Attachment 3 Consumer Behavior Questionnaire

Attachment 3 Consumer Behavior.doc

National Health and Nutrition Examination Survey (NHANES)

Attachment 3 Consumer Behavior Questionnaire

OMB: 0920-0237

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Attachment 3.

Consumer Behavior Questionnaire

OMB no. 0920-0237

Expires: 11/30/2009


Notice - Information contained on this form which would permit identification of any individual or establishment has been collected with a guarantee that it will be held in strict confidence, will be used only for purposes stated for this study, and will not be disclosed or released to others without the consent of the individual or establishment in accordance with section 308(d) of the Public Health Service Act (42 USC 242m). Public reporting burden of this collection of information is estimated to average 20 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road, MS D-74, Atlanta, GA 30333. ATTN: PRA (0920-0214).


  1. Food label


(Food label questions are asked depending on respondents answers to questions currently on the NHANES.)


CBQ.new1 Why do you choose to check the food label when deciding to buy a food product?

(open ended)


CBQ.new2 Why don’t you use the food label when deciding to buy a food product?


(open ended)


II. Organic Foods Use


CBQ.new3 Have you ever seen the “USDA ORGANIC” seal on a food product?


YES 1

NO 2

REFUSED 7

DON'T KNOW 9


Existing question

CBQ.740 {Now, please look at the examples on hand card 10}


In the past 30 days, did you buy any food that was labeled ‘organic’?

[HAND CARD #10]


HELP SCREEN


CAPI INSTRUCTION: Do NOT display the text in braces if CBQ.502=”2”.


YES 1

NO 2 (Box 6)

DO NOT SHOP FOR FOOD 3 (Box 6)

REFUSED 7 (Box 6)

DON'T KNOW 9 (Box 6)



CBQ.new4 How often do you buy organic fruits?

Would you say always, most of the time, sometimes, or rarely?


ALWAYS 1

MOST OF THE TIME 2

SOMETIMES 3

RARELY 4

REFUSED 7

DON'T KNOW 9



CBQ.new5 How about organic vegetables?

How often do you buy organic vegetables? Would you say always, most of the time, sometimes, or rarely?


ALWAYS 1

MOST OF THE TIME 2

SOMETIMES 3

RARELY 4

REFUSED 7

DON'T KNOW 9



CBQ.new6 How about organic milk and other dairy products?

[How often do you buy organic milk and other dairy products? Would you say always, most of the time, sometimes, or rarely?]


ALWAYS 1

MOST OF THE TIME 2

SOMETIMES 3

RARELY 4

REFUSED 7

DON'T KNOW 9



CBQ.new7 How about organic eggs?

[How often do you buy organic eggs? Would you say always, most of the time, sometimes, or rarely?]


ALWAYS 1

MOST OF THE TIME 2

SOMETIMES 3

RARELY 4

REFUSED 7

DON'T KNOW 9



CBQ.new8 How about organic baby foods?

[How often do you buy organic baby foods? Would you say always, most of the time, sometimes, or rarely?]


ALWAYS 1

MOST OF THE TIME 2

SOMETIMES 3

RARELY 4

REFUSED 7

DON'T KNOW 9



CBQ.new9 How about organic meats?

[How often do you buy organic meats? Would you say always, most of the time, sometimes, or rarely?]


ALWAYS 1

MOST OF THE TIME 2

SOMETIMES 3

RARELY 4

REFUSED 7

DON'T KNOW 9



CBQ.new10 How about organic poultry?

[How often do you buy organic poultry? Would you say always, most of the time, sometimes, or rarely?]


ALWAYS 1

MOST OF THE TIME 2

SOMETIMES 3

RARELY 4

REFUSED 7

DON'T KNOW 9



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File TitleTable 1
AuthorChia-Yih Wang
Last Modified Bymxm3
File Modified2007-11-29
File Created2007-11-23

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