№ During a week how often do you dat the following foods
1. 7 times a week and over
2. 4-6 times a week
3. less than 4 times a week
4. l don t eat it at all 1. Meat and products
2. Fish and fish products
3. Poultry
4. Eggs
5. Curd, cheese
6. Milk, yogurt, kefir
7. Breakfast cereals
8. Grains
9. Farina
10. Flour all purpose, bran, brown bread
11. Cooling margarine
12. Lard
13. Cream butter
14. Oils, mayonnais
15. Cake, cookies
16. Chocolate, sweets
17. Vegetables, potato
18. Fruits
19. Citrus
20. Berries
21. Do you follow a certain eating regimen?
22. How many meals a day (including snacks) do you have?
23. Spedify part of the day when you have your biggest meal?
Where do you usually get foods
24. Meat and meat products
25. Fish and fish products
26. Curd, sour cream
27. Vegetables
28. Greens
29. Fruits
30. Berries
31. Do you have strong tea/coffee right after dinner?
32. Do you drink strong drinks?
33. Do you smoke?
34. Do you take any medications (including contraceptives) on a regular basis?
35. Do you regulary take vitamins or mineral supplements
36. Specify your blood type
