Discretionary Salt Use Questions from NHANES 2009

Form Approved

OMB No. 0920-xxxx

Expiration date: xx/xx/xxxx

Discretionary Salt Use Questions from NHANES 2009

Public reporting burden of this collection of information is estimated to average 5 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, NE, M/S D74, Atlanta, GA 30333, ATTN: PRA 0920-xxxx.

Now I’ll be asking some questions about your use of table salt. What type of salt do you usually add to your food at the table? Would you say it is ordinary or seasoned salt, lite salt, or a salt substitute?

1. ORDINARY, SEA, SEASONED, OR OTHER FLAVORED SALT

[includes regular iodized salt, sea salt and seasoning salts

Made with regular salt]…………………………………………. 1

LITE SALT………………………………………………………… 2

SALT SUBSTITUTE…………………………………………….. 3

NONE……………………………………………………………… 4

REFUSED………………………………………………………… 7

DON’T KNOW……………………………………………………..9

2. How often do you add [REC1 ANSWER] to your food at the table?

Is it rarely, occasionally, or very often?

RARELY………………………………………………………… 1

OCCASSIONALLY…………………………………………….. 2

VERY OFTEN………………………………………………….. 3

REFUSED……………………………………………………… 7

DON’T KNOW………………………………………………….. 9

3. How often is ordinary salt or seasoned salt added in cooking or

preparing foods in your household? Is it never, rarely, occasionally

or very often?

NEVER………………………………………………………….. 1

RARELY………………………………………………………… 2

OCCASIONALLY………………………………………………. 3

VERY OFTEN………………………………………………….. 4

REFUSED……………………………………………………… 7

DON’T KNOW………………………………………………….. 9

[THIS QUESTION APPLIES ONLY TO USE OF ORDINARYSALT OR

[SEASONED SALT AND NOT TO LITE SALT OR SALT SUBSTITUTE