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  • NNS - Clinical and Health Form

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    Callisto Ganymede
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    This document contains 7 annexes that provide questionnaires used to collect nutrition data in the Philippines. The annexes include forms for measuring blood pressure, medical history, smoking and alcohol consumption, supplement use, physical activity, food frequency, and household food records. All forms are owned by the Food and Nutrition Research Institute and Department of Science and Technology and cannot be reproduced without permission.

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    NNS_Clinical and Health Form

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    This document contains 7 annexes that provide questionnaires used to collect nutrition data in the Philippines. The annexes include forms for measuring blood pressure, medical history, smoking and alcohol consumption, supplement use, physical activity, food frequency, and household food records. All forms are owned by the Food and Nutrition Research Institute and Department of Science and Technology and cannot be reproduced without permission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    10 views20 pages

    NNS - Clinical and Health Form

    Uploaded by

    Callisto Ganymede
    This document contains 7 annexes that provide questionnaires used to collect nutrition data in the Philippines. The annexes include forms for measuring blood pressure, medical history, smoking and alcohol consumption, supplement use, physical activity, food frequency, and household food records. All forms are owned by the Food and Nutrition Research Institute and Department of Science and Technology and cannot be reproduced without permission.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 20

    Philippine Nutrition Facts and Figures 2015

    7. ANNEXES - Questionnaires

    Annex 1. Form 5.1 - Blood Pressure Measurement of Individuals, 3 Years Old and Above

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 129


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    Annex 2. Form 5.1 - History of Raised Blood Pressure of 18 Years Old and Above

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    130 Food and Nutrition Research Institute


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 131


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    Annex 3. Form 5.2 - Smoking and Alcohol Consumption of Individuals, 10 Years Old and Above

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    132 Food and Nutrition Research Institute


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 133


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    134 Food and Nutrition Research Institute


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 135


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    136 Food and Nutrition Research Institute


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 137


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    Annex 4. Form 5.3 - Awareness and Usage of Health / Food / Dietary Supplements of Adults,
    18 Years Old and Above

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    138 Food and Nutrition Research Institute


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    Annex 5. Form 5.4 - Physical Activity of Adults, 18 Years Old and Above

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 139


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    140 Food and Nutrition Research Institute


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 141


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    Annex 6. Form 5.5 - Food Frequency Questionnaire of Adults, 18 Years Old and Above

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    142 Food and Nutrition Research Institute


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 143


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    144 Food and Nutrition Research Institute


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 145


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    146 Food and Nutrition Research Institute


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    Annex 7. Form 9.3 - Household Food Record

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    Food and Nutrition Research Institute 147


    Department of Science and Technology
    Philippine Nutrition Facts and Figures 2015

    This is owned by FNRI-DOST and cannot be


    reproduced without the permission of the owner.

    148 Food and Nutrition Research Institute


    Department of Science and Technology

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