Protocol - Calcium Intake - Children

Instructions

Think about your usual eating habits over the past month. If you mark "Never or less than 1 time per month" for a question, follow the "Go to" instruction. Choose the best answer for each question by checking the box next to that answer.

1. How often do you drink 100% orange juice? Do not count fruit drinks like Tang® and Sunny D®.

1 [ ] Never or less than 1 time per month (GO TO QUESTION 2)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 time per day

8 [ ] 2 or more times per day

1a. Each time you drink orange juice, how much do you usually drink?

1 [ ] Less than 1 cup

2 [ ] 1 cup (8 ounces)

3 [ ] More than 1 cup

1b. How often is the orange juice you drink calcium fortified?

1 [ ] Almost never or never

2 [ ] Sometimes

3 [ ] Almost always or always

4 [ ] Don’t know

2. How often do you drink milk as a beverage (NOT in cereal)?

1 [ ] Never or less than 1 time per month (GO TO QUESTION 3)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 time per day

8 [ ] 2 times per day

9 [ ] 3 or more times per day

2a. Each time you drink milk, how much do you usually drink?

1 [ ] Less than 1 cup

2 [ ] 1 cup (8 ounces) (SEE PICTURE BELOW)

3 [ ] More than 1 cup

8 ounce glass of milk

2b. What kind of milk do you usually drink?

1 [ ] Whole milk

2 [ ] 2% fat milk

3 [ ] 1% fat milk

4 [ ] Skim or nonfat milk

5 [ ] Chocolate milk

6 [ ] Soy or rice milk

7 [ ] Don’t know

3. How often do you eat yogurt?

1 [ ] Never or less than 1 time per month (GO TO QUESTION 4)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 or more times per day

4. How often do you eat cold cereal?

1 [ ] Never or less than one time per month (GO TO QUESTION 5)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 time per day

8 [ ] 2 or more times per day

4a. Each time you eat cold cereal, how much do you usually eat?

1 [ ] Less than 2 cups

2 [ ] 2 cups (SEE THE PICTURE BELOW)

3 [ ] More than 2 cups

Two cups of cold cereal

5. How often do you eat Mexican foods such as tacos, tostados, burritos, tamales, fajitas, enchiladas, quesadillas, or chimichangas?

1 [ ] Never or less than 1 time per month (GO TO QUESTION 6)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 or more times per day

5a. Each time you eat Mexican foods, how much do you usually eat?

1 [ ] Less than 1 taco or burrito

2 [ ] 1 taco or burrito

3 [ ] More than 1 taco or burrito

6. How often do you eat pizza?

1 [ ] Never or less than 1 time per month (GO TO QUESTION 7)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 or more times per day

6a. Each time you eat pizza, how much do you usually eat?

1 [ ] 1 slice

2 [ ] 2 slices or one mini pizza

3 [ ] 3 or more slices

7. How often do you eat macaroni and cheese?

1 [ ] Never or less than 1 time per month (GO TO QUESTION 8)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 or more times per day

7a. Each time you eat macaroni and cheese, how much do you usually eat?

1 [ ] Less than 1 cup

2 [ ] 1 cup (SEE THE PICTURE BELOW)

3 [ ] More than 1 cup

One cup of macaroni and cheese

8. How often do you eat ice cream, ice cream bars, milkshakes, or frozen yogurt?

1 [ ] Never or less than 1 time per month (GO TO QUESTION 9)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 or more times per day

8a. Each time you eat ice cream, ice cream bars, milkshakes, or frozen yogurt, how much do you usually eat?

1 [ ] Less than 1 cup

2 [ ] 1 cup (2 scoops)

3 [ ] More than 1 cup

9. How often do you eat cheese (including on salads or in sandwiches or subs)?

1 [ ] Never or less than 1 time per month (GO TO QUESTION 10)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 or more times per day

9a. Each time you eat cheese, how much do you usually eat?

1 [ ] Less than 1 slice

2 [ ] 1 slice

3 [ ] More than 1 slice

10. How often do you eat bread, toast or dinner rolls, including bread as part of a sandwich (DO NOT count buns with hamburgers or hot dogs)?

1 [ ] Never or less than 1 time per month (GO TO END)

2 [ ] 1 time per month

3 [ ] 2-3 times per month

4 [ ] 1-2 times per week

5 [ ] 3-4 times per week

6 [ ] 5-6 times per week

7 [ ] 1 time per day

8 [ ] 2 or more times per day

10a. Each time you eat bread, toast or dinner rolls, how much do you usually eat?

1 [ ] 1 slice or 1 dinner roll

2 [ ] 2 slices or 2 dinner rolls

3 [ ] More than 2 slices or 2 dinner rolls

Tang^® is a registered trademark, Kraft Foods Inc.; Sunny D^® is a registered trademark, Sunny Delight Beverages Co.

Scoring Procedures

Scoring procedures, including a table of calcium values for individual food items, can be found in the Nutrition and Dietary Supplements - Additional Information on the PhenX Portal.