MEC Hand Cards

Attachment 3g

Mobile Exam Center (MEC)

Computer Assisted Personal Interview (CAPI)

& Dietary Recall (DRQ) Hand Cards

Table of Contents

MEC CAPI Hand Cards 3

Dietary Recall (DRQ) Hand Cards 17

MEC CAPI Hand Cards

SXQ1

1. Lesbian or gay

2. Straight, that is, not lesbian or gay

3. Bisexual

4. Something else

5. I don’t know the answer

SXQ2

1. Gay

2. Straight, that is, not gay

3. Bisexual

4. Something else

I don’t know the answer

DPQ1

Not at all

Several days

More than half the days

Nearly every day

SMQ1

Cigarette
Pipe
Cigar, or little cigar, or cigarillo
Water pipe or Hookah

ALQ1

12 ounces of beer
5 ounces of wine
1.5 ounces of hard liquor

ALQ2

Per Week	Per Month	Per Year
Every day	2-3 times/month	7-11 times/last year
Nearly every day	Once/month	3-6 times/last year
3-4 times/week		1-2 times/last year
2 times/week
Once a week		Never in the last year

RHQ1

Pregnancy
Breastfeeding
Total or Partial Hysterectomy (Surgery to Remove Uterus/Womb)
Menopause / Change of Life	Night sweats Loss of libido Mood swings Sleep issues Hot flashes Vaginal dryness
Other	Medical Conditions (medical treatment, medication) Excessive exercise Something else?

RHQ.3

1. BIRTH CONTROL PILLS

2. PATCH (Ortho Evra^TM, Xulane^TM)

3. VAGINAL RING (NuvaRing^TM)

4. INJECTABLE (shot given every 1-3 months of Depo-Provera^TM, Lunelle^TM)

5. HORMONAL IMPLANT (Implanon^TM, Nexplanon^TM)

6. CONDOMS OR RUBBERS (male or female condoms)

7. IUD (Intraueterine device, coil, loop, ParaGard^TM, Mirena^TM, Kyleena^TM, Liletta^TM, Skyla^TM)

8. DIAPHRAGM, CERVICAL CAP (FemCap) or SPONGE (Today^TM sponge)

9. SPERMICIDE FOAM, JELLY, CREAM, SUPPOSITORY

10. NATURAL FAMLIY PLANNING (rhythms method, StandardDays, CycleBeads, safe period by temperature or cervical mucus test)

11. STERILIZATION (tubes tied, tubal ligation, partner’s vasectomy)

12. WITHDRAWAL (pulling out)

13. EMERGENCY CONTRACEPTION (pills taken within 3-5 days after sexual intercourse such as Plan B^TM, Preven^TM, Ella^TM, Next Choice^TM, Morning after pills)

14. ABSTINENCE

RHQ2 (front)

RHQ2 (BACK)

KIQ1

Less than once a month

A few times a month

A few times a week

Every day and/or night

WHQ2

EXAMPLES OF FROZEN MEALS AND FROZEN PIZZAS

DMQ8

Examples of what we learned when matching NHANES data to other data sources such as Medicare and Medicaid:

• How housing environment may affect the levels of lead in children’s blood

• Higher vitamin D in the blood lowers the risk of broken bones

• Consuming high amount of sugar can increase the risk of heart diseases

• People who live or work with smokers have a higher risk of heart attack

• Adults who exercise, eat healthy diets, and do not smoke have a lower chance of dying 

Dietary Recall (DRQ) Hand Cards

Fish

Breaded fish products

Tuna-canned or fresh

Bass

Catfish

Cod

Flatfish

Haddock

Mackerel

Perch

Pike

Pollock

Porgy

Salmon

Sardines

Sea Bass

Shark

Swordfish

Trout

Walleye

Other type of fish

Shellfish

Clams

Crab

Crayfish (crawfish)

Lobster

Mussels

Oysters

Scallops

Shrimp

Other shellfish (for example, octopus, squid)

EXAMPLES OF AN ALCOHOLIC DRINK

ALQ1 12 ounces of beer
5 ounces of wine
1.5 ounces of hard liquor