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)
In what country were you born?
___ United States
___ Burma/Myanmar
___ Thailand
___ Malaysia
___ Bhutan
___ Nepal
___ Other country Specify: _________________________
___ Don’t know
___ Refused
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
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
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
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
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:
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
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
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:
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
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
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?
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
Note: Question 49 should be asked for
EACH fish answered in question 48
How many years did you eat [fish/shellfish]?
___ years
___ Don’t know
___
Refused
Note: Question 50 should be asked for
EACH fish answered in question 48
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
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
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Katy |
File Modified | 0000-00-00 |
File Created | 2021-01-26 |