Canadian Community Health Survey (CCHS): Nutrition - 2015 (Second Interview)

Proxy interview (GR) - Question identifier:GR_N01

Select the person who is providing the information for this component. For parent-assisted interviews (for children aged 6 to 11), select the child as the person providing the information.

• 01: MEMBER1
• 02: MEMBER2
• 03: MEMBER3
• 04: MEMBER4
• 05: MEMBER5
• 06: MEMBER6
• 07: MEMBER7
• 08: MEMBER8
• 09: MEMBER9
• 10: MEMBER10
• 11: MEMBER11
• 12: MEMBER12
• 13: MEMBER13
• 14: MEMBER14
• 15: MEMBER15
• 16: MEMBER16
• 17: MEMBER17
• 18: MEMBER18
• 19: MEMBER19
• 20: MEMBER20

Proxy interview (GR) - Question identifier:GR_N02

Do you want to complete this interview by proxy?

• 1: Yes
• 2: No

Proxy interview (GR) - Question identifier:GR_N03

Record the reason why this component is being completed by proxy. Proxy interviews for respondents aged 6 and older are to occur only if the mental or physical health of the selected member makes it impossible to complete the interview during the collection period. If the reason for the proxy interview is neither of these choices, please press <F10> to exit the application and assign an appropriate outcome code.

• 1: Physical health condition
• 2: Mental health condition

Proxy interview (GR) - Question identifier:GR_N04

Enter the condition.

Long Answer Length = 80

Survey Introduction (INT) - Question identifier:INT_R01

This survey collects information on the nutrition of people in Canada. It includes questions on eating habits and other factors that may relate to health and nutritional well-being.

Press <1> to continue.

Survey Introduction (INT) - Question identifier:INT_R02

Your answers are collected under the authority of the Statistics Act and will be kept strictly confidential.

Press <1> to continue.

Survey Introduction (INT) - Question identifier:INT_R03

Although your participation in this survey is voluntary, your cooperation is important so that the information collected will be as accurate and complete as possible.

Press <1> to continue.

Automated Multiple Pass Method (AMPM) - Question identifier:AMPM_R1

The 24-Hour Dietary Recall interview is composed of 5 Steps:

1. Quick List: The Quick List step is designed to get a quick collection of easily remembered foods, including snacks and water. In this step, respondent reports a listing of all foods and beverages consumed in a 24-hour period during the day before the interview in any order he/she wishes (without being interrupted by the interviewer). That is, the respondent is free of the burden of reporting the foods in a chronological order, so his/her mind can be free to reflect on the foods actually eaten.

Press <1> to continue.

Automated Multiple Pass Method (AMPM) - Question identifier:AMPM_R2

2. Forgotten Foods: This step is designed to collect foods that may have been forgotten during the "Quick List" step. The respondent answers a series of questions probing for forgotten foods from various categories: non-alcoholic beverages, alcoholic beverages, sweets, savoury snacks, fruits, vegetables, cheese, breads and rolls, and any other types of foods.

Press <1> to continue.

Automated Multiple Pass Method (AMPM) - Question identifier:AMPM_R3

3. Time and Occasion: The respondent reports the time he/she began eating or drinking each of the reported foods and what he/she would call the eating occasion (e.g. breakfast, lunch) - as defined by the respondent - for this food. These questions are designed to help the respondent remember and report his/her eating patterns over the 24-hour period of the previous day, as well as to group together the foods eaten at the same time.

Press <1> to continue.

Automated Multiple Pass Method (AMPM) - Question identifier:AMPM_R4

4. Detail Cycle: This step is reserved for more detail oriented questions, executed by the interviewer after having developed a rapport. Respondent answers standardized questions to probe for detailed information about each food and beverage reported in the Quick List step. The questions include probes for: food descriptions, food amounts, additions to the foods, and preparation methods.

A "Food Model Booklet" is used as the main measuring guide to help the respondent describe the size or amount of the food consumed. The booklet contains pictures of various sizes of glasses, mugs, bowls, mounds/pats/spreads, and circles. In addition, it includes a grid, two wedges, and a page of shapes and chicken pieces.

Reviews of eating occasions and times between occasions are also included in this step to elicit forgotten foods. Once information about the eating occasion is complete, then the respondent is asked where the meal was eaten. The application flows in a chronological order.

Press <1> to continue.

Automated Multiple Pass Method (AMPM) - Question identifier:AMPM_R5

5. Final Probe: A final probe is asked to collect additional foods that may have been consumed, but not remembered or mentioned earlier during the interview.

Press <1> to continue.

Proxy interview (GR) - Question identifier:GR_N01

Select the person who is providing the information for this component. For parent-assisted interviews (for children aged 6 to 11), select the child as the person providing the information.

• 01: MEMBER1
• 02: MEMBER2
• 03: MEMBER3
• 04: MEMBER4
• 05: MEMBER5
• 06: MEMBER6
• 07: MEMBER7
• 08: MEMBER8
• 09: MEMBER9
• 10: MEMBER10
• 11: MEMBER11
• 12: MEMBER12
• 13: MEMBER13
• 14: MEMBER14
• 15: MEMBER15
• 16: MEMBER16
• 17: MEMBER17
• 18: MEMBER18
• 19: MEMBER19
• 20: MEMBER20

Proxy interview (GR) - Question identifier:GR_N02

Do you want to complete this interview by proxy?

