QuestionnaireonKnowledge,Attitudes,BehaviortowardDietarySaltandHealth

N:

Date:

Interviewer:

Age

Sex
female
male
Childrenunder16andlivingathome
yes
no
noanswer
Highesteducationlevel
none
primary
secondary
higher
noanswer
Attitudestatements
Itrytoeatahealthydiet
agree disagree dontknow noanswer
Eatingadiethighinsaltcancauseserioushealthproblems
agree disagree dontknow noanswer
ItrytominimizetheamountoffatIeat
agree disagree dontknow noanswer
Myhealthisgenerallygood
agree disagree dontknow noanswer
Thereistoomuchpressuretoeathealthilythesedays
agree disagree dontknow noanswer
ItrytominimizetheamountofsaltIconsume
agree disagree dontknow noanswer
Iknowingeneralhowmuchsaltfoodcontains
agree disagree dontknow noanswer
Thereissufficientnutritionalinformationonlabelsoffood
agree disagree dontknow noanswer
anddrinks

1.Howoftendoyouaddsalttofoodatthetable?
never
rarely
sometimes
often
always
dontknow

2.Inthefoodyoueatathomesaltisaddedincooking
never
rarely
sometimes
often
always
dontknow

3.Howmuchsaltdoyouthinkyouconsume?
toomuch
rightamount
toolittle
dontknow
noanswer

4.Whatsortofhealthproblemdoyouthinkcanbecausedbyahighsaltdiet?
(donotreadaloud+tickallthatapply)
a)highbloodpressure
b)osteoporosis
c)stomachcancer
d)kidneystones
e)heartattack/heartfailure
f)stroke
g)asthma
h)other(specify):
i)none
j)dontknow
k)noanswer

5.Doyousufferfromorhaveyousufferedfrom:?
Highbloodpressure
yes
no
dontknow
noanswer
Heartattack
yes
no
dontknow
noanswer
Stroke
yes
no
dontknow
noanswer
Kidneystones
yes
no
dontknow
noanswer
Asthma
yes
no
dontknow
noanswer
Osteoporosis
yes
no
dontknow
noanswer
Stomachcancer
yes
no
dontknow
noanswer

6.Limitingtheamountofsalt/sodiumIeatisimportanttome.
notatall
somewhat
very
dontknow
noanswer

7.What,ifanything,doyoudotocontrolyoursaltorsodiumintake?

8.Doyouknowifthereisarecommendedamountforsalt/sodiumtobeeatenperpersonperday?
yes
no
dontknow
noanswer

9.Ifyes,pleaseindicatetheamount?

10.Doyouknowthedifferencebetweensaltandsodium?
yes
no
dontknow
noanswer

11.Ifyes,pleaseindicatethedifference?

12.Doyoupayattentiontoindicationsonpackageslikenoaddedsalt,lowinsalt,light,freeoftrans
fat?
always
often
sometimes
rarely
never
dontknow
noanswer

13.Howoftendoyoureadnutritionlabelsonfoodpackages?
always
often
sometimes
rarely
never
dontknow
noanswer

14.Whatdoyoupreferonnutritionlabelsonfoodpackages?
salt
sodium
saltandsodium
dontknow
noanswer

15.Why?

16.Wouldyoulikelabellingoffoodindicatinghigh/medium/lowlevelsofsaltorsodium?
yes
no
dontknow
noanswer

17.Wouldyouliketoseeaclearwarninglabelonthepackageiffoodsarehighinsalt?
yes
no
dontknow
noanswer

18.Wouldyoulikelabellingoffoodindicatingtheamountofsaltorsodiumingramsormilligrams?
yes
no
dontknow
noanswer

19.Wouldyoulikelabellingoffoodindicatingsaltorsodiumasapercentageoftheamount
recommendedtobeeatenperpersonperday?
yes
no
dontknow
noanswer

20.Doyoupreferlabellingoffoodindicatingsaltorsodiumperportionorthetotalamountperpackage?
perportion
per100gr
totalperpackage
dontknow
noanswer

21.Comments: