Form 0920-15BEB Attachment 9_Block 2005 FFQ Screenshots_English

Form Approved
OMB No. 0920-xxxx
Exp. Date xx/xx/xxxx

BABI FOOD FREQUENCY QUESTIONNAIRE (FFQ)

Instructions for Completing
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Answer all questions that apply to you to the best of your ability.
Answer each question by selecting the best response from the choices

Public reporting of this collection of information is estimated to average 18 minutes/hours per response, including the time for reviewing
instructions and completing and reviewing the collection of information. An agency many not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a current 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, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (XXXX-XXXX)

Hispanic Block 2005 FFQ