• 1: Yes
• 2: No

Proxy interview (GR) - Question identifier:GR_N03

Record the reason why this component is being completed by proxy. Proxy interviews for respondents aged 6 and older are to occur only if the mental or physical health of the selected member makes it impossible to complete the interview during the collection period. If the reason for the proxy interview is neither of these choices, please press <F10> to exit the application and assign an appropriate outcome code.

• 1: Physical health condition
• 2: Mental health condition

Proxy interview (GR) - Question identifier:GR_N04

Enter the condition.

Long Answer Length = 80

Nutritional Supplements Detail (NSD) - Question identifier:NSD_Q8

[During the last interview it was reported that you took ^SUPPNAME.]. Did you take this supplement yesterday?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Nutritional Supplements Detail (NSD) - Question identifier:NSD_Q9

How much of this supplement did you take yesterday?

Min = 0.1; Max = 40.0

Nutritional Supplements Detail (NSD) - Question identifier:NSD_N9A

Select the reporting unit.

• 01: Tablets
• 02: Capsules
• 03: Pills, caplets, softgels, gelcaps, vegicaps, chewable tablets
• 04: Droppers
• 05: Teaspoons
• 06: Tablespoons
• 07: Drops
• 08: Injections/shots
• 09: Lozenges/Cough drops
• 10: Millilitres
• 11: Wafers
• 12: Cans
• 13: Grams
• 14: Dots
• 15: Cups
• 16: Sprays/Squirts
• 17: Chews/Gummies
• 18: Scoops
• 19: Capfuls
• 20: Ounces
• 21: Packages/Packets
• 22: Vials
• 23: Gumballs
• 91: Other - Specify
• 98: RF
• 99: DK

Nutritional Supplements Detail (NSD) - Question identifier:NSD_Q10

Was that a liquid or a powder?

• 1: Liquid
• 2: Powder
• 8: RF
• 9: DK

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R020

For the last few questions, I would like to speak with someone who would be best able to answer questions [about the entire household such as household income and food purchases/on sharing and linking of data].

Press <1> to continue.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_Q020

Who would this person be?

Select the person most knowledgeable from the household roster.

• 01: MEMBER1
• 02: MEMBER2
• 03: MEMBER3
• 04: MEMBER4
• 05: MEMBER5
• 06: MEMBER6
• 07: MEMBER7
• 08: MEMBER8
• 09: MEMBER9
• 10: MEMBER10
• 11: MEMBER11
• 12: MEMBER12
• 13: MEMBER13
• 14: MEMBER14
• 15: MEMBER15
• 16: MEMBER16
• 17: MEMBER17
• 18: MEMBER18
• 19: MEMBER19
• 20: MEMBER20

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_Q030B

Is [MEMBER1/MEMBER2/MEMBER3/MEMBER4/MEMBER5/MEMBER6/MEMBER7/MEMBER8/MEMBER9/MEMBER10/MEMBER11/MEMBER12/MEMBER13/MEMBER14/MEMBER15/MEMBER16/MEMBER17/MEMBER18/MEMBER19/MEMBER20] available?

• 1: Yes
• 2: No
• 3: Person most knowledgeable about household refuses to participate

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R042

This completes your portion of the interview. On behalf of Statistics Canada, I would like to thank you very much for your time.

Press <1> to continue.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R045

This completes your portion of the interview. On behalf of Statistics Canada, I would like to thank you very much for your time. I would now like to know the best time to speak with [MEMBER1/MEMBER2/MEMBER3/MEMBER4/MEMBER5/MEMBER6/MEMBER7/MEMBER8/MEMBER9/MEMBER10/MEMBER11/MEMBER12/MEMBER13/MEMBER14/MEMBER15/MEMBER16/MEMBER17/MEMBER18/MEMBER19/MEMBER20].

Press <1> to continue.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R050

This completes your portion of the interview. On behalf of Statistics Canada, I would like to thank you very much for your time. I would now like to speak with ^MEMBERNAME.

You should continue with the person most knowledgeable about the household.

Press < 1> to continue.

Person most knowledgeable about household situation (PMK) - Question identifier:PMK_R060

Hello, My name is... I've just completed the main portion of the interview with ^FNAME. At this point I need to finish the interview with a few [general questions on your household's situation/questions on sharing and linking of data]. ^FNAME said you would be the best person to answer these types of questions.

Press <1> to continue.

Administration (ADM) - Question identifier:ADM_Q01

[Statistics Canada, your provincial ministry of health and the "Institut de la statistique du Québec"] may combine your responses from this survey with information from other surveys or from administrative data sources.

Press <1>, unless respondent objects to combining responses with other data sources.

• 1: Continue
• 2: Respondent does not want his/her responses combined with other sources
• 3: Other [e.g. respondent hung up, interview suspended/interrupted]

Administration (ADM) - Question identifier:ADM_Q03A

Having a provincial (or territorial) health number will assist us in linking to this other information.

