying and spreading?

Brand and types used What did you use it for?

1 - Baking

2 - Frying

3 - Spreading

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1 - Baking

2 - Frying

3 - Spreading

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1 - Baking

2 - Frying

3 - Spreading

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1 - Baking

2 - Frying

3 - Spreading

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Butter
Low fat spread
Very low fat spread
Polyunsaturated margarine
Other soft margarine
Hard margarine
Vegetable oils 1
Vegetable oils 2
White vegetable fat
Lard
Dripping
Other
Do you feel that this was more-or-less a typical week, as far as your eating went? If not, how was it different?
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Please return the diary in the pre-paid envelope.
Thank you very much for your cooperation in completing such a long and detailed form.