3 Food Log Interview

Daily Food Log

Info to include in first screen of Food Log

[4-day group]

Welcome to the Food Log. For your daily participation, you will receive $5 per day per person. If you report all food and drinks for all four days for yourself [and NAMES FILL], you will earn $[TOTAL POSSIBLE FOODLOG INCENTIVE WITH PROXIES FILL] in gift cards.

Day 1 = MM/DD/2025

Day 2 = MM/DD/2025

Day 3 = MM/DD/2025

Day 4 = MM/DD/2025

Please remember to report all the food and drinks that were paid for or received for free for the next four days, including any alcohol or any food and drinks that were bought for people outside your household. Do not include non-food items or any food or drink items that you had in your home before the study started.

If you need more information about the study, please visit census.gov/help/foodstudy, call 1-844-421-2603, or email [email protected].

[7-day group, $5/daily]

Welcome to the Food Log. For your daily participation, you will receive $5 per day per person. If you report all food and drinks for all seven days for yourself [and NAMES FILL], you will earn $[TOTAL POSSIBLE FOODLOG INCENTIVE WITH PROXIES FILL] in gift cards.

Day 1 = MM/DD/2025

Day 2 = MM/DD/2025

Day 3 = MM/DD/2025

Day 4 = MM/DD/2025

Day 5 = MM/DD/2025

Day 6 = MM/DD/2025

Day 7 = MM/DD/2025

Please remember to report all the food and drinks that were paid for or received for free for the next seven days, including any alcohol or any food and drinks that were bought for people outside your household. Do not include non-food items or any food or drink items that you had in your home before the study started.

If you need more information about the study, please visit census.gov/help/foodstudy, call 1-844-421-2603, or email [email protected].

[7-day group, $5 (days 1-3), $10 (days 4-7)]

Welcome to the Food Log. For your daily participation, you will receive $5 per day per person for each of the first three days. If you complete the first three days, then you will receive $10 per day per person for each of the next four days. If you report all food and drinks for all seven days for yourself [and NAMES FILL], you will earn $[TOTAL POSSIBLE FOODLOG INCENTIVE WITH PROXIES FILL] in gift cards.

Day 1 = MM/DD/2025

Day 2 = MM/DD/2025

Day 3 = MM/DD/2025

Day 4 = MM/DD/2025

Day 5 = MM/DD/2025

Day 6 = MM/DD/2025

Day 7 = MM/DD/2025

Please remember to report all the food and drinks that were paid for or received for free for the next seven days, including any alcohol or any food and drinks that were bought for people outside your household. Do not include non-food items or any food or drink items that you had in your home before the study started.

If you need more information about the study, please visit census.gov/help/foodstudy, call 1-844-421-2603, or [email protected].

Dashboard/Days page

FOOD_BUY: Did you [, fill name, or fill name (etc.)] get any food and/or drinks on [insert day and Date]?

Remember to include any food and/or drinks you got today, including for other household members or people outside your household. Also include any food and/or drinks you got for free or that someone else paid for.

1. Yes WHO/HOW_GET

2. No WAIT.

WAIT. If the day is not over yet and you [, fill name, or fill name (etc.)] may still get food, please exit your browser. When you return to the Day 1 ${e://Field/day_1} survey, your progress will be saved and you will be taken to this page. When you return, you can either report food and/or drinks or go to the next screen to finish your food log day.

If your day is over, and you [, fill name, and fill name (etc.)] did NOT get any food or drink items, you can go to the next screen to finish your food log day.

1. Enter food and/or drinks WHO/How_GET.

2. Day is over and I did NOT get any food or drink today. Names_got_Food_no if more than 1 person in household or Foodlog_Exit_NoFOOD.

FOOD EVENT QUESTIONS

Event1_WHO

Who got the food and/or drinks?

List of all household names except people who are reporting for themselves.

WHO/How_GET.

[Event 1]: We’ll start by asking a few questions about how and where you/[Fill name] got the food and/or drinks at the first place you/NAME got food and/or drinks today. How did you/[Fill name] get the food and/or drinks?

[Events 2-4]: How did you/[Fill name] get the food and/or drinks?

1. In-person [go to WHERE_FOOD]

2. Delivery service (such as from a restaurant or grocery store, Uber Eats, InstaCart, etc.) [skip to_HOW_ADVANCE_b]

3. Shipped from an online retailer (such as Amazon.com, Nuts.com, Blue Apron, Hello Fresh, etc.) [skip to WHERE_FOOD_NAME_ONLINEONLY]

4. Did not get any food or drinks yet today

[If in-person (=1) from WHO/HOW_GET]

WHERE_FOOD. Where did you/[fill name] get the food and/or drinks?

1. Grocery or other store

2. Restaurant

3. At the residence of a neighbor, friend, or family outside my household [go to Where_neighbor]

4. [show if age<19 or adult proxy for age<19] At school

5. Somewhere else

[Display if Where_Food = 3 (at residence of neighbor, friend family…); [NOTE: Hard edit if left blank]

Where_neighbor. Please specify where you/[Fill name] got the food and/or drinks.

1. A neighbor’s place

2. A friend’s place

3. A family member’s place outside of household

4. Some other place

HOW_ADVANCE_a. Did you/[fill name] order the food and/or drinks in advance?

