Draft I-11 PEL Questionnaire and Checklist Questionnaire ...
Questionnaire
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Transcript of Questionnaire
APPENDICES
APPENDIX 1: CONSENT FORMTHE EFFECT OF NUTRITIONAL KNOWLEDGE ON THE DIETARY PRACTICES AND NUTRITIONAL STATUS OF EMPLOYEES IN NAIROBIS FORMAL SECTOR: A CASE STUDY OF THE NATIONAL SOCIAL SECURITY FUND (NSSF).Hello, my name is Caroline Ikiugu, a student at the Kenya Institute of Project Management, pursuing an Advanced Diploma in Project Management. It is my pleasure to notify you that you have been identified to participate in this study on The effect of nutritional knowledge on the dietary practices and nutritional status of employees in Nairobis formal sector: a case study of the National Social Security Fund (NSSF).
The study aims at investigating the effect or influence that an individuals nutritional knowledge has on their dietary choices and habits as well as on their overall nutritional status. The study targets employees working in Nairobis formal sector. With your consent, I intend to gather information on your dietary habits and some body measurements. The results of the study will be used to make recommendations on improving workplace dietary habits as well as to inform the design of employee nutrition education and wellness programs.You are therefore kindly requested to respond to the questionnaire that follows. All the data collected will be treated with the utmost confidence and will only be used for statistical and research purposes.
THANK YOUAPPENDIX 2: QUESTIONNAIRE:
Date: ______________ (day/Month/Year) Questionnaire No.PART A: GENERAL INFORMATION
Kindly answer the following questions by ticking the correct answer:1). What is your gender?
(a) Male
(b) Female
2). How old are you?
(a) 25-29
(b) 30-34
(c) 35-39
(d) 40-44
(e) 45-49
(f) 50-54
3). What is the highest level of education that you have attained?(a) Primary school(b) Secondary school(c) College (Diploma/Certificate)(d) Graduate(e) Post-Graduate (Masters or Ph.D.)4). Have you received any education and/or training about nutrition before?
(a) If yes, please specify...................
(b) No
5).Where do you usually get information about food and health from? Please choose only one option the one that best applies to you.(a) Books(b) Newspapers & magazines(c) TV & radio(d) Doctors(e) Nutritionists
(f) Work colleagues & friends(h) Other, please specify.......................PART B: NUTRITION KNOWLEDGEKindly answer the following questions by ticking the correct answer:1. Which fat do nutrition experts say is most important for people to cut down on?a) Monounsaturated fatb) Polyunsaturated fat c) Saturated fat d) Not sure 2. What version of dairy foods do nutritionists say people should eat? a) Full fat
b) Low fat
c) Mixture of full fat and low fat
d) Neither, dairy foods should be cut out
3. According to the experts, the amount of salt we consume in a day should not exceed
a) Half a teaspoon
b) One teaspoon
c) One tablespoond) Not sure 4. How many servings of fruit and vegetables a day do you think experts are advising people to eat? (One serving could be, for example, an apple or a handful of chopped carrots)
a) At least 1-2 servings per day
b) At least 2-4 servings per day
c) At least 5-6 servings per dayd) Not sure
5. A healthy adult should consume an average of how much water per day?
a) 2.0 litres
b) 1.0 litres
c) 3.0 litres
d) Not sure
6. Recommended good fats are mainly found in?a) Dairy products
b) Vegetable oilsc) Both (a) and (b)d) Not sure
7. Which of these breads contain the most vitamins and minerals?
a) White
b) Brown
c) Wholegrain
d) Not sure8. Which one of the following has the most calories for the same weight?
a) Sugar
b) Starchy foods
c) Fibre/ roughage
d) Fat
9. The iron in spinach is as easy for our bodies to assimilate as the iron in red meat.a) Agree
b) Disagree
c) Not sure10. There is more protein in a glass of whole milk than in a glass of skimmed milk.
a) Agree
b) Disagree
c) Not sure
11. If a person felt like eating something sweet, but was trying to cut down on sugar, which would be the best choice? a) Honey on toasted bread
b) A cereal snack bar
c) A plain digestive biscuit
d) Banana with plain yoghurt
12. Which do you think is higher in calories: butter or regular margarine (blue band)? a) Butter
b) Regular margarine
c) Both are the same
d) Not sure
13. Which would be the best choice for a low fat, high fibre snack? a) Raisins and datesb) Yoghurtc) Diet chocolate bar
d) Biscuits14. Which type of foods listed below provides high protein?
