Changes to Biomonitoring Interview Questionnaire, Bhutanese and Burmese

Att8c1_BiomQuestionnaire_Bhutan_Burm.docx

Biomonitoring of Great Lakes Populations Program II

Changes to Biomonitoring Interview Questionnaire, Bhutanese and Burmese

OMB: 0923-0052

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Attachment 8c1

Outline of Changes to Biomonitoring Interview Questionnaire, Bhutanese and Burmese

Compared to (OMB Control No: 0923-0044)

IC Title NY Interview – Burmese

Attachment 6j

August 7, 2014













Readability, calculated using the Flesch-Kinkaid Readability Option in Microsoft Word, has been determined at the 3rd grade level without country names

















Additions (in red) to accommodate Bhutanese in current target subpopulation(s)

  1. In what country were you born?

___ United States

___ Burma/Myanmar

___ Thailand

___ Malaysia

___ Bhutan

___ Nepal

___ Other country Specify: _________________________

___ Don’t know

___ Refused


  1. What is your ethnicity or tribe?

___ Nepali (Bhutanese)

___ Burman

___ Chin

___ Kachin

___ Karenni

___ Karen

___ Mon

___ Rakhine

___ Other Specify: _________________________

___ Don’t Know

___ Refused


Changes (in red) to improve interview structure, flow based on lessons learned from earlier interviews

  1. Have you given birth? Changed from, “How many babies have you given birth to? Number: ________”

___ Yes, How many children? ______________

___ No go to #16

___ Don’t know go to #16

___ Refused go to #16


  1. Have you ever breastfed any children? Changed from, “Have you ever breastfed any of your babies?”

___ Yes, How many children? _______________

___ No go to #16

___ Don’t know go to #16

___ Refused go to #16


RESIDENTIAL HISTORY, CONUMED FISH sections now come after HOUSEHOLD INFORMATION instead of LIFESTLE questions


Changes due to different study area – i.e., Syracuse, NY and Onondaga Lake and its tributaries

Script: Please answer the following questions about how long you have lived in the Syracuse area and in other places in the past.


CONSUMED FISH


Script: The next group of questions is about the following nearby waters. (READ THE LIST AND SHOW PICTURES)


Lake Ontario

Oswego River

Seneca River

Onondaga Lake and surrounding creeks including Sawmill Creek, Onondaga Creek, Ninemile Creek and Bloody Brook









  1. Which of these nearby waters have you eaten fish from? (Check all that apply.)

___ Lake Ontario

___ Oswego River

___ Seneca River

___ Onondaga Lake and surrounding creeks including Sawmill Creek, Onondaga Creek, Ninemile Creek, Ley Creek, and Bloody Brook

___ Don’t know

___ Refused

___ None


  1. Which of the following fish caught from nearby waters have you eaten in the past 12 months? SHOW POSTER

Changes to fish species specific to this area:

___ Chinook “King” salmon

___ Coho salmon

___ Pink Salmon


___ Muskellunge

___ Northern pike

___ Chain Pickerel


___ Walleye

___ Yellow perch


___ Lake trout

___ Rainbow trout/Steelhead

___ Brown Trout

___ Brook Trout

___ Lake sturgeon


___ White bass

___ White perch


___ Common Carp

___ Goldfish


___ Largemouth (black) bass

___ Smallmouth (black) bass

___ American eel

___ Freshwater drum “Sheephead”

___ Rock bass

___ Pumpkinseed/Sunfish

___ Black Crappie

___ Bluegill


___ Quillback



___ Northern Hog Sucker

___ White sucker


___ Rainbow smelt



___ Channel Catfish

___ Brown Bullhead

___ Yellow Bullhead

___ Round goby

___ Minnow

Changes (in red) to improve interview structure, flow based on lessons learned from earlier interviews

Current questionnaire items:

  1. How do you usually prepare the fish before it is cooked? (Check all that apply.)

Smaller fish (smaller than your hand)