1. Yes, online or on a mobile app

2. Yes, by phone call

3. No

[if WHO/How_Get=2, show]:

HOW_ADVANCE_b. How did you/[fill name] order the food and/or drinks delivery?

1. Online or on a mobile app

2. Phone call

WHERE_FOOD_NAME. [IF WHO/How_GET=1,2, or WHERE_FOOD = 1,2,4; use Qualtrics custom solution on this question; Hard edit if left blank]]

What is the name and location of the place where you/[fill name] got food and/or drinks? Please select from the previously reported commonly shopped stores or type the name and location below to search for a new location.

Do not enter the service used such as Grubhub, Uber Eats, InstaCart etc.

Help video – How do I search for the food location?

1. [primary location from initial interview] (Shown if Where_food = Grocery or other store, at residence of a neighbors, friend, or family outside my household)

2. [secondary location from initial interview] (Shown if Where_food = Grocery or other store, at residence of a neighbors, friend, or family outside my household)

3. [wic location from initial interview] (Shown if Where_food = Grocery or other store, at residence of a neighbors, friend, or family outside my household)

4. [snap location from initial interview] (Shown if Where_food = Grocery or other store, at residence of a neighbors, friend, or family outside my household)

5. [Search for a new location]

_______________

Custom solution offering different grocery stores and their addresses

Please type the name and location below to search for the place. If you only enter the store name and the city, dozens of results may show. However, if you enter the store name, street address, city, and ZIP code, you will see fewer and more accurate locations.

None of these

{error message if left blank:} Use the search box to enter the name and location. If you do not find a match, please select “None of these” then select “Next”.

[If ‘none of these’ Hard edit if left blank]]

None_Address. Please enter the name and location of the place where you/[Fill name] got food and/or drinks.

Name of the place where you got food or drinks

Street Address

City

State

ZIP

{error message if left blank:} Please enter the name of the place where you got the food and/or drinks.

[IF WHO/HOW_Get=3; DO NOT put the google custom solution to this question; Hard edit if left blank]] WHERE_FOOD_NAME_ONLINEONLY. Type the website name for online-only retailers (for example, BlueApron.com, HelloFresh.com, Amazon.com, Nuts.com, etc.) from which you/[fill name] ordered food and/or drinks to be shipped to your house: _______________

{error message if left blank:} Please enter the website name where you ordered the food and/or drinks.

EVENT_TYPE_SELF. Were the food and/or drinks paid for by someone in your household?

1. Yes, I or someone in my household paid for all of the food and/or drinks

2. Yes, I or someone in my household paid for some of the food and/or drinks

3. No, it was all paid for by someone outside of my household

4. No, it was free

[PROGRAMMER NOTE: IF EVENT_TYPE_No = 3 (SOMEONE OUTSIDE household PAID) OR 4 (FREE), CATEGORIZE AS FREE EVENT and skip HAS RECEIPT and AMOUNT questions. If event type – 1 or 2 ask Has_Receipt]

HAS_RECEIPT_self. Do you have a receipt from the food and/or drink purchase at [FILL WHERE_FOOD_NAME/ or WHERE FOOD_NAME_ONLINONLY]?

1. Yes, I have a paper or digital/electronic receipt – go to RECIEPT1

2. No, I don’t have a receipt – GO TO INSTRUCTION After upload of receipts

RECEIPT1_self. Please upload a picture of the whole receipt. If your receipt is too long to fit in one picture, you can upload part of the receipt here, and the other part of the receipt on the next page.

[IF HAS_RECEIPT=1, SCREEN ALLOWS Rs TO TAKE A PICTURE OF THE RECEIPT OR UPLOAD THE PICTURE OF RECEIPT FROM ALBUM, THEN, GO TO What_Type food.]

RECEIPT2_Self. Were you able to upload the complete receipt or do you need to take another photo because the entire receipt did not fit/was too long?

1. I was able to upload the complete receipt [go to instruction after upload of receipts]

2. I need to take another photo of the receipt because it was too long. [GO To RECEIPT1_a – take another photo.]

Receipt1_a_self. Please upload the remaining part of your receipt.

You only need to take a photo of the part of the receipt that was not captured in prior question.

[Programmer note: Program ability for Respondent to choose/select a file]

[Go to What_Type FOOD; Loop through Starting with WHAT_TYPE FOOD - 35 times]

WHAT_TYPE FOOD. What type of food and/or drinks did you/[Fill name] get? Was it groceries, prepared food, or both?

• By groceries we mean food and/or drinks that you/[Fill name] got to use or prepare at your home, such as chicken, milk, crackers, grapes, coffee beans, etc.

• By prepared food we mean food and/or drinks that someone prepared for you/[Fill name], like a sandwich that you/[Fill name] got from a deli, food from a neighbor, meal kits, your child’s school-provided or school-bought lunch, etc.

• By both we mean a combination of groceries and prepared food.

1. Groceries [GO TO FAH_ITEM_ENTRY]
2. Prepared food [Go to FAFH—GO TO COMBO_OR_ITEM
3. Both [GO TO Both FAH_ITEM_ENTRY and FAFH; start with FAH_Item_entry]

Food At home (FAH) – Food Item page

FAH LOOP STARTS

If What type food =1 Go to FAH_ITEM_ENTRY TO ITEM_AMOUNT. If What type food =2 GO TO FAFH COMBO_OR_ITEM; If What type food = 3 Go to [FAH BOTHFAH_FAFH.]