Do you have [an/a] [Newfoundland and Labrador/Prince Edward Island/Nova Scotia/New Brunswick/Quebec/Ontario/Manitoba/Saskatchewan/Alberta/British Columbia/Yukon/Northwest Territories/Nunavut] health number?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Administration (ADM) - Question identifier:ADM_Q03B

For which province (or territory) is your health number?

• 10: Newfoundland and Labrador
• 11: Prince Edward Island
• 12: Nova Scotia
• 13: New Brunswick
• 24: Quebec
• 35: Ontario
• 46: Manitoba
• 47: Saskatchewan
• 48: Alberta
• 59: British Columbia
• 60: Yukon
• 61: Northwest Territories
• 62: Nunavut
• 88: Does not have a Canadian health number
• 98: RF
• 99: DK

Administration (ADM) - Question identifier:ADM_R04A

To avoid duplication of surveys, Statistics Canada has signed agreements with provincial ministries of health, Health Canada and the Public Health Agency of Canada to share the information that you provided on this survey.

Provincial ministries of health may make this information available to local health authorities, but no identifiable information such as names, addresses or telephone numbers will be provided.

The personal identifiers (names, addresses and telephone numbers) will not be provided to Health Canada or the Public Health Agency of Canada.

Press <1> to continue.

Administration (ADM) - Question identifier:ADM_R04B

To avoid duplication of surveys, Statistics Canada has signed agreements with provincial ministries of health, the Institut de la statistique du Québec, Health Canada and the Public Health Agency of Canada to share the information that you provided on this survey.

The Institut de la statistique du Québec and provincial ministries of health may make this information available to local health authorities, but no identifiable information such as names, addresses or telephone numbers will be provided.

The personal identifiers (names, addresses or telephone numbers) will not be provided to Health Canada or the Public Health Agency of Canada.

Press <1> to continue.

Administration (ADM) - Question identifier:ADM_Q04

These organizations have agreed to keep your information confidential and use it only for statistical purposes.

Do you agree to share the information provided?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Administration (ADM) - Question identifier:ADM_N05

Is this a fictitious name for the respondent?

• 1: Yes
• 2: No
• 9: DK

Administration (ADM) - Question identifier:ADM_N06

Remind respondent about the importance of getting correct names.
Do you want to make corrections to:

• 1: ... first name only?
• 2: ... last name only?
• 3: ... both names?
• 4: ... no corrections?

Administration (ADM) - Question identifier:ADM_N07

Enter the first name only.

Long Answer Length = 25

Administration (ADM) - Question identifier:ADM_N08

Enter the last name only.

Long Answer Length = 25

Administration (ADM) - Question identifier:ADM_N09

Was this interview conducted on the telephone or in person?

• 1: On telephone
• 2: In person
• 3: Both

Administration (ADM) - Question identifier:ADM_N10

Was the respondent alone when you asked this health questionnaire?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Administration (ADM) - Question identifier:ADM_N11

Do you think that the answers of the respondent were affected by someone else being there?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Administration (ADM) - Question identifier:ADM_N12

Record language of interview.

• 01: English
• 02: French
• 03: Chinese
• 04: Italian
• 05: Punjabi
• 06: Spanish
• 07: Portuguese
• 08: Polish
• 09: German
• 10: Vietnamese
• 11: Arabic
• 12: Tagalog (Filipino)
• 13: Greek
• 14: Tamil
• 15: Cree
• 16: Afghan
• 17: Cantonese
• 18: Hindi
• 19: Mandarin
• 20: Persian
• 21: Russian
• 22: Ukrainian
• 23: Urdu
• 24: Inuktitut
• 90: Other - Specify
• 98: RF
• 99: DK

Administration (ADM) - Question identifier:ADM_N13

Was the child present and able to participate during most of the interview?

• 1: Yes
• 2: No
• 8: RF
• 9: DK

Health Number Validation (HN) - Question identifier:HN_Q01

What is your health number?

Long Answer Length = 12

Enter a health number for [Newfoundland and Labrador/Prince Edward Island/Nova Scotia/New Brunswick/Quebec/Ontario/Manitoba/Saskatchewan/Alberta/British Columbia/Yukon/the Northwest Territories/Nunavut]. In [Newfoundland and Labrador/Prince Edward Island/Nova Scotia/New Brunswick/Quebec/Ontario/Manitoba/Saskatchewan/Alberta/British Columbia/Yukon/the Northwest Territories/Nunavut], the health number is made up of [twelve numbers/eight numbers/ten numbers/nine numbers/four letters followed by eight numbers/ten numbers. Do not include the two letters at the end for green health cards/nine numbers, beginning with 002/one letter followed by seven numbers]. Do not insert blanks, hyphens or commas between the numbers.

[Note: In Manitoba, health numbers of families can be listed on the same card. Be sure to capture the intended respondent's health number if there is more than one on the card./Note: In British Columbia, residents may have a combined driver's license and health card. If the respondent has a combined card, the health number is on the back above the barcode./""]

Health Number Validation (HN) - Question identifier:HN_N01A

Re-enter the health number.

Long Answer Length = 12