Description Table A
Nutritional risk questions and response categories in Canadian Community Health Survey-Healthy Aging (CCHS-HA) and SCREEN II-AB
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| CCHS-HANote † | SCREEN II-AB |
|---|---|
| Item number / Question Response categories (points) | Question Response categories |
| 1 | |
| 1. Compared with 6 months ago, have you gained weight, lost weight or stayed about the same? Stayed the same (8) Don't know (0) (go to question 3) Gained weight (0) (go to question 2) Lost weight (0) (go to question 2) 2. How much weight did you lose/gain in the past 6 months? More than 10 pounds / 4.5 kilos (0) 6 to 10 pounds / 2.7 to 4.5 kilos (2) About 5 pounds / 2.3 kilos (4) Less than 5 pounds / 2.3 kilos (8) |
Has your weight changed in the past 6 months? Yes, I gained more than 10 pounds Yes, I gained 6 to 10 pounds Yes, I gained about 5 pounds No, my weight stayed within a few pounds Yes, I lost about 5 pounds Yes, I lost 6 to 10 pounds Yes, I lost more than 10 pounds I don’t know how much I weigh or if my weight has changed |
| 2 | |
| 3. In general, how often do you skip meals? Almost every day (0) Often (2) Sometimes (4) Never or rarely (8) |
Do you skip meals? Almost every day Often Sometimes Never or rarely |
| 3 | |
| 4. In general, how would you describe your appetite? Poor (0) Fair (4) Good (6) Very good (8) |
How would you describe your appetite? Poor Fair Good Very good |
| 4 | |
| 5. In general, how often do you cough, choke or have pain when swallowing food or fluid? Often or always (0) Sometimes (2) Rarely (6) Never (8) |
Do you cough, choke or have pain when swallowing food or fluids? Often or always Sometimes Rarely Never |
| 5 | |
| 6. In general, how many servings of fruits and vegetables do you eat in a day? Less than two (0) Two (1) Three (2) Four (3) Five (4) Six (4) Seven or more (4) |
How many pieces or servings of fruit and vegetables do you eat in a day? Less than two Two Three Four Five or more |
| 6 | |
| 7. How much fluid do you drink in a day? Less than two cups (0) About two cups (1) Three to four cups (2) Five to seven cups (3) Eight or more cups (4) |
How much fluid do you drink in a day? Less than two cups About two cups Three to four cups Five to seven cups Eight or more cups |
| 7 | |
| 8. How often do you eat at least one meal each day with someone? Never or rarely (0) Sometimes (2) Often (3) Almost always (4) |
Do you eat one or more meals a day with someone? Never or rarely Sometimes Often Almost always |
| 8 | |
| 9. Do you usually cook your own meals? No (go to question 11) Yes (go to question 10) 10. Which of the following statements best describes meal preparation for you? I usually find cooking a chore (0) I sometimes find cooking a chore (2) I enjoy cooking most of my meals (4) 11. Which of the following statements best describes the meals prepared for you? I'm not satisfied with the quality of the food prepared by others (0) I'm satisfied with the quality of the food prepared by others (4) |
Who usually prepares your meals? Someone else cooks most of my meals (go to question about quality of the food prepared by others) I share my cooking with someone else (go to question about attitude toward cooking) I do (go to question about attitude toward cooking) Which statement best describes meal preparation for you? I usually find cooking a chore I sometimes find cooking a chore I enjoy cooking most of my meals Which statement best describes meal preparation for you? I'm not satisfied with the quality of the food prepared by others I'm satisfied with the quality of the food prepared by others |
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