[IF WHAT_TYPE FOOD =3 show:]

BOTHFAH_FAFH. We’re going to ask you about your/[Fill name]’s groceries and prepared foods separately. Let’s start with your/[Fill name]’s grocery items, then we will ask about your/[Fill name]’s prepared foods.

FAH_ITEM_ENTRY. We would like you to report each item individually. If you/[Fill name] got multiples of the same item (such as 5 apples) they can be reported together as one item. How would you like to report the first food or drink grocery item you/[Fill name] got at [FILL: Where_Food_Name OR WHERE_FOOD_NAME _ONLINE]?

[Note to developers, the 2^nd time through and for all other items, do not repeat all intro text simply start with: How would you like to report the next food or drink grocery item you/[Fill name] got at [FILL: Where_Food_Name OR WHERE_FOOD_NAME_ONLINE]?

• PLU is a sticker with 4 or 5 numbers that can be found on produce.

• Barcode is longer and it is usually printed on the container.

So far you have reported: [2^nd and up time through]

[List name of items already entered]

1. Scan the barcode  GO TO ITEM_BARCODE_UPC

2. Enter the price look-up (PLU) code (PLU codes are typically found on fruits or veggies)GO TO ITEM_PLU [programmer note: find list of all PLU codes from this url: https://www.ifpsglobal.com/; 2^nd and up time through response option is only Enter the PLU code]

3. Type the item name GO TO ITEM_DESCRIPTION

4. Done adding items (groceries) [2^nd and up time through]

[On the 36^th time / loop/ display this question:]

More_grocery_items. Thank you for reporting your items from [Fill store name]. Do you have any more food or drink items to add?

1. Yes

2. No

[If yes] More_grocery_yes. Thank you for reporting these items from [Fill store name]. While that's all the information we need about items from [Fill store name], we would like to know how many more items you/[Fill name] got but have not added yet. How many more items did you/[Fill name] get?"

ITEM_BARCODE_UPC. Please scan the food or drink item's barcode by positioning the barcode within the white rectangle.

• You may need to allow the Food Log to access your camera by selecting "Request Camera Permissions” and "Allow.

• For Safari:

  • With any website open, tap the "AA" icon in the top-left of the search bar.

  • Tap "Website Settings."

  • Change camera permissions to "Allow" instead of "Ask."

• For Chrome:

  • Open Chrome and go to the site.

  • Click the lock icon in the address bar.

  • Find "Camera" in the dropdown and set it to "Allow."

• For Firefox

  • Open Firefox and navigate to the website.

  • Click the lock icon in the address bar.

  • Click on "Permissions" and change the camera setting to "Allow."

• For Edge

  • Go to the website in Edge.

  • Click the lock icon in the address bar.

  • Under "Camera," select "Allow" from the dropdown menu.

 

[Confirmation screens]

Confirm your item:

• If you selected an item, click "Next" to move forward. If you need to make a change, click "Return to item selection" button.

• If you selected "None of these," please review what you entered, and edit if needed. Click "Next" to move forward.

• Some images may be outdated. If the text matches, consider it a match.

[IF BARCODE IS NOT MATCHED TO Nutritionix , DISPLAY:]

Item not found. Please type the name in the box above.

(Error message displayed if barcode scan fails the first time): Item not recognized. Please try again.

(Error message displayed if barcode scan fails the second time): Barcode lookup failed. Use the search box below to find your item.

ITEM_PLU. Please enter the PLU code for this item and select the match from the dropdown.

• Your PLU code should be a 4 or a 5-digit number with no spaces.

• See example of an apple with a PLU code on the sticker in image below:

[text box to TYPE PLU CODE.]

[IF PLU CODE IS NOT MATCHED TO PLU Code Database, DISPLAY:]

Error: An unknown PLU code was entered OR you did not select a matching food item from the dropdown list in the previous question.

What to do: Go back to the previous question to try again or type the name of the item in the next question. [show item_description on same page].

ITEM_DESCRIPTION. Please type the name of the item.

• Enter as much information as possible about the item, including the brand name.

• Choose the item from the search results that best matches what you/[Fill name] got.

• If none of the search results match what you/[Fill name] got, select “None of these options” and then select “Next.”

[text box to TYPE FOOD ITEM DESCRIPTION.]

Confirmation screen

Confirm your item:

• If you selected an item, click "Next" to move forward. If you need to make a change, click "Return to item selection" button.

• If you selected "None of these," please review what you entered, and edit if needed. Click "Next" to move forward.

• Some images may be outdated. If the text matches, consider it a match.

[IF FAH_ITEM_ENTRY=2 (PLU CODE), GO TO PLU_SIZE_UNIT. ELSE, GO TO INSTRUCTION BEFORE ITEM_UNIT.]