a) Peas, avocado, liver
b) Chicken, green grams, sausage
c) Liver, eggs, milk, fish
d) Nuts, cabbage, beans, pawpaw
15. Your doctor told you to increase your intake of calcium. Which of these foods would you choose?a) Sukuma wiki (kale), yoghurt, almondsb) Bananas, arrowroots, yamsc) Carrots, pawpaw, tomatoes
d) Not sure16. To prevent anaemia one should consume the following mineral and vitamin?
a) Calcium and Vitamin B2
b) Iron and Vitamin C
c) Boron and Vitamin C
d) Iron and Vitamin B1
17. Which one of these is more likely to raise peoples blood cholesterol level?
a) Fruits
b) Plant oilsc) Grainsd) Animal fats18. The following vitamins act as antioxidants?a) Vitamin B, C
b) Vitamin A, C, E
c) Vitamin A, D, K
d) Not sure19. Which of these diseases is NOT related to high salt/sodium intake?a) High blood pressure
b) Cardiovascular disease
c) Liver cirrhosis
d) Stroke20. Which of these diseases is NOT associated with a diet low in fibre?
a) Goutb) Colon cancer
c) Constipationd) Obesity
PART C: DIETARY PRACTICESThe following questions are designed to find out your dietary habits:1. Where do you get most of your meals from while at work?a) Office cafeteria/ restaurant
b) Carry packed from home
c) Fast food placed) Food kiosk
e) Other. Please specify
2. Which of these most influences the type of food you choose to eat while at work? Tick all that apply.a) Convenience of mealb) Availability and accessibility of foodc) Nutritional knowledged) Cost of the food
e) Personal mood/ cravingsf) Other. Please specify..
3. How many main meals do you consume in a day? ..
b). How often do you consume the following meals in a week? (Tick appropriately in
the table below)Meal1. Everyday2. Sometimes3. Rarely/Never
Breakfast
Mid-morning snack
Lunch
Afternoon snack
Supper
Evening snack
4. Which snacks (if any) do you consume? E.g. samosas, biscuits, mandazis etc. List all that apply.
5. Do you take alcoholic beverages? ( circle one) 1. Yes 2. No
b). If yes how often? 1. Everyday 2. Once a week 3. Once a month 4.Other specify6. Do you think you consider a balanced diet when choosing and preparing your meals? 1. Yes 2. NoFOOD FREQUENCY QUESTIONNAIREHow many times did you consume the following foods in the last 7 days?Food typeFrequency of consumption in last one week
Everyday1-2 times a week3-6 times a weekNever
1.Cereal based foods
White rice
Brown rice
Ugali
Chapati (white)
Chapati (brown)
White bread
Whole wheat bread
Breakfast cereals
Porridge
Spaghetti
2.Roots and Tubers
Arrow roots
Yams/ cassava
Sweet potatoes
Plantain/ green bananas
3.Milk and milk products
Fresh milk
Yoghurt
Fermented milk (mala)
Ice cream
4.Meat, poultry and related products
Beef/goat/mutton/pork
Chicken
Fish
Processed meat(sausages, ham, smokies, bacon)
Eggs
5. Legumes, pulses and nuts
Beans, lentils(kamande), green grams, peas, njahi
Groundnuts, peanuts, cashew nuts, macadamia nuts, almonds etc.
6. Vegetables
Leafy green vegetables e.g. Kales (sukuma), spinach, cabbage, kunde
Carrots, tomatoes, cucumber, French beans, pepper
7. Fruits
Mangoes, pawpaws, apples, bananas, pineapples, avocados etc.
8. Sweets
Sugar
Honey
Sweets
Cakes
Biscuits
9. Beverages
Juice
Tea/ coffee/ cocoa
Soda
Alcohol
Measurements1st reading2nd readingAverage
Weight (in kg)
Height (in metres)
BMI=average weight/ average height2
PART D: ANTHROPOMETRY 2