FCBS PFU Hand Card

Att_3j_FCBS PFU Hand Card_201129.docx

National Health and Nutrition Examination Survey

FCBS PFU Hand Card

OMB: 0920-0950

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Attachment 3j


Flexible Consumer Behavior Survey (FCBS) Phone Follow-Up Module Hand Cards

2021-22



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Hand Card Booklet Title Page

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Hand Card

Booklet





































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2021









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Hand Card 1



Fast-food or pizza places

Restaurants with waiter or waitress service

All-you-can-eat buffets

Places that sell mostly beverages such as a coffee shop or juice bar

Movie theaters, sports arenas, or other places of recreation

Grocery stores

Convenience stores









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  1. Less than 500 Calories

  2. 500-1000 Calories

  3. 1001-1500 Calories

  4. 1501-2000 Calories

  5. 2001-2500 Calories

  6. 2501-3000 Calories

G. More than 3000 Calories







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Always

Most of the time

Sometimes

Rarely

Never
























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Sample health claim in food labels

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Always

Most of the time

Sometimes

Rarely

Never
































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Sample Food Label


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Nutrition Facts Panel

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Always

Most of the time

Sometimes

Rarely

Never
















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Sample Food Label


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List of Ingredients




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Always

Most of the time

Sometimes

Rarely

Never







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Sample Food Label


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Serving Size




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Always

Most of the time

Sometimes

Rarely

Never























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Sample Food Label


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Number of servings per package



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Always

Most of the time

Sometimes

Rarely

Never
























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Sample Food Label


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Footnote 


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Always

Most of the time

Sometimes

Rarely

Never























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Sample Food Label


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Percent

Daily Value



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Always

Most of the time

Sometimes

Rarely

Never
























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Sample Food Label


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Percent

Daily Value


Amount of the nutrient



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When deciding to buy a food product, between the percent daily value and the amount of nutrients on a food label


I use….


  • Only percent daily value


  • Percent daily value more often


  • Both percent daily value and the amount of nutrients about the same


  • The amount of nutrients more often


  • Only the amount of nutrients


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Sample Food Label


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Percent

Daily Value


Amount of the nutrient


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When deciding to buy a food product, between the percent daily value and the amount of nutrients on a food label


I use….


  • Only the amount of nutrients


  • The amount of nutrients more often


  • Both the amount of nutrients and percent daily value about the same


  • Percent daily value more often


  • Only percent daily value






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Sample Food Label


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    • 10 percent of the calories in one serving of the product come from Vitamin D

    • One serving of the product contains 10 percent Vitamin D by weight

    • One serving of the product supplies 10 percent of the Vitamin D you should have in a day













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Sample Food Label


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    • One serving of the product supplies 10 percent of the Vitamin D you should have in a day

    • One serving of the product contains 10 percent Vitamin D by weight

    • 10 percent of the calories in one serving of the product come from Vitamin D



















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Sample Food Label


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Always

Most of the time

Sometimes

Rarely

Never







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Sample Food Label


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Always

Most of the time

Sometimes

Rarely

Never

























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Sample Food Label


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Always

Most of the time

Sometimes

Rarely

Never

























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Sample Food Label


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Always

Most of the time

Sometimes

Rarely

Never
























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Sample food label with two columns

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Always

Most of the time

Sometimes

Rarely

Never

Never seen




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The reason(s) that I check the food label when deciding to buy a food product is/are…

  • To watch my weight/lose weight

  • A family member is trying to watch weight/lose weight

  • To watch for diabetes, high triglycerides, high cholesterol, high blood pressure or other health conditions

  • A family member has a health condition (for example, diabetes, high triglycerides, high cholesterol, high blood pressure, etc)

  • I am allergic to certain food(s)

  • A family member has food allergies

  • To avoid certain ingredients (such as MSG, high fructose corn syrup, color dyes, artificial preservatives, or hydrogenated oils, etc)

  • To increase certain nutrients in my/family’s diet (such as fiber, calcium, etc)

  • To compare which brand/food is better/healthier

  • To make better/healthier choices for me/my family

  • To watch for calorie content or certain nutrients (such as sodium, trans fat, sugar, carbohydrates, or protein, etc.)

  • Other (please specify)

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The reason(s) that I check the food label when deciding to buy a food product is/are…

  • To compare which brand/food is better/healthier

  • To make better/healthier choices for me/my family

  • To avoid certain ingredients (such as MSG, high fructose corn syrup, color dyes, artificial preservatives, or hydrogenated oils, etc)

  • A family member has a health condition (for example, diabetes, high triglycerides, high cholesterol, high blood pressure, etc)

  • I am allergic to certain food(s)

  • A family member has food allergies

  • To watch for diabetes, high triglycerides, high cholesterol, high blood pressure or other health conditions

  • To increase certain nutrients in my/family’s diet (such as fiber, calcium, etc)

  • To watch my weight/lose weight

  • A family member is trying to watch weight/lose weight

  • To watch for calorie content or certain nutrients (such as sodium, trans fat, sugar, carbohydrates, or protein, etc.)

  • Other (please specify)



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The reason(s) that I rarely or never check the food label when deciding to buy a food product is/are…


  • I don't have the time

  • The print is too small for me to read

  • I’m satisfied with my health so there is no need for me to check

  • I have a good diet so there is no need to check labels

  • I usually buy foods that I'm used to, so I don’t feel that I need to check labels

  • I buy what I/my family like, I don’t care about the labels

  • I don’t think the food labels are important to me

  • I won’t know what to look for even if I read the labels

  • I can’t read English that well

  • Other (please specify)



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The reason(s) that I rarely or never check the food label when deciding to buy a food product is/are…


  • I don't have the time

  • I won’t know what to look for even if I read the labels

  • I’m satisfied with my health so there is no need for me to check

  • I can’t read English that well

  • I have a good diet so there is no need to check labels

  • I buy what I/my family like, I don’t care about the labels

  • I don’t think the food labels are important to me

  • The print is too small for me to read

  • I usually buy foods that I'm used to, so I don’t feel that I need to check labels

  • Other (please specify)


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Sample Food Label


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Serving Size







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Serving size is...



The amount of this food that people should eat



The amount of this food that people usually eat



Something that makes it easier to compare foods

















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Sample Food Label


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Serving Size



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Serving size is...


The amount of this food that people usually eat



The amount of this food that people should eat



Something that makes it easier to compare foods










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Label 1 Label 2















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Label 1 only

Label 2 only

Both Label 1 and Label 2

Neither Label 1 or Label 2



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDunston, Sheba King (CDC/OPHSS/NCHS)
File Modified0000-00-00
File Created2022-01-13

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