PLU_SIZE_UNIT. Is/Are the [IF ITEM_PLU found a match, then Fill in from ITEM_PLU; If ITEM_PLU did not match, fill IN from: ITEM_DESCRIPTION] sold in…

1. Pieces/bunches/heads/units GO TO ITEM_QUANTITY_PIECE

2. pounds GO TO ITEM_POUND

3. grams GO TO ITEM_POUND

4. ounces GO TO ITEM_POUND

[IF FAH_ITEM_ENTRY =3 (TYPE NAME) OR BARCODE NOT MATCHED TO Nutritionix, Or PLU code not matched, ASK ITEM_UNIT.]

[Hard edit if item_unit left blank]

ITEM_UNIT. How would you like to report the packaging of the [FILL IN: ITEM_DESCRIPTION]?

1. Liquid item container, such as a bottle, can, carton, jug GO TO ITEM_SIZE_liquid]

2. Non-Liquid item container, such as a pre-packaged bag, box, jar, or can GO TO ITEM_WEIGHT_nonliquid

3. Not pre-packaged, loose item(s) GO TO ITEM_LOOSE

[display if Item_Unit = 1 or 2]

Pack. Was this item sold individually or was it a multi-pack item?

A multi-pack item is a package that includes several individually wrapped items and each item includes complete packaging information like weight/size and nutrition facts.

1. Individual item

Multi-pack items

[If in a pack – SHOW]

Pack_#. How many [fill name] were in the multi-pack?

__________[NUMERIC ENTRY BOX.]

[IF ITEM_UNIT=1 (BOTTLE/CAN/CARTON) THEN, ASK ITEM_Size_liquid.]

ITEM_SIZE_LIQUID. How many fluid ounces (FL OZ) are listed on the individual item of [FILL IN: ITEM_DESCRIPTION]?

The number of fluid ounces would look similar to the blue box in the image below. If the container’s label does not have a number for FL OZ, you can report a number in gallons (GAL), liters (L), quarts (QT), or milliliters (mL) by selecting one of these options in the dropdown below.

Select a unit

Note to developer Input field box_________________Drop-down to select measurement: label dropdown here with Fluid ounce (FL OZ ) in dropdown field and the other dropdown options of Gallons (GAL), Liters (L), Quarts (QT), Milliliters (mL), and Other

[IF ITEM_UNIT=2 (BOX/BAG/PACKAGE/CONTAINER) THEN ASK ITEM_WEIGHT_nonliquid.]

ITEM_WEIGHT_NONLIQ. What is the net weight (NET WT) in ounces (OZ) that is listed on the individual item of [FILL IN: ITEM_DESCRIPTION]?

The number of ounces (OZ) would look similar to that in the blue box in the image below. If the container’s label does not have a number for OZ, you can report a number in grams (g), or pounds (LBS) by selecting one of these options in the dropdown below.

Select a unit

Note to developer Input field box_________________Drop-down to select measurement: label dropdown here with Ounces (OZ) in dropdown field and the other dropdown options of Grams (g), and Pounds (LBS) and Other

[IF ITEM_UNIT=3 THEN ASK ITEM_LOOSE..]

ITEM_LOOSE. Is/Are the [FILL IN: ITEM_DESCRIPTION; Barcode description] sold in…

1. pieces/bunches/heads/units/ GO TO ITEM_QUANTITY

2. pounds GO TO ITEM_POUND

3. ounces GO TO ITEM_POUND

4. grams GO TO ITEM_POUND

[IF PLU_SIZE_UNIT =, (BY POUND,) OR ITEM_LOOSE=1,2,3 (BY POUND,), ASK ITEM_POUND. ELSE, GO TO INSTRUCTIONS BEFORE ITEM_QUANTITY.]

ITEM_POUND. How many [Fill PLU size unit OR ITEM_LOOSE; If ITEM_PLU found a match] of [then Fill in from ITEM_PLU; If ITEM_PLU did not match, fill IN from: ITEM_DESCRIPTION or if ITEM_LOOSE: FILL IN: ITEM_DESCRIPTION] did you/[Fill name] get?

__________[NUMERIC ENTRY BOX.]

THEN, GO TO ITEM_AMOUNT

[IF BARCODE MATCHED TO Nutritionix, show:]

Barcode_quantity. [IF BARCODE MATCHED to Nutritionix; SHOW:] How many [FILL IN name provided by ITEM_BARCODE_UPC] did you/[Fill name] get?

[If ITEM_UNIT=1 (BOTTLE/CAN/CARTON) and Pack =1 – show

ITEM_QUANTITY_BOT. How many bottles/cans/cartons of [FILL IN: ITEM_DESCRIPTION] did you/[Fill name] get?

[If ITEM_UNIT=2 (BAG/BOX/PACKAGE/CONTAINER) and Pack=1 – show

ITEM_QUANTITY_BAG. many bags/boxes/packages/containers of [FILL IN: ITEM_DESCRIPTION] did you/[Fill name] get?

[If Item_weight_liquid OR Item_weight_nonliqui is displayed AND pack = 2 (multi-pack item) show:]

Item_pack. How many multi-packs of [fill item name] did you/[Fill name] get?

[IF ITEM_LOOSE=4­ (BY PIECE/UNIT), SHOW:]

ITEM_QUANTITY_PIECE. How many pieces/units/bunches/heads of [FILL IN: ITEM_DESCRIPTION] did you/[Fill name] get?