___ Removes scales (but not skin)

___ Cut off head

___ Remove guts

___ Remove skin

___ Fillet (cut the large piece off the side)

___ Cut off belly fat

___ Keeps whole, does not remove parts of fish before cooking

___ Don’t know

___ Refused


Larger fish (larger than your hand)

___ Removes scales (but not skin)

___ Cut off head

___ Remove guts

___ Remove skin

___ Fillet (cut the large piece off the side)

___ Cut off belly fat

___ Keeps whole, does not remove parts of fish before cooking

___ Don’t know

___ Refused


  1. What parts of fish do you usually eat? (Check all that apply.)


Smaller fish (smaller than your hand)

___ Whole with head

___ Whole without head

___ Fillet (cut the large piece off the side)

___ Guts/innards

___ Skin

___ Head

___ Other->Specify: _____________________________________________

___ Don’t know

___ Refused


Larger fish (larger than your hand)

___ Whole with head

___ Whole without head

___ Fillet (cut the large piece off the side)

___ Guts/innards

___ Skin

___ Head

___ Other->Specify: _____________________________________________

___ Don’t know

___ Refused



  1. How is the fish usually cooked? (Check all that apply.)


Smaller fish (smaller than your hand)

___ Fish paste

___ Dried

___ Pickled

___ Smoked

___ Pan fried

___ Deep fried

___ Boiled/poached

___ Soup / curry

___ Grilled / roasted

___ Baked/broiled in oven

___ Eaten raw

___ Don’t know

___ Refused


Larger fish (larger than your hand)

___ Fish paste

___ Dried

___ Pickled

___ Smoked

___ Pan fried

___ Deep fried

___ Boiled/poached

___ Soup / curry

___ Grilled / roasted

___ Baked/broiled in oven

___ Eaten raw

___ Don’t know

___ Refused


Former questionnaire item:


  1. How is the [fish species] usually cleaned before it’s cooked?

(Check all that apply.)

___ Don’t clean (no reason)

___ Too small to clean

___ Cut off head

___ Remove guts

___ Remove skin

___ Fillet (cut the large piece off the side)

___ Cut off belly fat

___ Don’t know

___ Refused

  1. What parts of [fish species] do you usually eat?

(Check all that apply.)

___ Whole with head

___ Whole without head

___ Fillet (cut the large piece off the side)

___ Guts/innards

___ Skin

___ Head

___ Other Specify: ___

___ Don’t know

___ Refused



  1. How is the [fish species] usually cooked?

(Check all that apply.)

___ Fish pase

___Pan fried

___ Deep fried

___ Boiled/poached

___ Stew/chowder

___ Grilled

___ Baked/broiled

___ Eaten raw

___ Smoked

___ Dried

___ Pickled

___ Don’t know

___ Refused


FISH PASTE section and WILD BIRDS AND ANIMALS section moved up to after CONSUME FISH


STORE BOUGHT FISH


Script: The following questions are about fish you have eaten that were bought at a store, restaurant, fish vendor, open air market, Asian market or supermarket?


  1. Which of the following fish have you eaten at least five times in your life? (Check all the species that apply)

___ Grouper

___ Shark

___ Swordfish

___ Salmon (including canned)

___ Tuna (not canned)

___ Tuna (canned)

___ Shrimp

___ Snails

___ Mussels

___ None go to #51

___ Don’t know go to #51

___ Refused go to #51


Shape1

Note: Question 49 should be asked for EACH fish answered in question 48






  1. How many years did you eat [fish/shellfish]?

___ years

___ Don’t know

___ Refused

Shape2

Note: Question 50 should be asked for EACH fish answered in question 48






  1. In the past year, how many times did you eat [fish/shellfish]?

___ times per (circle one) week month year

___ Don’t know

___ Refused



LIFESTYLE

Script: The next group of questions will be about any behaviors or customs you have that could expose you to some contaminants found in Great Lakes fish.


Question #68 is moved to the LIFESTYLE section from the CONSUME FISH section


  1. Do you swim, dive, or wade in any of these local bodies of water? (READ THE LIST AND SHOW PICTURES)

___ Yes. How many times in the past year? ______

___ No

___ Don't know

___ Refused

14



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