Pangalan ng Bata:___________________________________________
DIETARY DIVERSITY SCORE1
Please describe the foods (meals and snacks) that you ate yesterday during the day and night, whether at home or outside the home. Start with
the first food eaten in the morning. Write down all food and drinks mentioned by the respondent. When the respondent has finished, probe for
meals and snacks not mentioned.
(Ilarawan at itala ang mga pagkain na iyong kinain buong maghapon kahapon, maging sa bahay o labas. Simulan ang paglalarawan sa unang
pagkaing kinain hanggang sa huling pagkaing kinain kabilang din ang inumin. Isulat lahat ng mga ito sa talaan sa baba. Siguraduhin na walang
nakaligtaan at siyasatin ang mga pagkaing hindi nabanggit.)
Agahan Meryenda sa umaga Pananghalian Meryenda sa hapon Hapunan Meryenda sa gabi
[Household level: consider foods eaten by any member of the household, and exclude foods purchased and eaten outside of the home] When the
respondent recall is complete, fill in the food groups based on the information recorded above. For any food groups not mentioned, ask the
respondent if a food item from this group was consumed.
Question number Food group Examples YES=1; NO=0
1 CEREALS corn/maize, rice, wheat, sorghum, millet or any other grains or
foods made from these (e.g. bread, noodles, porridge or other
grain products) + insert local foods e.g. ugali, nshima, porridge
or pastes or other locally available grains
2 VITAMIN A RICH pumpkin, carrots, squash, or sweet potatoes that are
VEGETABLES orange inside + other locally available vitamin-A rich
AND TUBERS vegetables (e.g. red sweet pepper)
3 WHITE TUBERS AND white potatoes, white yams, white cassava, or other foods
ROOTS made from roots
4 DARK GREEN LEAFY dark green/leafy vegetables, including wild ones + locally
VEGETABLES available vitamin-A rich leaves such as amaranth, cassava
leaves, kale, spinach etc.
5 OTHER VEGETABLES other vegetables (e.g. tomato, onion, eggplant) , including wild
vegetables
6 VITAMIN A RICH ripe mangoes, cantaloupe, apricots (fresh or dried), ripe
FRUITS papaya, dried peaches + other locally available vitamin A-rich
fruits
7 OTHER FRUITS other fruits, including wild fruits
8 ORGAN MEAT (IRON- liver, kidney, heart or other organ meats or blood-based foods
RICH)
9 FLESH MEATS beef, pork, lamb, goat, rabbit, wild game, chicken, duck, or
other birds
10 EGGS chicken, duck, guinea hen or any other egg
11 FISH fresh or dried fish or shellfish
12 LEGUMES, NUTS AND beans, peas, lentils, nuts, seeds or foods made from these
SEEDS
13 MILK AND MILK milk, cheese, yogurt or other milk products
PRODUCTS
14 OILS AND FATS oil, fats or butter added to food or used for cooking
RED PALM PRODUCTS red palm oil, palm nut or palm nut pulp sauce
15
16 SWEETS sugar, honey, sweetened soda or sugary foods such as
chocolates, candies, cookies and cakes
17 SPICES, spices(black pepper, salt), condiments (soy sauce, hot sauce),
CONDIMENTS, coffee, tea, alcoholic beverages OR local examples
BEVERAGES
YES=1; NO=0
Did you eat anything (meal or snack) OUTSIDE of the home yesterday?
Individual level only
Did you or anyone in your household eat anything (meal or snack) OUTSIDE of the home
Household level only
yesterday?
1
FAO/Nutrition and Consumer Protection Division, version of May, 2007. Please acknowledge FAO in any documents pertaining to use of this questionnair
Food Frequency Questionnaire for the entire household
Pangalan:_____________________________
Household Number:_________________
Karaniwang consumo sa nakaraang buwan
Higit
sa 6 na
Pagkain beses
sa 4-6 2-3 5-6 2-4 1-3
isang kada kada 1 kada kada kada 1 kada kada halos Remarks/Desc
araw araw araw araw linggo linggo linggo buwan hindi ription
Rice and
Rice
Products
Bigas, maputi,
sinaing
Pan de Sal
Loaf Bread
Patatas
Kamote
Mais
Pasta
Mga Pagkaing
mayaman sa
Protina
Manok
Baboy
Baka
Isda
Shellfish
Itlog
Lamang Loo
Dairy gatas o
yoghurt
Keso
Beans and
nuts
Gulay
Leafy, green
(kangkong,mal
unggay)
Yellow
Vegetable
(kalabasa,
carrot)
Bell Pepper,
Sili
Kamatis
Puso ng
saging
Prutas
Saging,
Mansanas
pula,
Dalandan
Manga
Papaya
Pinya
Bayabas
Fats and Oils
cooking oil
type:_______
_
cooking butter
(Mantekilya)
mga palaman
tulad ng
mayonnaise,
peanut butter
Sweets and
Desserts
Sugar/Asukal
kendi/
tsokolate
Ice cream
(sorbetes)
cake/pastries
mga
kakanin:____
____
Mga Karagdagang Tanong:
1. May iniinom po bang vitamins ang
bata? Anong uri po ng vitamins?
2. Gaano kadalas niya po ito iniinom
ilang beses sa isang
araw/linggo/buwan