[IF it’s a FREE EVENT, (e.g., IF EVENT_TYPE_No = 3 or 4)- SKIP ITEM_AMOUNT; otherwise, If ITEM_QUANTITY =1 or Barcode_quantity = 1 ask:]

ITEM_AMOUNT. How much did you/[Fill name] pay for the [If ITEM_BARCODE UPC – fill name; If ITEM_PLU found a match, then Fill in from ITEM_PLU; If ITEM_PLU did not match, fill IN from: ITEM_DESCRIPTION all others FILL IN: ITEM_DESCRIPTION] after any discounts?

Do not include tax.

$____

[DOLLAR AMOUNT ENTRY BOX.]

[IF ITEM_QUANTITY>1, or or Barcode_quantity >1 SHOW:]

Item_amount_a. How much did you/[Fill name] pay for the [FILL IN: ITEM_QUANTITY & If ITEM_BARCODE UPC – fill name; If ITEM_PLU found a match, then Fill in from ITEM_PLU PLU; If ITEM_PLU did not match, fill IN from: ITEM_DESCRIPTION all others FILL IN: ITEM_DESCRIPTION] after any discounts?

You can choose to report what you/[Fill name] paid for each of them or the total you/[Fill name] paid for all of them.

Do not include tax.

$____

[DOLLAR AMOUNT ENTRY BOX.]

[IF ITEM_QUANTITY_BOT/_BAG/_PIECE>1, or item_loose=4 (units, pieces, bunches) >1, or barcode_quantity>1, SHOW ITEM_AMOUNT_MULTSAMEITEM.]

ITEM_AMOUNT_MULTSAMEITEM. This was the price of:

1. Each of them (per item)

2. All of them (total for the [FILL IN: ITEM_QUANTITY] items)

Food Away from Home (FAFH) – Food Item page

[IF WHAT_TYPE FOOD = 3 show:]

BOTHFAH_FAFH2. Now we are going to ask you about the prepared food that you/[Fill name] got at [Fill Location from WHERE_FOOD_NAME or WHERE_FOOD_NAME_ONLINE.].

By prepared foods we mean things like hot coffee from a shop, a sandwich that you/[Fill name] got from a deli, items from a salad bar/hot bar at a restaurant or grocery store, food from a neighbor, meal kits that were delivered to your home by an online retailer, your child’s school-provided or school-bought lunch, etc.

There are two different ways to add items, as part of a combo meal or as an individual item. Please include items you got for free from restaurants or friends and neighbors.

• Combo meal: When several food and/or drink items are sold together for one price.

• Individual items: Items sold separately, not in a combo.

If you/[Fill name] got both combo meals and individual prepared food, we will ask you about the combo meals first and the individual items second.

Help - I'm not sure if my item is a combo or an individual item.

Help – video example of combo and individual items

I/[Fill name] got…

1. At least one combo meal [Go to CMB_NAME]

2. At least one individual Item [Go to FAFH_Item_Name]

3. Both combo(s) and individual item(s) [Go to CMB_NAME]

[IF What_Type Food = 2 then ask Combo_Or_Item:

COMBO_OR_ITEM.

There are two different ways to add items, as part of a combo meal or as an individual item. Please include items you/[Fill name] got for free from restaurants or friends and neighbors.

• Combo meal: When several food and/or drink items are sold together for one price.

• Individual items: Items sold separately, not in a combo.

If you/[Fill name] got prepared food like a combo meal and prepared food like individual items, we will ask you about the combo meals first and the individual items second.

Help - I'm not sure if my item is a combo or an individual item

Help – video example of combo and individual items

At [FILL IN: WHERE_FOOD_Name or WHERE_FOOD_NAME ONLINE]: I/[Fill name] got…

1. At least one combo meal [Go to CMB_NAME]

2. At least one individual Item [Go to FAFH_Item_Name]

3. Both combo(s) and individual item(s) [Go to CMB_NAME]

Help text: Examples of combo meals include the typical fast food combos, but also include combos like:

• A buffet since multiple items are sold together for one price

• Spaghetti and meatballs that come with a salad and garlic bread

• Kung Pao Chicken entrée that comes with an order of rice

• A school meal of chicken tenders, corn, and milk

• A meal kit with ingredients to prepare a meal

Food Away from Home (FAFH) – Combo Meal section

FAFH Combo loop starts

Event 1 - COMBO

[IF COMBO_OR_ITEM=1 (COMBO MEAL), or if BOTHFAH_FAFH2 = 1 (Combo meal) ASK CMB_NAME. ELSE, GO TO FAFH_ITEM_NAME. MAXES: 3 combos with 7 items in each combo]

CMB1_NAME. Type a name for the first combo meal you/[Fill name] got at [fill store name].

This could be any name that you want – we will use this name in the next set of questions so you know what we are referring to.

______________

[TEXT BOX TO TYPE COMBO MEAL DESCRIPTION.]

[First time through go to CMB_Quantity.]

[Note to developers, the 2^nd time through and for all other items, do not repeat all intro text go to: End_Loop1]

End_Loop1. Did you/[Fill name] get any other combo meals from [Fill store name]?

Yes [go to CMB_Name_loop]

No [go to end of block - FAFH individual section of spec]

CMB_Name_loop. What is the next combo meal you/[Fill name] got at [FILL: Where_Food_Name OR WHERE_FOOD_NAME_ONLINE]?

So far you have reported:

[List combo meal(s) that were already entered]

[On the 3^rd time / loop/ display this question:]

Combo_meals_more. Thank you for reporting the following combo meals:

[List meals]

Did you/[Fill name] get any other combo meals from [Store name]?

Yes

No

[If yes]. Combo_meals_more_Num. Thank you for reporting your combo meals from [Store name]. While that's all the information we need about combo meals, we would like to know how many more combo meals you/[Fill name] got but have not added yet. How many more combo meals did you/[Fill name] get?

CMB1_QUANTITY. How many orders of [Fill_in CMB_NAME description] did you/[Fill name] get?

Help – is my combo meal exactly the same?

Help text: The combo meals need to be exactly the same if reporting more than one. For example:

• If you got two Hamburger Kids Meals, but one with Fries and one with Apple Slices, you’d want to report those separately as they are not exactly the same.

• If you got two Cheeseburger Combo Meals, but one with a large fries and drink and one with a medium fries and drink, you’d want to report those separately as they are not exactly the same.

[NUMERIC ENTRY BOX.]

CMB1_ITEM#_New. Report each food or drink item included in [FILL IN: CMB_NAME – loop 3 times].

What is the name of the [IF FIRST ITEM, SHOW: first food or drink item?

[2^nd and 3^rd time through ask:] What is the name of the next food or drink item?

[TEXT BOX TO TYPE INDIVIDUAL FOOD ITEM DESCRIPTION.; also a type ahead - ]

CMB#_ITEM#_yn. So far, [FILL IN: CMB_NAME] contains:

[FILL IN: CMB1_ITEM_NAME_#. – list all that R added.]

[manually cycle through this 7 times]

Are there other food or drink items included in [FILL IN: CMB_NAME]?

1. Yes, add another food or drink item GO TO CMB1_ITEM_New

2. No, done reporting this combo  GO To CMB_AMOUNT

[On the 7^th time / loop/ display this question:]

Thank you for reporting the items in your/[Fill name]’s {insert combo meal name}. How many more items were in this combo meal that you did not get to add?

[IF FREE EVENT(e.g., Event_Type_No = 3 or 4, SKIP CMB_AMOUNT AND CMB_AMOUNT_MULTSAME; instead if free, Go to End_Loop1.]

CMB_AMOUNT. How much did you /[Fill name] pay for this combo after all discounts?

Do not include tax.

$________________________

[DOLLAR AMOUNT ENTRY BOX.]

CMB2-3_QUANTITY. How many orders of [Fill_in CMB_NAME description] did you/[Fill name] get?

Help – is my combo meal exactly the same?

Help text: The combo meals need to be exactly the same if reporting more than one. For example:

• If you got two Hamburger Kids Meals, but one with Fries and one with Apple Slices, you’d want to report those separately as they are not exactly the same.

• If you got two Cheeseburger Combo Meals, but one with a large fries and drink and one with a medium fries and drink, you’d want to report those separately as they are not exactly the same.

[NUMERIC ENTRY BOX.]

CMB1_ITEM#_New. Report each food or drink item included in [FILL IN: CMB_NAME – loop 3 times].

What is the name of the [IF FIRST ITEM, SHOW: first food or drink item?

[2^nd and 3^rd time through ask:] What is the name of the next food or drink item?

[TEXT BOX TO TYPE INDIVIDUAL FOOD ITEM DESCRIPTION.; also a type ahead - ]

CMB2-3_ITEM#_yn. So far, [FILL IN: CMB_NAME] contains:

[FILL IN: CMB1_ITEM_NAME_#. – list all that R added.]

[manually cycle through this 7 times]

Are there other food or drink items included in [FILL IN: CMB_NAME]?

1. Yes, add another food or drink item GO TO CMB1_ITEM_New

2. No, done reporting this combo  GO To CMB_AMOUNT

[On the 7^th time / loop/ display this question:]

Thank you for reporting the items in your/[Fill name]’s {insert combo meal name}. How many more items were in this combo meal that you did not get to add?

CMB_Amount_2+. [IF CMB_QUANTITY>1, SHOW:] How much did you/[Fill name] pay for this combo after all discounts? You can choose to report the price per each [FILL IN: CMB_NAME] or the total price for all [FILL IN: CMB_NAME] you /[Fill name] got.

Do not include tax.

$________________________

[DOLLAR AMOUNT ENTRY BOX.]

CMB_Amount_2+LOOP. [IF CMB2-3_QUANTITY>1, SHOW:] How much did you/[Fill name] pay for this combo after all discounts? You can choose to report the price per each [FILL IN: CMB_NAME] or the total price for all [FILL IN: CMB_NAME] you /[Fill name] got.

Do not include tax.

$________________________

[DOLLAR AMOUNT ENTRY BOX.]

[IF CMB_QUANTITY>1, SHOW:] CMBAMOUNT_MULTSAME. This is what you /[Fill name] paid for:

1. Each order of [FILL IN: CMB_NAME.]

2. [FILL IN: CMB_QUANTITY] orders of [FILL IN: CMB_NAME.]

Food Away from Home (FAFH) – Individual Item section

FAFH-Individual

FAFH – Individual loop starts

[IF COMBO_OR_ITEM=1 (combo) and 2 (INDIVIDUAL ITEM) show Combo_thanks

Combo_thanks. Thanks for entering your combo items. Now we will ask you about the individual items you/[Fill name] got at [Fill FAFH store name]

[IF COMBO_OR_ITEM=2 (INDIVIDUAL ITEM), ASK FAFH_ITEM_NAME. ELSE, GO TO INSTRUCTIONS BEFORE EVENT_AMOUNT; Individual prepared food MAXES: loop through 7 times.]

FAFH_ITEM_NAME_New. Type the name of the first individual prepared item you/[Fill name] got at [Fill FAFH store name].

Please be as specific as possible. For example:

• Enter as much information as possible about the item, including brand name and size information (e.g., buffalo wings, pepperoni pizza, footlong turkey sub, McDonalds 4-piece nuggets, chicken noodle soup, Mountain Dew).

• Choose the item from the search results best matches what you got.

• If none of the search results match what you got, select “None of these options”

If your food or drink item found a match: Please review the information and click Next to move forward.

If there was no match, please enter your item with as much detail as possible, and click Next to move forward.

[Note to developers, the 2^nd time through and for all other items, do not repeat all intro text simply start with:

End_loop2. Did you/[Fill name] get any other individual prepared food or drink items at [Fill store name?

So far you reported:

[list all individual items already entered]

Yes [go to FAFH_ITEM_NAME_2]

No [go to event_amount]

[if yes]

FAFH_ITEM_Nm_2_New. What is the next individual prepared item you/[Fill name] got at [FILL: Where_Food_Name OR WHERE_FOOD_NAME_ONLINE]?

__

[TEXT BOX TO TYPE FOOD ITEM DESCRIPTION.]

FAFH_ITEM_QUANTITY. How many [FILL in FAFH_Item_Name_New] did you /[Fill name] get?

[NUMERIC ENTRY BOX.]

[On the 7^th time / loop/ display this question:]

FAFH_individual_more. Thank you for reporting your individual prepared items from [Store name]. While that's all the information we need about the individual prepared items, we would like to know how many more you/[Fill name] got but have not added yet. How many more individual prepared items did you/[Fill name] get?

[NUMERIC ENTRY BOX.]

[IF EVENT_TYPE = 3 OR 4 , SKIP FAFH_ITEM_AMOUNT]

FAFH_ITEM_AMOUNT. How much did you /[Fill name] pay for [FILL in FAFH_Item_Name] after all discounts?

[IF FAFH_ITEM_QUANTITY>1, SHOW:] You can choose to report what you /[Fill name] paid per [FAFH_Item_Name] or the total paid for all [FAFH_Item_Name] you /[Fill name] got.

Do not include tax.

$:___________

[DOLLAR AMOUNT ENTRY BOX.]

[IF FAFH_ITEM_QUANTITY>1, SHOW FAFH_ITEM_AMOUNT_MULTSAME.]

FAFH_ITM_AMNT_MS.

This is what you /[Fill name] paid for:

• Each order of [FILL IN: FAFH_ITEM_NAME]

• [FILL IN: FAFH_ITEM_QUANTITY] orders of [FILL IN: FAFH_ITEM_NAME] in total

Do you have any additional individual prepared items to add from [Fill store name]?

• Yes

• No – go to event_amount

If yes, and in the last loop (7^th time) display:

Thank you for reporting your/[Fill name]’s individual prepared items from [store name]. While that's all the information we need about the individual prepared items, we would like to know how many more you/[Fill name] got but have not added yet. How many more individual prepared items did you/[Fill name] get?

Open text field – number

FOOD EVENT PAYMENT QUESTIONS

[SHOW IF More_grocery_itm is not empty]

Event1_moregrocery. When telling us the total amount paid at [store name], please include the amount you/[fill name] spent on all the grocery items, including the [fill number] that we did not ask you about.

[SHOW IF Combo_ml_more_Num IS NOT EMPTY]

Event1_morecombo. When telling us the total amount paid at [store name] please include the amount you/[Fill name] spent on [fill number] combo items that we did not ask you about.

[SHOW IF FAFH_indiv_more IS NOT EMPTY]

Event1_moreitems. When telling us the total amount paid at [store name] please include the amount you/[fill name] spent on the [fill number] individual prepared items that we did not ask you about.

[IF EVENT_TYPE=1 (I OR SOMEONE IN MY HOSEHOLD PAID for all of the food/drink OR Event type =2 I or someone in my household paid for some of the food/drink ASK EVENT_AMOUNT.

EVENT1_AMOUNT. Now that you have finished reporting all food and drink items, please enter the total amount paid at [FILL STORE NAME] including discounts, tax, tip, non-food items, and delivery/service fees.

$________________

[DOLLAR AMOUNT ENTRY BOX.]

[IF WHERE_FOOD=3 (At School) SHOW School_Meal_Discount and skip event_amount_incl. All Else show EVENT_AMOUNT_INCL. ]

Evnt1_School_Meal. Were the school food and/or drink items purchased at a discounted price?

1. Yes

2. No

EVNT1_AMOUNT_INCL. Other than taxes, please select from the list below items that were included in the total amount.

1. Discounts (e.g., from sales, coupons, and/or use of store loyalty or rewards cards)

2. Tip

3. Non-food or non-drink items (such as paper towels, clothing, merchandise, etc.)

4. Delivery/Service Fees

5. Other (please specify) __________

6. None of the above

[IF Where_Food=3 (At School/School Meal) then it’s a SCHOOL MEAL EVENT (WHEN FOOD PLACE IS SCHOOL AND (SCHOOL-AGE CHILD IS REPORTING OR PARENT PROXYING REPORTING FOR A SCHOOL CHILD)), GO TO EVENT_PAYMENT.]

EVENT1_PAYMENT. How did you/[Fill name] pay for this food and/or drink purchase? Select all that apply.

1. School Meal Account [SHOW IF Where_Food=3 (At School/School Meal)]

2. Cash

3. Credit card

4. Debit card

5. Digital payment app or Mobile wallet (e.g., Apple Pay, Venmo, Bitcoin)

6. SNAP EBT [SHOW if household is snap]

7. WIC or WIC EBT [SHOW if household is wic]

8. Personal check

9. Gift card

10. Other (Specify: _________) [IF EVENT_PAYMENT = 10 DISPLAY TEXT ENTRY BOX.]

[IF EVENT_PAYMENT=5 (SNAP EBT), ASK EVENT_SNAP. ELSE, GO TOEnd_Loop3.]

EVENT1_SNAP. How much did you /[Fill name] pay with the SNAP EBT card?

$_______

[DOLLAR AMOUNT ENTRY BOX.]

End_Loop3. Did you [Fill names] get food and/or drinks from any other places on ${e://Field/day_X}?

1. YES [GO TO HOW_FOOD )]

2. NO [GO TO FOODLOG_EXIT]

WaitX. If your day is not over yet and you may get more food and/or drinks, please exit your browser. When you return to the Day 1 ${e://Field/day_1} survey, your progress will be saved and you will be taken to this page. When you return, you can either report more food and/or drinks or go to the next screen to finish your food log day.

If your day is over, and you did NOT get any more food or drink items, you can go to the next screen to finish your food log day.

1. Enter food and/or drinks

2. Day is over and I did NOT get any more food or drink today

Ending the survey

[If going down path of reporting food display Names_got_Food. If did not report any food today – skip to Names_got_Food_no]

[if End_Loop3= 2, SHOW Names_got_Food and then FOODLOG_EXIT]

Names_got_food_yes. Please review the list of people who you have not reported for yet and mark whether or not they got food and/or drinks on Day 1: ${e://Field/day_1}.

[Matrix style with list of names who did not report an event being pipped in from embedded data and headers of:

Got food and/or drinks on Day 1: ${e://Field/day_1}//

Did NOT get any food and/or drinks on Day 1: ${e://Field/day_1}.

[SHOW IF proxyflag = no AND Did not get any food or drinks yet today is selected OR Did not get additional food is selected for Who/How_Get_E2]

Food_buy_yes_food. Did you get any food and/or drinks on Day 1: ${e://Field/day_1}?

Yes

No

FOODLOG_EXIT. Thank you for reporting the food and/or drinks you got on ${e://Field/day_1}. If your day is not over yet and you may get more food and/or drinks, please exit your browser. When you return to the Day 1 ${e://Field/day_1} survey, your progress will be saved and you will be taken to this page. When you return, you can either report more food and/or drinks or proceed to the "Submit" screen.

When you are ready, use the options below to report more food and/or drinks or to proceed to the "Submit" screen.

If wait = 2 (day is over and I did NOT get any food or drink today and more than 1 in household go to Names_got_Food_no; if wait = 2 and single person (no proxy) skip to FoodLog_Exit_No_Food]

[SHOW IF PROXY FLAG = NO

Food_buy_no_food. Did you get any food and/or drinks on Day 1: ${e://Field/day_1}

Yes

No

Names_got_Food_no. Please review the list of people below and mark who got food and drinks and who did NOT get food and drinks on [insert DAY 1].

[Matrix style with list of names being pipped in from embedded data and headers of Got food and/or drinks today // Did NOT get any food and/or drinks today.]

FOODLOG_EXIT_No_FOOD.

If your day is not over yet and you may get more food and/or drinks, please exit your browser. When you return to the Day 1 ${e://Field/day_1} survey, your progress will be saved and you will be taken to this page. When you return, you can either report food and/or drinks or proceed to the "Submit" screen. When you are ready, use the options below to report food and/or drinks or to proceed to the "Submit" screen.

I need to report food and/or drinks.

I did not get any food or drinks today. I am ready to submit the Day 1 food log and earn my gift card.

[After submitting the survey, respondents see this message on the screen]

Days 1 to second to last food log day

Thank you very much for completing today’s Food Log. You’ve earned a $[FILL] gift card for completing this food log, which can be redeemed after your study period closes. Please return to the dashboard tomorrow to complete your next food log.

Final day

Thank you very much for completing today’s Food Log. You’ve earned a $[FILL] gift card for completing this food log, which can be redeemed after your study period closes in three days.

Within the next three days, please complete any remaining surveys found in the dashboard to earn additional gift cards.